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

doi:10.1385/NCC:3:2:183

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

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2 Scopus citations

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 language	English (US)
Pages (from-to)	183-188
Number of pages	6
Journal	Neurocritical Care
Volume	3
Issue number	2
DOIs	https://doi.org/10.1385/NCC:3:2:183
State	Published - Oct 2005
Externally published	Yes

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Copyright 2021 Elsevier B.V., All rights reserved.

Keywords

Carotid stenting
Endovascular therapy
Hypertensive
Hypervolemic therapy
Subarachnoid hemorrhage
Vasospasm

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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.",

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AU - Janjua, Nazli

AU - Qureshi, Adnan

AU - Kirmani, Jawad F.

AU - Lanzino, Giuseppe

AU - Sung, Gene

AU - Suarez, Jose I.

AU - Ebrahimi, Ali

AU - Divani, Afshin

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KW - Vasospasm

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A 70-year-old woman with poor grade subarachnoid hemorrhage complicated by carotid stenosis, cerebral vasospasm, and cerebral rebleed

Abstract

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