Vasospasm secondary diagnosis of aneurysmal subarachnoid hemorrhage with two imaging methods in critically ill adult patients in intensive care at the National Institute of Neurology and Neurosurgery

Abstract

Subarachnoid hemorrhage secondary to intracranial aneurysm is a disease with high morbidity and mortality. 50% of survivors develop long-term cognitive dysfunctions and never return to their previous state, despite advances in diagnosis and treatment of subarachnoid homorragia (HSA), therapeutics and interventions are still limited and the clinical results remain disappointing . Diagnosis of HSA; scan is performed with the location of the aneurysm and cerebral angiography. Vasospasm and rebleeding are the main complications. Cerebral angiography is the gold standard for diagnosing vasospasm. The angiographic vasospasm identified in about 60% of patients causes neurological deficit. The transcranial Doppler has been used with varying success as a noninvasive and repeatable sure to identify and quantify the method vasospasm. The serial measurements are most useful for predicting the development of spasm while isolated measures often have poor clinical or angiographic correlation. Through this study diagnostic methods be revised: angiography and transcranial Doppler through resultdos to be taken from the clinical records of critically ill patients in order to diagnose cerebral vasospasm.