Treatment and clinical analysis of cerebral vasospasm after aneurysmal subarachnoid hemorrhage
10.3760/cma.j.issn.1673-4904.2011.23.011
- VernacularTitle:动脉瘤性蛛网膜下隙出血后脑血管痉挛的治疗及临床分析
- Author:
Huajun BA
;
Jianyong CAI
- Publication Type:Journal Article
- Keywords:
Intracranial aneurysm;
Subarachnoid hemorrhage;
Vasospasm,intrscranial
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(23):30-32
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience of prevention and treatment of cerebral vasospasm after aneurysmal subarachnoid hemorrhage (SAH). Methods Fifty-eight cases with aneurysmal SAH were taken as study objects and their clinical data were retrospectively analyzed. All the patients with intracranial aneurysm undergoing Guglielmi detachable coils (GDC) or mechanical detachable coils (MDC)embolization were treated comprehensively by papaverine solution lavage in surgical field during intracranial aneurysm surgery,lumbar continued drainage of cerebrospinal fluid, nimodipine infusion continuously and blood pressure increasing,blood volume improving,blood diluting (3H) therapy after operation. Results Among the total 58 cases of SAH, 8 patients occurred cerebral vasoapasm ( 13.8%),mainly included 4 cases of transient paralysis,2 cases of unconsciousness dcepened,2 cases of transient aphasia,after active treatment,the motor function, disturbance of consciousness and language functions all restored with none in plant state or died. Conclusion Detachable coil embolization underwent in earlier period and then drained cerebrospinal fluid, infusioned nimodipine, taken 3H therapy and so on are the effective measures for preventing and treating cerebral vasospasm after SAH.
