Cerebral vasospasm in patients with traumatic subarachnoid hemorrhage, a possible point of intervention?

• Published in: Journal of clinical neuroscience 2024-07, Vol.125, p.106-109
• Main Authors: Ernst, Griffin, Hughes, Kendall, Andrews, Bethany, Bauer, Andrew
• Format: Article
• Language: English
• Subjects: Traumatic brain injury; Traumatic subarachnoid hemorrhage; Vasospasm
• ISSN: 0967-5868; 1532-2653
• DOI: 10.1016/j.jocn.2024.05.009

•Vasospasm contributes to delayed ischemic neurologic deficits and is associated with aneurysmal subarachnoid hemorrhage.•Traumatic brain injury is the leading cause of subarachnoid hemorrhage.•Traumatic subarachnoid hemorrhage and vasospasm are easily detected with CT angiogram of the head.•Traumatic subarachnoid hemorrhage may result in traumatic brain injury from vasospasm and delayed cerebral ischemia. To determine the incidence of vasospasm in traumatic brain injury patients with traumatic subarachnoid hemorrhage. IRB approval was obtained for this retrospective chart review. An institutional trauma database was queried for adult patients with traumatic brain injury (TBI) and traumatic subarachnoid hemorrhage (tSAH) seen on CT head obtained within 20 days. The presence of vasospasm on CTA was determined by radiology report. Association between categorical background characteristics and intracranial vasospasm was assessed by the chi-square test and association between a continuous variables and intracranial vasospasm was assessed by a paired t-test. 1142 patients with traumatic SAH were identified from the trauma database. 792 patients were excluded: 142 for age