• DETERMINING THE IDEAL TIME WINDOW FOR ANGIOPLASTY IN AN UNCONSCIOUS SAH PATIENT WITH SEVERE CEREBRAL VASOSPASM: A MULTIMODAL MONITORING APPROACH

    M. De Lima Oliveira, B. Lembo Conde De Paiva, R. Faria Simm, P. Henrique Pires Aguira, E. Bor-Seng-Shu
    Department of Neurology, Hospital Santa Paula – São Paulo, Brazil

    Objective: Cerebral vasospasm following SAH is one of the main causes of secondary brain injury. The incidence peak is between the 7th and 14th day after bleeding. The management of cerebral vasospasm is based on the triple H therapy, although this therapy may not be enough to control the vasospasm complications. In these cases, mechanical or pharmacological angioplasty on the affected vessel may be indicated if neurological deterioration occurs. Sedated or comatose patients make clinical evaluation difficult and limited. Combining different brain monitoring techniques can provide valuable information that help physicians to identify patients before clinical deterioration.