Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 2 de 2
Filter
Add more filters










Database
Language
Publication year range
1.
World Neurosurg ; 120: e68-e71, 2018 Dec.
Article in English | MEDLINE | ID: mdl-30055364

ABSTRACT

BACKGROUND: The exact mechanism, incidence, and risk factors for cerebral vasospasm after traumatic intracranial hemorrhage (ICH) continue to be poorly characterized. The incidence of post-traumatic vasospasm (PTV) varies depending on the detection modality. OBJECTIVE: We aimed to shed light on the predictors, associations, and true incidence of cerebral vasospasm after traumatic ICH using digital subtraction angiography (DSA) as the gold standard. METHODS: We examined a prospectively maintained database of traumatic brain injury (TBI) patients to identify patients with ICH secondary to TBI enrolled between 2002 and 2015 at our trauma center. Patients with TBI-associated ICH and evidence of elevated velocities on transcranial Doppler and computed tomography angiograms, confirmed with DSA were included. The diagnostic cerebral angiograms were evaluated by 2 blinded neurointerventionalists for cerebral vasospasm. Statistical analyses were conducted to determine predictors of PTV. RESULTS: Twenty patients with ICH secondary to TBI and evidence of vasospasm underwent DSAs. Seven patients (7/20; 35%) with traumatic ICH developed cerebral vasospasm and of those, 1 developed delayed cerebral ischemia (1/7; 14%). Of these 7 patients, 6 presented with subarachnoid hemorrhage (6/7; 85%). Vasospasm was substantially more common in patients with a Glasgow Coma Scale <9 (P = 0.017) than in all other groups. CONCLUSIONS: PTV as demonstrated by DCA may be more common than previously reported. Patients who exhibit PTV were more likely to have a Glasgow Coma Scale <9. This subgroup of patients may benefit from more systematic screening for the development of PTV, and earlier monitoring for signs of delayed cerebral ischemia.


Subject(s)
Brain Hemorrhage, Traumatic/epidemiology , Cerebral Hemorrhage, Traumatic/epidemiology , Cerebral Intraventricular Hemorrhage/epidemiology , Glasgow Coma Scale , Hematoma, Subdural/epidemiology , Subarachnoid Hemorrhage, Traumatic/epidemiology , Vasospasm, Intracranial/epidemiology , Adult , Angiography, Digital Subtraction , Brain Hemorrhage, Traumatic/diagnostic imaging , Brain Hemorrhage, Traumatic/physiopathology , Cerebral Angiography , Cerebral Hemorrhage, Traumatic/diagnostic imaging , Cerebral Hemorrhage, Traumatic/physiopathology , Cerebral Intraventricular Hemorrhage/diagnostic imaging , Cerebral Intraventricular Hemorrhage/physiopathology , Computed Tomography Angiography , Databases, Factual , Female , Hematoma, Subdural/diagnostic imaging , Hematoma, Subdural/physiopathology , Humans , Intracranial Hemorrhage, Traumatic/diagnostic imaging , Intracranial Hemorrhage, Traumatic/epidemiology , Intracranial Hemorrhage, Traumatic/physiopathology , Male , Risk Assessment , Risk Factors , Subarachnoid Hemorrhage, Traumatic/diagnostic imaging , Subarachnoid Hemorrhage, Traumatic/physiopathology , Ultrasonography, Doppler, Transcranial , Vasospasm, Intracranial/diagnostic imaging
SELECTION OF CITATIONS
SEARCH DETAIL
...