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Low Glasgow coma score in traumatic intracranial hemorrhage predicts development of cerebral vasospasm

World Neurosurgery Jul 29, 2018

Al-Mufti F, et al. - The predictors, associations and true incidence of cerebral vasospasm following traumatic intracranial hemorrhage (ICH) were assessed using digital subtraction angiography (DSA) as the gold standard. Via examining a prospectively maintained database of traumatic brain injury (TBI) patients, researchers identified patients with ICH secondary to TBI enrolled between 2002 and 2015 at their trauma center. In contrast to the previous reports, this study suggests a more common prevalence of post-traumatic vasospasm (PTV) as demonstrated by DCA. Patients who exhibit PTV had a higher tendency to have a Glasgow Coma Scale <9. More systematic screening for the development of PTV and earlier monitoring for signs of delayed cerebral ischemia may benefit this subgroup of patients.
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