Evaluation and Management of Cerebral Vasospasm after Subarachnoid Hemorrhage
Hani Mohammed Alabdaly
Neurorehabilitation and Spinal Cord Injuries Chairman Neurology Department Director, Neurology Residency Training Program King Saud Medical City/Riyadh-Saudi Arabia and Schwarzwald Klinik Neurology, Germany.
Othman Mohammad Alassaf
College of Medicine, University of Hail, Saudi Arabia.
Danah Kamal Kabrah
Taif University, Saudi Arabia.
Khaled Bassam Almadi
Jouf University, Saudi Arabia.
Renda Ali Alhabib
Qassim University, Saudi Arabia.
Rakan M. Alotaibi
Ministry of Health, Saudi Arabia.
Abdullah Salem Almalki
Ministry of Health, Saudi Arabia.
Fahad Azib Alghamdi
Ibn Sina College, Saudi Arabia.
Reema Abdullah H Albalawi
Prince Rashed Ben Al-Hasan Military Hospital, Yarmouk University, Jordan.
Laila Hamad Hakami
Al Ahad PHC, Saudi Arabia.
Moudhi Mohammed Alajmi
Batterjee Medical College Jeddah, Saudi Arabia.
*Author to whom correspondence should be addressed.
Abstract
Constriction of the large and medium-sized cerebral arteries following an aneurysmal subarachnoid haemorrhage (aSAH) is a well-known condition that primarily affects the anterior circulation supplied by the internal carotid arteries. SAH is a rare but potentially fatal type of stroke. Across the literature, authors have defined vasospasm using terms such as "symptomatic vasospasm," "delayed cerebral ischemia" (DCI), "transcranial Doppler vasospasm," and "angiographic vasospasm." Because posthemorrhagic vasospasm causes significant neurologic morbidity and death, there has been a great deal of interest and research into its physiologic basis and developing effective preventative and treatment strategies. The triple-H therapy hemodynamic augmentation technique, which includes hypertension, hemodilution, and hypervolemia, has been an important part of the treatment. In this article, we'll look at cerebral vasospasm following subarachnoid haemorrhage, including its causes, epidemiology, evaluation, and, most importantly, management.
Keywords: Cerebral vasospasm, subarachnoid Hemorrhage, cerebral arteries, angioplasty, stroke