Protocol Based Real-Time Continuous Electroencephalography for Detecting Vasospasm in Subarachnoid Hemorrhage.
10.3340/jkns.2016.59.2.154
- Author:
Jeong Ho HONG
1
;
Jae Seung BANG
;
Jin Heon CHUNG
;
Moon Ku HAN
Author Information
1. Department of Neurology, Keimyung University Dongsan Medical Center, Daegu, Korea.
- Publication Type:Case Report
- Keywords:
Continuous electroencephalography;
Vasospasm;
Delayed cerebral ischemia;
Subarachnoid hemorrhage;
Transcranial doppler;
Cerebral aneurysm
- MeSH:
Aneurysm;
Aneurysm, Ruptured;
Aphasia;
Arteries;
Brain Ischemia;
Electroencephalography*;
Female;
Headache;
Humans;
Intracranial Aneurysm;
Middle Aged;
Paresis;
Subarachnoid Hemorrhage*
- From:Journal of Korean Neurosurgical Society
2016;59(2):154-157
- CountryRepublic of Korea
- Language:English
-
Abstract:
A continuous electroencephalography (cEEG) can be helpful in detecting vasospasm and delayed cerebral ischemia in aneurysmal subarachnoid hemorrhage (SAH). We describe a patient with an aneurysmal SAH whose symptomatic vasospasm was detected promptly by using a real-time cEEG. Patient was immediately treated by intraarterial vasodilator therapy. A 50-year-old woman without any significant medical history presented with a severe bifrontal headache due to acute SAH with a ruptured aneurysm on the anterior communicating artery (Fisher grade 3). On bleed day 6, she developed a sudden onset of global aphasia and left hemiparesis preceded by cEEG changes consistent with vasospasm. A stat chemical dilator therapy was performed and she recovered without significant neurological deficits. A real-time and protocol-based cEEG can be utilized in order to avoid any delay in detection of vasospasm in aneurysmal SAH and thereby improve clinical outcomes.
