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A 70-year-old woman with poor grade subarachnoid hemorrhage complicated by carotid stenosis, cerebral vasospasm, and cerebral rebleed

  • Nazli Janjua
  • , Adnan Qureshi
  • , Jawad F. Kirmani
  • , Giuseppe Lanzino
  • , Gene Sung
  • , Jose I. Suarez
  • , Ali Ebrahimi
  • , Afshin Divani

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Subarachnoid hemorrhage is one of the most common entities encountered in neurocritical care units. Knowledge of disease sequelae and their management is paramount for all neurointensivists. Materials and Methods: This study relates the case of a 70-year-old woman with poor grade subarachnoid hemorrhage who underwent endovascular detachable coil embolization of a right internal carotid artery aneurysm. Her hospital course was subsequently complicated by symptomatic carotid stenosis and cerebral vasospasm requiring intervention. Discussion: The discussants present their views regarding five main questions pertaining to management of the patient regarding the choice of endovascular versus surgical aneurysm occlusion, stent-supported angioplasty in a patient with a recent subarachnoid hemorrhage, and treatment options for vasospasm.

Original languageEnglish (US)
Pages (from-to)183-188
Number of pages6
JournalNeurocritical Care
Volume3
Issue number2
DOIs
StatePublished - Oct 2005

Bibliographical note

Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.

Keywords

  • Carotid stenting
  • Endovascular therapy
  • Hypertensive
  • Hypervolemic therapy
  • Subarachnoid hemorrhage
  • Vasospasm

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