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Abstract
Delayed ischaemia due to cerebral ‘vasospasm’ is a significant cause of morbidity
and mortality after aneurysm haemorrhage. In a literature review more than 30 000
cases were found where vasospasm after subarachnoid haemorrhage (SAH) was discussed.
The incidence of angiographic vasospasm was 43.3% overall, and 67.3% where angiography
was done at a time of maximum expected spasm. Symptomatic vasospasm or delayed ischaemic
deficit (DID) occurred in 32.5%. There was no difference in incidence and time course
between preoperative and postoperative cases. 30% of those with DID died, and permanent
neurological deficits occurred in 34%. A fatal outcome was much more likely in the
presence of vasospasm, and a satisfactory outcome one third less likely. Vasospasm
is thus the cause of death in about 10%, and of disability in slightly more cases
of aneurysmal SAH. The extent of the problem has not changed significantly over three
decades.
Keywords
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Article info
Publication history
Accepted:
July 14,
1993
Received:
May 18,
1993
Identification
Copyright
© 1994 Published by Elsevier Inc.
