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Cerebral vasospasm: results of a structured multimodal treatment

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Book cover New Trends of Surgery for Stroke and its Perioperative Management

Part of the book series: Acta Neurochirurgica Supplements ((NEUROCHIRURGICA,volume 94))

Summary

Symptomatic cerebral vasospasm (CVS) with delayed ischemic neurologic deficits affects about one third of the patients after aneurysmal subarachnoid hemorrhage (SAH). In spite of the lack of definite evidence of large clinical trials, the devastating outcome of the natural history of symptomatic CVS demands an aggressive CVS treatment in a practically oriented, structured multimodal treatment regimen. With our treatment protocol good functional outcome could be reached in 66% of the patients with symptomatic CVS. This policy requires close and fast multidisciplinary collaboration between neurosurgeons, neuroradiologists, competent in endovascular interventions, and specialists for neurointensive care. We report on our experience with 79 cases with symptomatic CVS and delayed ischemic neurologic deficit (DIND) after aneurysmal SAH. The different treatment options with CVS are reviewed and practical guidelines for a step by step treatment are given.

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Authors and Affiliations

  1. Department of Neurosurgery, University Hospital Zurich, Zurich, Switzerland

    E. Keller, N. Krayenbühl, M. Bjeljac & Y. Yonekawa

  2. Department of Neurosurgery, University Hospital, Frauenklinikstrasse 10, 8091, Zurich, Switzerland

    E. Keller

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  1. E. Keller
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  2. N. Krayenbühl
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Editors and Affiliations

  1. University Hospital, Zurich, Switzerland

    Yasuhiro Yonekawa  & Emanuela Keller  & 

  2. Department of Neurosurgery, Sendai National Hospital, Sendai, Japan

    Yoshiharu Sakurai

  3. Department of Neurosurgery, Kyoto National Hospital, Kyoto, Japan

    Tetsuya Tsukahara

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Keller, E., Krayenbühl, N., Bjeljac, M., Yonekawa, Y. (2005). Cerebral vasospasm: results of a structured multimodal treatment. In: Yonekawa, Y., Keller, E., Sakurai, Y., Tsukahara, T. (eds) New Trends of Surgery for Stroke and its Perioperative Management. Acta Neurochirurgica Supplements, vol 94. Springer, Vienna. https://doi.org/10.1007/3-211-27911-3_11

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  • DOI: https://doi.org/10.1007/3-211-27911-3_11

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-24338-1

  • Online ISBN: 978-3-211-27911-3

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