Traumatic brain injury and intracranial hemorrhage-induced cerebral vasospasm: a systematic review

Neurosurgical Focus
Fawaz Al-MuftiChirag Gandhi

Abstract

OBJECTIVE Little is known regarding the natural history of posttraumatic vasospasm. The authors review the pathophysiology of posttraumatic vasospasm (PTV), its associated risk factors, the efficacy of the technologies used to detect PTV, and the management/treatment options available today. METHODS The authors performed a systematic review in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines using the following databases: PubMed, Google Scholar, and CENTRAL (the Cochrane Central Register of Controlled Trials). Outcome variables extracted from each study included epidemiology, pathophysiology, time course, predictors of PTV and delayed cerebral ischemia (DCI), optimal means of surveillance and evaluation of PTV, application of multimodality monitoring, modern management and treatment options, and patient outcomes after PTV. Study types were limited to retrospective chart reviews, database reviews, and prospective studies. RESULTS A total of 40 articles were included in the systematic review. In many cases of mild or moderate traumatic brain injury (TBI), imaging or ultrasonographic studies are not performed. The lack of widespread assessment makes finding the true overall...Continue Reading

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Citations

Nov 13, 2020·Frontiers in Neurology·Jianhua XiongJianning Zhang
Mar 7, 2021·Medical Sciences : Open Access Journal·Jeffrey NadelRamesh Grandhi
Apr 27, 2021·Neurologic Clinics·Courtney E TakahashiAnna M Cervantes-Arslanian
Apr 19, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Fulya Buge ErgenTevfik Erhan Cosan
Aug 31, 2021·The American Surgeon·Jyoti SharmaStephen M Cohn

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