Cent Eur Neurosurg 2011; 72(2): 99-101
DOI: 10.1055/s-0029-1242759
Case Report

© Georg Thieme Verlag KG Stuttgart · New York

Post-Traumatic Cerebral Vasospasm Demonstrated by Magnetic Resonance Angiography and Perfusion-Weighted Imaging: A Case Report

O. W. Sakowitz1 [*] , P. Schramm2 [*] , B. Orakcioglu1 , A. Unterberg1
  • 1University Hospital Heidelberg, Neurosurgery, Heidelberg, Germany
  • 2University Hospital Göttingen, Neuroradiology, Göttingen, Germany
Further Information

Publication History

Publication Date:
20 April 2010 (online)

Abbreviations

ACA

anterior cerebral artery

aSAH

aneurysmal subarachnoid hemorrhage

CBV

cerebral blood volume

CT

computer tomography

CTA

computed tomography angiography

DIND

delayed ischemic neurological deficit

DWI

diffusion-weighted imaging

FLAIR

fluid attenuation inversion recovery

HHH

hypertension, hypervolemia,hemodilution

ICA

internal carotid artery

MCA

middle cerebral artery

MR

magnetic resonance

MRA

magnetic resonance angiography

MRI

magnetic resonance imaging

PWI

perfusion-weighted imaging

SAH

subarachnoid hemorrhage

TBI

traumatic brain injury

TCD

transcranial Doppler sonography

tSAH

traumatic subarachnoid hemorrhage

TTP

time-to-peak

VSP

cerebral vasospasm

References

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  • 2 Fukuda T, Hasue M, Ito H. Does traumatic subarachnoid hemorrhage caused by diffuse brain injury cause delayed ischemic brain damage? Comparison with subarachnoid hemorrhage caused by ruptured intracranial aneurysms.  Neurosurgery. 1998;  43 1040-1049
  • 3 Hamer J, Krastel A. Cerebral vasospasm after brain injury.  Neurochirurgia (Stuttg). 1976;  19 185-189
  • 4 Martin NA, Doberstein C, Zane C. et al . Posttraumatic cerebral arterial spasm: transcranial Doppler ultrasound, cerebral blood flow, and angiographic findings.  J Neurosurg. 1992;  77 575-583
  • 5 Oertel M, Boscardin WJ, Obrist WD. et al . Posttraumatic vasospasm: the epidemiology, severity, and time course of an underestimated phenomenon: a prospective study performed in 299 patients.  J Neurosurg. 2005;  103 812-824
  • 6 Rordorf G, Koroshetz W, Copen W. et al . Diffusion- and perfusion-weighted imaging in vasospasm after subarachnoid hemorrhage.  Stroke. 1999;  30 599-605
  • 7 Servadei F, Murray GD, Teasdale GM. et al . Traumatic subarachnoid hemorrhage: demographic and clinical study of 750 patients from the European brain injury consortium survey of head injuries.  Neurosurgery. 2002;  50 261-267
  • 8 Server A, Dullerud R, Haakonsen M. et al . Post-traumatic cerebral infarction. Neuroimaging findings, etiology and outcome.  Acta Radiol. 2001;  42 254-260
  • 9 Schramm P, Schellinger P, Klotz E. et al . Comparison of perfusion computed tomography and computed tomography angiography source images with perfusion-weighted imaging and diffusion-weighted imaging in patients with acute stroke of less than 6 h’ duration.  Stroke. 2004;  35 1652-1655
  • 10 Zurynski YA, Dorsch NW, Pearson I. Incidence and effects of increased cerebral blood flow velocity after severe head injury: a transcranial Doppler ultrasound study I. Prediction of post-traumatic vasospasm and hyperemia.  J Neurol Sci. 1995;  134 33-40

1 equal contribution

Correspondence

Dr. O. W. Sakowitz

University Hospital Heidelberg

Neurosurgery

Im Neuenheimer Feld 400

69120 Heidelberg

Germany

Phone: 06221-56-36172

Fax: 06221-56-8342

Email: oliver.sakowitz@med.uni-heidelberg.de