A 70-year-old woman with poor grade subarachnoid hemorrhage complicated by carotid stenosis, cerebral vasospasm, and cerebral rebleed.
BACKGROUND
Subarachnoid hemorrhage is one of the most common entities encountered in neurocritical care units. Knowledge of disease sequelae and their management is paramount for all neurointensivists.


METHODS
This study relates the case of a 70-year-old woman with poor grade subarachnoid hemorrhage who underwent endovascular detachable coil embolization of a right internal carotid artery aneurysm. Her hospital course was subsequently complicated by symptomatic carotid stenosis and cerebral vasospasm requiring intervention.


CONCLUSIONS
The discussants present their views regarding five main questions pertaining to management of the patient regarding the choice of endovascular versus surgical aneurysm occlusion, stent-supported angioplasty in a patient with a recent subarachnoid hemorrhage, and treatment options for vasospasm.
Janjua
Nazli
N
Department of Neurology and Neurosciences, Zeenat Qureshi Stroke Research Center, University of Medicine and Dentistry New Jersey, Newark, NJ 07103, USA. janjuana@umdnj.edu
Qureshi
Adnan I
AI
Qureshi
Adnan
A
Kirmani
Jawad F
JF
Lanzino
Giuseppe
G
Sung
Gene
G
Suarez
Jose I
JI
Ebrahimi
Ali
A
Divani
Afshin A
AA
Divani
Afshin
A
D000368:Aged; D016893:Carotid Stenosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D004621:Embolization, Therapeutic; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D012008:Recurrence; D015607:Stents; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D020301:Vasospasm, Intracranial / Q000150:complications* / Q000000981:diagnostic imaging