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1 Progress in Health Sciences

1 2012

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The incidence of vasospasm after intracerebral haemorrhage

100%

Kochanowicz J. , Łysoń T. , Lewszuk A. , Syta-Krzyżanowska A. , Konopiński M. , Pietrewicz J. , Polaków P. , Maziewski T.

nr 2

70-74

Purpose: Cerebral vasospasm occurs frequently after aneurismal subarachnoid haemorrhage (SAH) and is a dangerous complication. Only a few cases of cerebral vasospasm after intracerebral haemorrhage (ICH) have been reported. To determine the incidence of vasospasm, the authors of this study evaluated the participants’ digital subtraction angiographies (DSA) after these patients had experienced ICH. Materials and methods: Sixty patients with ICH (26 women and 34 men between 20 and 69 years of age, mean age 49.6 years ± 13.9 SD) who underwent cerebral arteriography were included in this study. Cerebral vasospasm was graded as mild (up to 25% of vessel narrowing), moderate (26-50% of vessel narrowing), and severe (more than 50% of vessel narrowing). Results: Vasospasm of the ipsilateral middle cerebral artery (MCA) to the ICH was found in 13 patients (21.6%), the ipsilateral anterior cerebral artery (ACA) in 4 patients, and the posterior cerebral artery (PCA) in one patient. Two patients had a spasm of the contralateral MCA. Severe MCA spasm was found in 3 patients, moderate in 5, and mild in 5. All cases of ACA and PCA spasms were assessed as mild. Conclusions: Cerebral vasospasm is a rather frequent finding in patients who have just experienced ICH. Therefore, practitioners need to assess and monitor the status of the cerebral vasculature in these patients.