cerebral vasospasm spasm of the vessels in the brain
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Confirmed aneurysmatic subarachnoid hemorrhage. Cerebral vasospasm demonstrated by TCD, defined as a MCA/ICA ratio >3 Aneurysm is treated with a surgical or endovascular procedure. Age > 18 years. Treatment can be started promptly. Informed consent signed by patient or family.
Exclusion criteria
Exclusion criteria: History of cervical spine or skull-base surgery. Known adverse reaction to TENS-pads. The presence of any implanted electronic device (including pacemakers). Pre-existing disease that can obscure follow-up. Unacceptable interference with cardiographic registration (in case intensive care is necessary). Insuficient temporal bony windows
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cerebral bloodflowvelocities as measured by transcranial doppler sonography | — |
Secondary
| Measure | Time frame |
|---|---|
| Cerebral ischemia as seen on computed tomography scans Cerebral oxygenationas measured by near-infrared spectroscopy Bloodpressure and pulse. Clinical outcome. | — |
Countries
Netherlands