title: Severe cerebral vasospasm after traumatic brain injury.
abstract: Severe traumatic brain injury is associated with both acute and delayed neuro- logical injury. Cerebral vasospasm is commonly associated with delayed neurological decline in aneurysmal subarachnoid hemorrhage patients. However, the role played by vasospasm in traumatic brain injury is less clear. Vasospasm occurs earlier, for a shorter duration, and often without significant neurological consequence among traumatic brain injury patients. Detection and management strategies for vasospasm in aneurysmal subarachnoid hemorrhage are not easily transferrable to traumatic brain injury patients. We present a patient with a severe traumatic brain injury who had dramatic improvement following emergent decompressive hemicraniectomy. Two weeks after initial presentation he suffered a precipitous decline despite intensive surveillance. This case illustrates the distinct challenges of diagnosing cerebral vasospasm in the setting of severe traumatic brain injury.
authors: Rhode Island Hospital Division of Neurocritical Care, Assistant Professor of Neurology and Neurosurgery, The Alpert Medical School of Brown University.
authors: Corey R
authors: CR
authors: Fehnel
authors: Rhode Island Hospital Division of Neurocritical Care, Assistant Professor of Neurology and Neurosurgery, The Alpert Medical School of Brown University.
authors: Linda C
authors: LC
authors: Wendell
authors: Rhode Island Hospital Division of Neurocritical Care, Assistant Professor of Neurology and Neurosurgery, The Alpert Medical School of Brown University.
authors: N Stevenson
authors: NS
authors: Potter
authors: Rhode Island Hospital Department of Neurosurgery, Associate Professor of Neurosurgery, The Alpert Medical School of Brown University.
authors: Petra
authors: P
authors: Klinge
authors: Rhode Island Hospital Division of Neurocritical Care, Assistant Professor of Neurology and Neurosurgery, The Alpert Medical School of Brown University.
authors: Bradford B
authors: BB
authors: Thompson
mesh_terms: D000058:Accidental Falls; D001930:Brain Injuries / Q000150:complications*; D003251:Constriction, Pathologic / Q000209:etiology; D017809:Fatal Outcome; D006801:Humans; D020243:Infarction, Anterior Cerebral Artery / Q000209:etiology; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D020301:Vasospasm, Intracranial / Q000209:etiology*
keywords: Stroke; Trauma; Traumatic Brain Injury; Vasospasm