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 journalArticle

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 1 2005

Keywords

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

ASJC Scopus subject areas

  • Clinical Neurology
  • Critical Care and Intensive Care Medicine

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    Janjua, N., Qureshi, A., Kirmani, J. F., Lanzino, G., Sung, G., Suarez, J. I., Ebrahimi, A., & Divani, A. (2005). A 70-year-old woman with poor grade subarachnoid hemorrhage complicated by carotid stenosis, cerebral vasospasm, and cerebral rebleed. Neurocritical care, 3(2), 183-188. https://doi.org/10.1385/NCC:3:2:183