Vasospasm

  • R. P. Sengupta
  • V. L. McAllister

Abstract

Vasospasm is a major problem in the management of patients with aneurysmal SAH. The surgical obliteration of the aneurysm is the goal; however, the timing of surgery is influenced by the neurological condition of the patient, as well as by the presence of vasospasm. Too long a delay in treatment may result in further bleeds. It is common knowledge that not all patients who exhibit vasospasm develop neurological deficit, and the reverse is also true. One has to weigh up the pros and cons of waiting for the spasm to disappear or of obliterating the aneurysm as early as possible. Our policy is to operate on patients with a stable neurological condition as soon as possible.

Keywords

Dopamine Angiotensin Histamine Dexamethasone Prostaglandin 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • R. P. Sengupta
    • 1
  • V. L. McAllister
    • 2
  1. 1.Newcastle General HospitalNewcastle upon TyneUK
  2. 2.Regional Neurological CentreNewcastle General HospitalNewcastle upon TyneUK

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