Vasospasm after traumatic subarachnoid haemorrhage: transcranial Doppler evaluation. Case report

Neurosurg Rev. 1991;14(4):321-5. doi: 10.1007/BF00383273.

Abstract

A case of vasospasm after traumatic subarachnoid haemorrhage (SAH) is reported here. Transcranial Doppler Sonography (TCD) was used to evaluate mean flow velocity (MFV) changes of the basal cerebral arteries related to vasospasm. Acceleration of MFV of the right middle cerebral artery (MCA) indicating vasospasm was first noted on TCD evaluation, and then proved by carotid angiography (CAG). Evaluation of all TCD results revealed that the process of relaxation or normalization of the spastic artery started from the proximal side of the basal intracranial artery and gradually moving to the distal side. This interesting phenomenon could be a common process found in vasospasm cases.

Publication types

  • Case Reports

MeSH terms

  • Blood Flow Velocity / physiology
  • Cerebral Angiography
  • Cerebral Arteries / diagnostic imaging
  • Echoencephalography*
  • Glasgow Coma Scale
  • Head Injuries, Closed / diagnostic imaging*
  • Humans
  • Ischemic Attack, Transient / diagnostic imaging*
  • Male
  • Middle Aged
  • Subarachnoid Hemorrhage / diagnostic imaging*