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Neurocritical Care

, Volume 29, Issue 3, pp 512–518 | Cite as

Prolonged Post-Traumatic Vasospasm Resulting in Delayed Cerebral Ischemia After Mild Traumatic Brain Injury

  • Masoom Desai
  • Nicholas A. Morris
A Day in the Life of a Neurocritical Care Trainee

Introduction

Post-traumatic vasospasm (PTV) is an important cause of secondary brain injury in patients with severe traumatic brain injury (TBI) and independently predicts poor outcomes [1, 2]. The incidence of PTV has been varyingly reported from 35.6 to 61% [3, 4, 5, 6, 7, 8]. Important risk factors for PTV include severity of TBI determined by the Glasgow coma score (GCS) and radiographic criteria, young age, fever on admission and volume of cisternal blood [3, 9]. PTV has been associated with traumatic subarachnoid hemorrhage (tSAH), a marker of severity of TBI [5, 10]. Increased incidence of PTV has also been linked with worse Rotterdam Scores [9]. PTV usually begins around day 2–3 and lasts from 5 to 10 days [3, 5]. Moreover, less than 20% of patients develop clinical sequelae from PTV, mostly seen in severe TBI [3, 5, 10].

We present a case of young man who suffered mild TBI and had a clinical course complicated by prolonged refractory vasospasm manifesting with clinical...

Notes

Source of Support

Dr. Morris receives support from the ABPN Factulty Innovation in Education Award.

Author Contributions

Dr. Desai drafted the manuscript, performed a literature review, and obtained images. Dr. Morris identified the case, helped draft the mansucript, performed a literature review, obtained images, and reviewed for intellectual content.

Compliance with Ethical Standards

Conflict of interest

The authors have no conflicts of interest.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and Neurocritical Care Society 2018

Authors and Affiliations

  1. 1.Department of Neurology, Program in TraumaUniversity of Maryland School of MedicineBaltimoreUSA

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