title: A 70-year-old woman with poor grade subarachnoid hemorrhage complicated by carotid stenosis, cerebral vasospasm, and cerebral rebleed.
abstract: 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.
authors.affiliation: Department of Neurology and Neurosciences, Zeenat Qureshi Stroke Research Center, University of Medicine and Dentistry New Jersey, Newark, NJ 07103, USA. janjuana@umdnj.edu
authors.forename: Nazli
authors.initials: N
authors.lastname: Janjua
authors.forename: Adnan I
authors.initials: AI
authors.lastname: Qureshi
authors.forename: Adnan
authors.initials: A
authors.lastname: Qureshi
authors.forename: Jawad F
authors.initials: JF
authors.lastname: Kirmani
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Lanzino
authors.forename: Gene
authors.initials: G
authors.lastname: Sung
authors.forename: Jose I
authors.initials: JI
authors.lastname: Suarez
authors.forename: Ali
authors.initials: A
authors.lastname: Ebrahimi
authors.forename: Afshin A
authors.initials: AA
authors.lastname: Divani
authors.forename: Afshin
authors.initials: A
authors.lastname: Divani
mesh_terms: 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