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Cerebral Vasospasm in Traumatic Brain Injury
Joint Authors
Winer, Jesse L.
Pease, B. A. Matthew
Kramer, Daniel R.
Amar, Arun Paul
Mack, William J.
Source
Neurology Research International
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-06-19
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Vasospasm following traumatic brain injury (TBI) may dramatically affect the neurological and functional recovery of a vulnerable patient population.
While the reported incidence of traumatic vasospasm ranges from 19%–68%, the true incidence remains unknown due to variability in protocols for its detection.
Only 3.9%–16.6% of patients exhibit clinical deficits.
Compared to vasospasm resulting from aneurysmal SAH (aSAH), the onset occurs earlier and the duration is shorter.
Overall, the clinical course tends to be milder, although extreme cases may occur.
Traumatic vasospasm can occur in the absence of subarachnoid hemorrhage.
Surveillance transcranial Doppler ultrasonography (TCD) has been utilized to monitor for radiographic vasospasm following TBI.
However, effective treatment modalities remain limited.
Hypertension and hypervolemia, the mainstays of treatment of vasospasm associated with aSAH, must be used judiciously in TBI patients, and calcium-channel blockers have offered mixed clinical results.
Currently, the paucity of large prospective cohort studies and level-one data limits the ability to form evidence-based recommendations regarding the diagnosis and management of vasospasm associated with TBI.
American Psychological Association (APA)
Kramer, Daniel R.& Winer, Jesse L.& Pease, B. A. Matthew& Amar, Arun Paul& Mack, William J.. 2013. Cerebral Vasospasm in Traumatic Brain Injury. Neurology Research International،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-470387
Modern Language Association (MLA)
Kramer, Daniel R.…[et al.]. Cerebral Vasospasm in Traumatic Brain Injury. Neurology Research International No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-470387
American Medical Association (AMA)
Kramer, Daniel R.& Winer, Jesse L.& Pease, B. A. Matthew& Amar, Arun Paul& Mack, William J.. Cerebral Vasospasm in Traumatic Brain Injury. Neurology Research International. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-470387
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-470387