Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/20511
Title: A review on the management of cerebral vasospasm following aneurysmal subarachnoid haemorrhage.
Austin Authors: Li, Kenny;Barras, Christen D;Chandra, Ronil V;Kok, Hong Kuan;Maingard, Julian T;Carter, Nicole S;Russell, Jeremy H ;Lai, Leon;Brooks, Duncan Mark ;Asadi, Hamed 
Affiliation: The Florey Institute of Neuroscience and Mental health, 30 Royal Parade, Parkville, Victoria, 3052, Australia
Department of Neurosurgery, Monash Health, 249 Clayton Road, Clayton, Victoria, 3168, Australia
Department of Neurosurgery, Austin Health, Heidelberg, Victoria, Australia
Faculty of Medicine, Nursing and Health Sciences, Monash University, Level 5, 35 Rainforest Walk, Clayton, Victoria 3800, Australia
Interventional Radiology Service, Northern Health, 185 Cooper Street, Epping, Victoria 3076, Australia
Interventional Neuroradiology Service, Monash Health, 249 Clayton Road, Clayton, Victoria, 3168, Australia
The South Australian Health and Medical Research Institute, North Terrace, Adelaide, South Australia 5000, Australia
Interventional Radiology Service, Department of Radiology, Austin Health, Heidelberg, Victoria, Australia
Interventional Neuroradiology Service, Department of Radiology, Austin Health, Heidelberg, Victoria, Australia
University of Adelaide, Level 3, Helen Mayo North, Frome Road, North Terrace Campus, Adelaide, South Australia 5005, Australia
School of Medicine - Faculty of Health, Deakin University, 75 Pigdons Road, Geelong, Victoria 3216, Australia
Issue Date: Jun-2019
metadata.dc.date: 2019-03-18
Publication information: World Neurosurgery 2019; 126: 513-527
Abstract: Despite decades of research, cerebral vasospasm (CV) continues to account for high morbidity and mortality in patients who survive their initial aneurysm subarachnoid haemorrhage (aSAH). To define the scope of the problem and review key treatment strategies that have shaped the way cerebral vasospasm is managed in the contemporary era. A literature search of cerebral vasospasm management after aneurysmal subarachnoid haemorrhage was performed. Recent advances in neuroimaging have led to an improved detection of vasospasm, but established treatment guidelines including haemodynamic augmentation and interventional procedures remain highly variable among neurosurgical centres. Experimental research in SAH continues to identify novel targets for therapy. Proactive and preventative strategies such as oral nimodipine and endovascular rescue therapies can reduce the morbidity and mortality associated with CV.
URI: http://ahro.austin.org.au/austinjspui/handle/1/20511
DOI: 10.1016/j.wneu.2019.03.083
ORCID: 0000-0001-8958-2411
0000-0003-2475-9727
PubMed URL: 30898740
Type: Journal Article
Subjects: Aneurysmal subarachnoid haemorrhage
delayed cerebral ischaemia
delayed ischaemic neurologic deficits
endovascular
intra-arterial vasodilator
transluminal balloon angioplasty
vasospasm
Appears in Collections:Journal articles

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