Skip to main content
SpringerLink
Log in

Cerebral Vasospasm and Subarachnoid Hemorrhage

  • Chapter
  • First Online:
Recent Progress in the Management of Cerebrovascular Diseases

  • 414 Accesses

Abstract

Cerebral vasospasm (CVS) is the leading cause of acute focal cerebral ischemia after subarachnoid hemorrhage (SAH). CVS occurs in about one-third of SAH patients. CVS usually starts 3–4 days after aneurysm rupture, peaks at 7–10 days, and recovers by 14–21 days [1]. About one-third of these patients die from CVS, and another one-third are left disabled [2].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Lawton MT, Vates GE. Subarachnoid hemorrhage[J]. N Engl J Med. 2017;377(3):257–66.

    Article  Google Scholar 

  2. Janardhan V, Biondi A, Riina HA, Sanelli PC, Stieg PE, Gobin YP. Vasospasm in aneurysmal subarachnoid hemorrhage: diagnosis, prevention, and management. Neuroimaging Clin N Am. 2006;16(3):483–96.

    Article  Google Scholar 

  3. Inagawa T. Risk factors for cerebral vasospasm following aneurysmal subarachnoid hemorrhage: a review of the literature. World Neurosurg. 2016;85:56–76.

    Article  Google Scholar 

  4. Tejus MN, Singh D, Jagetia A, Singh H, Tandon M, Chawla R, Ganjoo P. Endovascular nuances in management of multiple intracranial aneurysms. Neurol India. 2019;67(4):1062–5.

    Article  CAS  Google Scholar 

  5. Shojima M, Morita A, Nakatomi H, Tominari S. Size is the most important predictor of aneurysm rupture among multiple cerebral aneurysms: post hoc subgroup analysis of unruptured cerebral aneurysm study Japan. Neurosurgery. 2018;82(6):864–9.

    Article  Google Scholar 

  6. Cengiz SL, Ilik MK, Erdi F, Ustun ME. The role of fenestration of the lamina terminalis on symptomatic vasospasm after aneurysmal subarachnoid hemorrhage: a clinical research. Turk Neurosurg. 2016;26(5):714–9.

    PubMed  Google Scholar 

  7. Tao C, Fan C, Hu X, Ma J, Ma L, Li H, Liu Y, Sun H, He M, You C. The effect of fenestration of the lamina terminalis on the incidence of shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage (FISH): study protocol for a randomized controlled trial. Medicine (Baltimore). 2016;95(52):e5727.

    Article  Google Scholar 

  8. Mura J, Rojas-Zalazar D, Ruiz A, Vintimilla LC, Marengo JJ. Improved outcome in high-grade aneurysmal subarachnoid hemorrhage by enhancement of endogenous clearance of cisternal blood clots: a prospective study that demonstrates the role of lamina terminalis fenestration combined with modern microsurgical cisternal blood evacuation. Minim Invasive Neurosurg. 2007;50(6):355–62.

    Article  CAS  Google Scholar 

  9. Liu JK, Couldwell WT. Intra-arterial papaverine infusions for the treatment of cerebral vasospasm induced by aneurysmal subarachnoid hemorrhage. Neurocrit Care. 2005;2(2):124–32.

    Article  Google Scholar 

  10. Li K, Barras CD, Chandra RV, Kok HK, Maingard JT, Carter NS, Russell JH, Lai L, Brooks M, Asadi H. A review of the management of cerebral vasospasm after aneurysmal subarachnoid hemorrhage. World Neurosurg. 2019;126:513–27.

    Article  Google Scholar 

  11. Li DD, Chang JY, Zhou CX, Cui JB. Clinical diagnosis of cerebral vasospasm after subarachnoid hemorrhage by using transcranial Doppler sonography. Eur Rev Med Pharmacol Sci. 2018;22(7):2029–35.

    PubMed  Google Scholar 

  12. Venkatraman A, Khawaja AM, Gupta S, Hardas S, Deveikis JP, Harrigan MR, Kumar G. Intra-arterial vasodilators for vasospasm following aneurysmal subarachnoid hemorrhage: a meta-analysis. J NeuroInterv Surg. 2018;10(4):380–7.

    Article  Google Scholar 

  13. Yao Z, Hu X, You C. Endovascular therapy for vasospasm secondary to subarachnoid hemorrhage: a meta-analysis and systematic review. Clin Neurol Neurosurg. 2017;163:9–14.

    Article  Google Scholar 

  14. Lennihan L, Mayer SA, Fink ME, Beckford A, Paik MC, Zhang H, Wu YC, Klebanoff LM, Raps EC, Solomon RA. Effect of hypervolemic therapy on cerebral blood flow after subarachnoid hemorrhage: a randomized controlled trial. Stroke. 2000;31(2):383–91.

    Article  CAS  Google Scholar 

  15. Pickard JD, Murray GD, Illingworth R, Shaw MD, Teasdale GM, Foy PM, Humphrey PR, Lang DA, Nelson R, Richards P, Et A. Effect of oral nimodipine on cerebral infarction and outcome after subarachnoid haemorrhage: British aneurysm nimodipine trial. BMJ. 1989;298(6674):636–42.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery, The First Affiliated Hospital of Soochow University, Suzhou, China

    Qing Sun & Gang Chen

Authors
  1. Qing Sun
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Gang Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Gang Chen .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Fujita Health University Bantane Hospital, Nagoya, Japan

    Yoko Kato

  2. Department of Neurosurgery, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China

    Xiaohua Zhang

  3. Department of Neurosurgery, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China

    Jiong Dai

  4. Department of Neurosurgery, UP University of Medical Sciences, Saifai, UP, India

    Ahmed Ansari

Rights and permissions

Reprints and permissions

Copyright information

© 2021 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Sun, Q., Chen, G. (2021). Cerebral Vasospasm and Subarachnoid Hemorrhage. In: Kato, Y., Zhang, X., Dai, J., Ansari, A. (eds) Recent Progress in the Management of Cerebrovascular Diseases. Springer, Singapore. https://doi.org/10.1007/978-981-16-3387-4_3

Download citation

  • DOI: https://doi.org/10.1007/978-981-16-3387-4_3

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-16-3386-7

  • Online ISBN: 978-981-16-3387-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation