Neuroimaging clinics of North America
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Neuroimaging Clin. N. Am. · Aug 2006
ReviewVasospasm in aneurysmal subarachnoid hemorrhage: diagnosis, prevention, and management.
Cerebral vasospasm is a major cause of morbidity and mortality associated with subarachnoid hemorrhage (SAH). Advances in neuroimaging and development of newer intraparenchymal monitoring devices have improved the prediction and diagnosis of cerebral vasospasm significantly. Recent experimental and clinical trials have increased the armamentarium of preventive and treatment strategies for cerebral vasospasm. ⋯ Although vasospasm usually does not recur after PTA, recurrence is frequent after vasodilator infusion. The development of newer microballoon catheters has led to improvements in treatment of not only proximal but also distal vessel vasospasm with balloon angioplasty. This article reports on current knowledge in the diagnosis, prediction, prevention, and management of cerebral vasospasm.
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Neuroimaging Clin. N. Am. · Aug 2006
ReviewRuptured intracranial aneurysms - clinical aspects of subarachnoid hemorrhage management and the International Subarachnoid Aneurysm Trial.
The last 14 years has seen a revolution in the management of intracranial aneurysms; endovascular coil treatment has moved from a minority marginal treatment applicable to a few patients in a few centers to become the mainstay of treatment of ruptured intracranial aneurysms. This article highlights new information learned from the International Subarachnoid Aneurysm Trial.