Protocol Based Real-Time Continuous Electroencephalography for Detecting Vasospasm in Subarachnoid Hemorrhage
Journal of Korean Neurosurgical Society
;
: 154-157, 2016.
Article
in English
| WPRIM
| ID: wpr-95382
ABSTRACT
A continuous electroencephalography (cEEG) can be helpful in detecting vasospasm and delayed cerebral ischemia in aneurysmal subarachnoid hemorrhage (SAH). We describe a patient with an aneurysmal SAH whose symptomatic vasospasm was detected promptly by using a real-time cEEG. Patient was immediately treated by intraarterial vasodilator therapy. A 50-year-old woman without any significant medical history presented with a severe bifrontal headache due to acute SAH with a ruptured aneurysm on the anterior communicating artery (Fisher grade 3). On bleed day 6, she developed a sudden onset of global aphasia and left hemiparesis preceded by cEEG changes consistent with vasospasm. A stat chemical dilator therapy was performed and she recovered without significant neurological deficits. A real-time and protocol-based cEEG can be utilized in order to avoid any delay in detection of vasospasm in aneurysmal SAH and thereby improve clinical outcomes.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Aphasia
/
Paresis
/
Arteries
/
Subarachnoid Hemorrhage
/
Intracranial Aneurysm
/
Brain Ischemia
/
Aneurysm, Ruptured
/
Electroencephalography
/
Headache
/
Aneurysm
Type of study:
Practice guideline
Limits:
Female
/
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2016
Type:
Article
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