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Post-traumatic vasospasm after mild brain trauma, a lesson learned / Francisco Javier Londoño Ocampo    

Público ISBD Título : Post-traumatic vasospasm after mild brain trauma, a lesson learned Tipo de documento : documento electrónico Autores : Francisco Javier Londoño Ocampo, Fecha de publicación : 2022 Títulos uniformes : Advances in Neurology and Neuroscience Idioma : Inglés (eng) Palabras clave : Posttraumatic Vasospasm  Traumatic Brain Injury  Mild Brain Trauma  Balloon Angioplasty  Cerebral Ischemia Resumen : Background: Post-traumatic vasospasm is a frequent secondary injury in patients with traumatic brain injury, occurring in up to 63% of patients and with associated deleterious consequences. Most studies have reported post-traumatic vasospasm in patients with severe or moderate brain trauma; however, there are documented cases of post-traumatic vasospasm in patients with mild traumatic brain injury that support a more aggressive search to prevent deleterious neurological outcomes. Observation(s): The pertinent literature has been reviewed, and an exemplary case has been reported (post-traumatic vasospasm associated with mild brain trauma in an adult patient that subsequently transformed into cerebral ischemia that was managed with endovascular therapy and oral nimodipine without subsequent neurological deterioration). To date, only 4 cases have been described, to our knowledge this is the first literature review so far. Lessons: Given the possibility of post-traumatic vasospasm associated with mild brain trauma, the authors believe that GCS score alone may be an inadequate risk predictor of symptomatic cerebral vasospasm and a more aggressive search should be performed in patients with mild trauma who present with neurological deterioration without apparent cause. Mención de responsabilidad : Felipe Gutierrez Pineda, Mauro M Suarez, Daniel Apolinar, Haiber Arias and Francisco J Londoño Derechos de uso : CC BY En línea : https://www.opastpublishers.com/open-access-articles/posttraumatic-vasospasm-aft [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=6067 Post-traumatic vasospasm after mild brain trauma, a lesson learned [documento electrónico] / Francisco Javier Londoño Ocampo,  . - 2022. Obra : Advances in Neurology and Neuroscience Idioma : Inglés (eng) Palabras clave : Posttraumatic Vasospasm  Traumatic Brain Injury  Mild Brain Trauma  Balloon Angioplasty  Cerebral Ischemia Resumen : Background: Post-traumatic vasospasm is a frequent secondary injury in patients with traumatic brain injury, occurring in up to 63% of patients and with associated deleterious consequences. Most studies have reported post-traumatic vasospasm in patients with severe or moderate brain trauma; however, there are documented cases of post-traumatic vasospasm in patients with mild traumatic brain injury that support a more aggressive search to prevent deleterious neurological outcomes. Observation(s): The pertinent literature has been reviewed, and an exemplary case has been reported (post-traumatic vasospasm associated with mild brain trauma in an adult patient that subsequently transformed into cerebral ischemia that was managed with endovascular therapy and oral nimodipine without subsequent neurological deterioration). To date, only 4 cases have been described, to our knowledge this is the first literature review so far. Lessons: Given the possibility of post-traumatic vasospasm associated with mild brain trauma, the authors believe that GCS score alone may be an inadequate risk predictor of symptomatic cerebral vasospasm and a more aggressive search should be performed in patients with mild trauma who present with neurological deterioration without apparent cause. Mención de responsabilidad : Felipe Gutierrez Pineda, Mauro M Suarez, Daniel Apolinar, Haiber Arias and Francisco J Londoño Derechos de uso : CC BY En línea : https://www.opastpublishers.com/open-access-articles/posttraumatic-vasospasm-aft [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=6067

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