The largest trial comparing surgical and endovascular management of ruptured aneurysms is the ISAT trial: RCT: ISATMolyneux et alLancet (2002)View Paper Intervention Endovascular coiling vs. surgical clipping for acute ruptured intracranial aneurysm Population 2143...
The patient is taken for coiling of a saccular aneurysm the following day. Reviewing the patient on the ward round after you notice there is some new weakness of the left side. You suspect cerebral vasospasm and delayed cerebral...
Vasospasm is narrowing of cerebral vessels following subarachnoid haemorrhage (SAH), visible angiographically or via transcranial doppler It occurs in 60-70% of patients with SAH Typically starts at day 3 to 4 days after aneurysm rupture, peaking at day 7 to 10 days,...
Vasospasm is narrowing of cerebral vessels following subarachnoid haemorrhage (SAH), visible angiographically or via transcranial doppler It occurs in 60-70% of patients with SAH Typically starts at day 3 to 4 days after aneurysm rupture, peaking at day 7 to 10 days,...
Despite a general belief that vasospasm causes delayed cerebral ischemia, there is significant evidence to suggest other factors contributes to pathogenesis: Less than half of patients with proven vasospasm develop DCI DCI does not consistently occur in the territory...
