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Vasospasm

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Abstract

Vasospasm is the most significant complication in patients with aneurysmal subarachnoid hemorrhage (aSAH). The risk of vasospasm is around 30% starting day 4 of the bleed depending on the severity of the bleed [9]. Vasospasm contributes to 30% mortality and 34% permanent neurological deficits from delayed cerebral vasospasm (DCI). Vasospasm is observed not only in Aneurysmal SAH but also in Traumatic SAH (TSAH), Intraventricular hemorrhage (IVH), Subdural hematoma (SDH), and in patients with cerebral contusions. Vasospasm creates distal ischemia and anoxic brain injury.

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Authors and Affiliations

  1. Department of Neurocritical Care, University of Missouri, Columbia, MO, USA

    Chandra Shekar Pingili

  2. Department of Neurology- Neurocriticalcare unit, University of Missouri, Columbia, MO, USA

    Niraj Arora

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    Niraj Arora

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Pingili, C.S., Arora, N. (2022). Vasospasm. In: Arora, N. (eds) Procedures and Protocols in the Neurocritical Care Unit. Springer, Cham. https://doi.org/10.1007/978-3-030-90225-4_23

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