Vasospasms as a Complication of Subarachnoid Hemorrhage – a Case Report

Česká verzia

Authors: L. Jurák; P. Buchvald; V. Beneš III.; M. Kaiser; P. Suchomel
Authors place of work: Neurochirurgické oddělení, Krajská nemocnice Liberec, a. s.
Published in the journal: Cesk Slov Neurol N 2014; 77/110(5): 642-646
Category: Case Report
doi: https://doi.org/10.14735/amcsnn2014642

Summary

Vasospasms are considered to be the major cause of high mortality and bad prognosis in patients with subarachnoid hemorrhage caused by a rupture of an aneurysm. Our case report describes a 30-year-old patient admitted with Glasgow Coma Scale 14 and severe left-sided hemiparesis. Computed tomography revealed subarachnoid hemorrhage. Its etiology was ruptured aneurysm of the right middle cerebral artery. The aneurysm was clipped. Mechanical and pharmacological angioplasty was repeatedly performed to manage symptomatic vasospasms. Despite these interventions, an ischemic lesion developed in the right brain hemisphere that prompted us to perform decompressive craniectomy. Finally, vasospasms, as well as the neurological deficit, disappeared. Four years after the surgery, the patient is independent, without any limb movement disorder and with normal cognitive functions.

Key words:
vasospasms – subarachnoid hemor-rhage – delayed ischemic deficit – calcium channel blockers – angioplasty

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

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