Erschienen in:
26.04.2018 | A Day in the Life of a Neurocritical Care Trainee
Prolonged Post-Traumatic Vasospasm Resulting in Delayed Cerebral Ischemia After Mild Traumatic Brain Injury
verfasst von:
Masoom Desai, Nicholas A. Morris
Erschienen in:
Neurocritical Care
|
Ausgabe 3/2018
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Excerpt
Post-traumatic vasospasm (PTV) is an important cause of secondary brain injury in patients with severe traumatic brain injury (TBI) and independently predicts poor outcomes [
1,
2]. The incidence of PTV has been varyingly reported from 35.6 to 61% [
3‐
8]. Important risk factors for PTV include severity of TBI determined by the Glasgow coma score (GCS) and radiographic criteria, young age, fever on admission and volume of cisternal blood [
3,
9]. PTV has been associated with traumatic subarachnoid hemorrhage (tSAH), a marker of severity of TBI [
5,
10]. Increased incidence of PTV has also been linked with worse Rotterdam Scores [
9]. PTV usually begins around day 2–3 and lasts from 5 to 10 days [
3,
5]. Moreover, less than 20% of patients develop clinical sequelae from PTV, mostly seen in severe TBI [
3,
5,
10]. …