Subarachnoid Hemorrhage, Vasospasm, Intracranial
Conditions
Keywords
Subarachnoid Hemorrhage, Vasospasm, Intracranial, Transcranial doppler
Brief summary
The prevalence and clinical implications of prolonged cerebral vasospasm in patients with subarachnoid hemorrhage are unknown.
Detailed description
The prevalence and clinical importance of prolonged cerebral vasospasm (after day 21 of bleeding) in patients with subarachnoid hemorrhage is unknown. Objectives: To determine the prevalence and clinical relevance of prolonged vasospasm in patients with subarachnoid hemorrhage secondary to cerebral aneurysm. A prospective and observational study was conducted. Adult patients with a diagnosis of subarcnoid hemorrhage CT scan or presence of blood in the cerebrospinal fluid were incorporated. Patients with vasospasm were followed daily with transcranial doppler. Those with technical impossibility to perform transcranial and pregnant Doppler were excluded. Day 0 was defined, the day of the last bleeding. Evaluation: 1) It was considered in patients with prolonged vasospasm: whether or not it was associated with clinical manifestation (deterioration of the sensory or new neurological deficit) and 2) the magnitude of the vasospasm (mild, moderate or severe) was measured by transcranial doppler.
Interventions
Daily monitoring of transcranial doppler until the disappearance of the intracranial vasosparm
Sponsors
Study design
Eligibility
Inclusion criteria
Subarachnoid hemorrhage -
Exclusion criteria
Pregnancy \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical implication | 1 month | Presence or not of neurological symptoms related to intracranial vasospasm (delayed cerebral ischemia) |
| Gravity of vasospasm by transcranial doppler | 1 month | Mild, moderate and severe according to Aaslid scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mortality assessment | six monts | Mortality was assessed at hospital discharge and at six months |
Other
| Measure | Time frame | Description |
|---|---|---|
| Neurological recovery | six monts | Neurological recovery at six months according to Glasgow outcome scale |