Abstract

SALAZAR-DIAZ, Luis Carlos  and  NEIRA-ESCOBAR, Fabián Enrique. Repeated endovascular therapy for refractory cerebral vasospasm. CES Med. [online]. 2020, vol.34, n.1, pp.74-82. ISSN 0120-8705.  https://doi.org/10.21615/cesmedicina.34.1.7.

Cerebral vasospasm is a severe complication of subarachnoid hemorrhage. Monitoring and detection of vasospasm by non-invasive methods as well as the endovascular therapy have revolutionized healthcare. A 45-years-old male patient presented with a ruptured aneurysm in the anterior communicating artery and developed severe refractory vasospasm since the eighth day of aneurysm rupture. Vasospasm was timely detected with non-invasive techniques and successfully endovascular therapy was provided five times with neurological and radiological recovery each time and no neurological sequelae. This report contributes to current practice as it demonstrates the benefit of repeated endovascular therapy for refractory cerebral vasospasm, especially when clinical and non-invasive monitoring shows persistence of this complication. Furthermore, we review the current evidence-based medicine recommendations about Transcranial Doppler Ultrasonography that support the monitoring and detection of cerebral vasospasm.

Keywords : Vasospasm Intracranial; Endovascular Procedures; Ultrasonography Doppler Transcranial; Subarachnoid hemorrhage..

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