Dr. Sukalyan

🔥MD, DM — Head of Neurointervention & Endovascular Surgery🔥

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    VASOSPASM TREATMENT AFTER SAH

    Treatment of Vasospasm

    Vasospasm is a serious narrowing of brain arteries that can occur after subarachnoid hemorrhage, usually due to a ruptured brain aneurysm. It may reduce blood flow to the brain and increase the risk of stroke.

    Symptoms / Warning Signs

    ⚪Reduced alertness

    ⚪New weakness or numbness

    ⚪Speech difficulty

    ⚪Confusion or drowsiness

    ⚪Worsening neurological condition

    Diagnosis

    Patients are closely monitored in the Neuro-ICU using:

    ⚪Transcranial Doppler Ultrasound

    ⚪CT Angiography / CT Perfusion

    ⚪MRI / MR Angiography

    ⚪Diagnostic cerebral angiography

    Treatment

    Treatment may include:

    ⚪Blood pressure and fluid optimization

    ⚪Medicines to improve blood vessel relaxation

    ⚪Intra-arterial Nimodipine through catheter-based therapy

    ⚪Balloon angioplasty for larger narrowed arteries

    ⚪Repeat treatment if vasospasm returns

    Early treatment helps prevent stroke and brain damage.

    Treatment

    Treatment may include:

    ⚪Blood pressure and fluid optimization

    ⚪Medicines to improve blood vessel relaxation

    ⚪ Intra-arterial Nimodipine through catheter-based therapy

    ⚪Balloon angioplasty for larger narrowed arteries

    ⚪Repeat treatment if vasospasm returns

    Early treatment helps prevent stroke and brain damage.

    FAQs

    Is vasospasm dangerous?

     Yes, severe vasospasm can reduce brain blood flow and cause stroke.

    When does vasospasm happen?

    It commonly occurs after subarachnoid hemorrhage.

    Can it be treated without open surgery?

     Yes, many cases are treated with minimally invasive catheter-based therapy.

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