Delayed cerebral ischemia

Delayed development of a neurological deficit, decline in Glasgow coma scale of at least 2 points, and/or cerebral infarction unrelated to aneurysm treatment or other causes. DCI is an umbrella term that encompasses a number of clinical entities including symptomatic vasospasm, delayed ischemic neurological deficit (DIND), and asymptomatic delayed cerebral infarction 1).

Delayed cerebral ischemia (DCI) is the most consequential secondary insult after aneurysmal subarachnoid hemorrhage (SAH). It is a multifactorial process caused by a combination of the large artery vasospasm and microcirculatory dysregulation. Despite numerous efforts, no effective therapeutic strategies are available to prevent DCI. Follows some cases of SAH (usually), trauma, or other insults

see Delayed cerebral ischemia pathogenesis.

Delayed cerebral ischemia diagnosis.

delayed cerebral ischemia (DCI) which can produce delayed ischemic neurologic deficit (DIND), usually attributed to vasospasm. Typically does not occur until several days following SAH

Delayed cerebral ischemia Treatment

Delayed cerebral ischemia outcome.

Delayed cerebral ischemia case series.

Washington CW, Zipfel GJ. Detection and monitor- ing of vasospasm and delayed cerebral ischemia: a review and assessment of the literature. Neurocrit Care. 2011; 15:312–317
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