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Early and Severe Symptomatic Cerebral Vasospasm After Mild Traumatic Brain Injury.

Abstract：

BACKGROUND:Symptomatic cerebral vasospasm has been reported in a low percentage of patients with moderate or severe traumatic brain injury (TBI) as defined by Glasgow Coma Scale (GCS) score. We present a case of mild TBI (GCS score 14) complicated by early and severe symptomatic cerebral vasospasm. CASE DESCRIPTION:A 63-year-old woman was admitted following mild TBI with a GCS score of 14. Concurrent with the onset of sonographic vasospasm, the patient developed severe neurologic symptoms consistent with ischemia of the left middle cerebral artery territory. Confounding causes of these symptoms were excluded. Each occurrence of these symptoms resolved with intra-arterial calcium channel blocker therapy. CONCLUSIONS:Early and severe symptomatic vasospasm may occur as a complication of mild TBI. GCS score alone may be an inadequate risk predictor of symptomatic cerebral vasospasm. Aggressive interventional management may be justified, such as with intra-arterial calcium channel blockers, to optimize the likelihood of a favorable outcome.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Ogami K,Dofredo M,Moheet AM,Lahiri S

doi

10.1016/j.wneu.2017.03.039

subject

Has Abstract

pub_date

2017-05-01 00:00:00

pages

813.e11-813.e14

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(17)30351-0

journal_volume

101

pub_type

杂志文章

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