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http://dx.doi.org/10.3340/jkns.2016.59.2.154

Protocol Based Real-Time Continuous Electroencephalography for Detecting Vasospasm in Subarachnoid Hemorrhage  

Hong, Jeong-Ho (Department of Neurology, Keimyung University Dongsan Medical Center)
Bang, Jae Seung (Department of Neurosurgery, Seoul National University Bundang Hospital)
Chung, Jin-Heon (Department of Neurology, Seoul National University Bundang Hospital)
Han, Moon-Ku (Department of Neurology, Seoul National University Bundang Hospital)
Publication Information
Journal of Korean Neurosurgical Society / v.59, no.2, 2016 , pp. 154-157 More about this Journal
Abstract
A continuous electroencephalography (cEEG) can be helpful in detecting vasospasm and delayed cerebral ischemia in aneurysmal subarachnoid hemorrhage (SAH). We describe a patient with an aneurysmal SAH whose symptomatic vasospasm was detected promptly by using a real-time cEEG. Patient was immediately treated by intraarterial vasodilator therapy. A 50-year-old woman without any significant medical history presented with a severe bifrontal headache due to acute SAH with a ruptured aneurysm on the anterior communicating artery (Fisher grade 3). On bleed day 6, she developed a sudden onset of global aphasia and left hemiparesis preceded by cEEG changes consistent with vasospasm. A stat chemical dilator therapy was performed and she recovered without significant neurological deficits. A real-time and protocol-based cEEG can be utilized in order to avoid any delay in detection of vasospasm in aneurysmal SAH and thereby improve clinical outcomes.
Keywords
Continuous electroencephalography; Vasospasm; Delayed cerebral ischemia; Subarachnoid hemorrhage; Transcranial doppler; Cerebral aneurysm;
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