Abstract
Cerebral vasospasm (CV) occurs in 18-70% of patients with severe traumatic brain injury (sTBI) and is one of the main reasons for the development of secondary ischemic brain damage and a risk factor for adverse neurodevelopmental outcome.
Highlights
Cerebral vasospasm (CV) occurs in 18-70% of patients with severe traumatic brain injury and is one of the main reasons for the development of secondary ischemic brain damage and a risk factor for adverse neurodevelopmental outcome
Cerebral vasospasm was diagnosed in case of systolic blood flow velocity (Vs) in the middle cerebral artery 120 cm/sec or more with Lindegaard index 3 or more
In patients (48%) we diagnosed moderate (Vs 120-200 cm / sec) and in (52%) - severe (Vs > 200 cm / sec) vasospasm
Summary
Cerebral vasospasm (CV) occurs in 18-70% of patients with severe traumatic brain injury (sTBI) and is one of the main reasons for the development of secondary ischemic brain damage and a risk factor for adverse neurodevelopmental outcome. Objectives Determine the frequency and timing of cerebral vasospasm (CV) development in patients with severe traumatic brain injury (sTBI) and assess its impact on patient outcomes. Methods The study included 43 patients with isolated and combined sTBI and Glasgow Coma Scale on admission 8 or less (age 32.4 ± 10.8 years, men/ women - 36/7).
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