Devastating delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage.

ABSTRACT:

Background

We investigated the proportion of patients in an initial good clinical condition who developed devastating DCI, and aimed to characterize these patients by aneurysm location, blood pressure instability prior to DCI, and the extent of cerebral ischemia.

Methods

We included aSAH patients admitted between 2010 and 2021 with a Glasgow Coma Scale of 11 or higher 24 h after aneurysm treatment, who developed devastating DCI, defined as DCI leading to coma for at least 48 h with cerebral infarction on the subsequent scan. Blood pressure instability was defined as nimodipine-induced blood pressure drops, dosage adjustments, or the use of blood pressure drugs before onset of DCI. Descriptive statistics were used to summarize the data.

Results

Out of 1,211 consecutive

SUBMITTER: Koopman I 

PROVIDER: S-EPMC9606612 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature