CT Perfusion to Guide Placement of Invasive Cerebral Perfusion Monitor in Subarachnoid Hemorrhage Induced Vasospasm
Background. Vasospasm is a challenging component of the subarachnoid hemorrhage “syndrome” that is unpredictable and very difficult to monitor using noninvasive or invasive monitoring technologies in neurocritical units. Methods. We describe the novel use of computerized tomography perfusion (CTP) i...
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Wiley
2018-01-01
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Series: | Case Reports in Neurological Medicine |
Online Access: | http://dx.doi.org/10.1155/2018/5162629 |
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author | Hosam Al-Jehani Judith Marcoux Kawthar Hadhiah Faisal Alabbas Mark Angle Jeanne Teitelbaum |
author_facet | Hosam Al-Jehani Judith Marcoux Kawthar Hadhiah Faisal Alabbas Mark Angle Jeanne Teitelbaum |
author_sort | Hosam Al-Jehani |
collection | DOAJ |
description | Background. Vasospasm is a challenging component of the subarachnoid hemorrhage “syndrome” that is unpredictable and very difficult to monitor using noninvasive or invasive monitoring technologies in neurocritical units. Methods. We describe the novel use of computerized tomography perfusion (CTP) imaging to choose proper targets for invasive cerebral blood flow monitors. Results. A total of 3 patients are included in this report. CTP parameters were used to generate points of interest to target using invasive cerebral monitoring of the cerebral blood flow and initiate vasodilator therapy and subsequently guide its weaning. Conclusions. CTP can be useful in localizing a specific anatomical target for invasive monitoring in subarachnoid hemorrhage patients suffering from vasospasm. |
format | Article |
id | doaj-art-fa6b36b303ac46a5ac0028be1bed6f13 |
institution | Kabale University |
issn | 2090-6668 2090-6676 |
language | English |
publishDate | 2018-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Neurological Medicine |
spelling | doaj-art-fa6b36b303ac46a5ac0028be1bed6f132025-02-03T01:24:33ZengWileyCase Reports in Neurological Medicine2090-66682090-66762018-01-01201810.1155/2018/51626295162629CT Perfusion to Guide Placement of Invasive Cerebral Perfusion Monitor in Subarachnoid Hemorrhage Induced VasospasmHosam Al-Jehani0Judith Marcoux1Kawthar Hadhiah2Faisal Alabbas3Mark Angle4Jeanne Teitelbaum5Department of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, McGill University, Montreal, QC, CanadaDepartment of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, McGill University, Montreal, QC, CanadaDepartment of Neurosurgery and Critical Care Medicine, King Fahad Hospital of the University, Imam Abdulrahman bin Faisal University, Al-Khobar, Saudi ArabiaDepartment of Neurosurgery and Critical Care Medicine, King Fahad Hospital of the University, Imam Abdulrahman bin Faisal University, Al-Khobar, Saudi ArabiaDepartment of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, McGill University, Montreal, QC, CanadaDepartment of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, McGill University, Montreal, QC, CanadaBackground. Vasospasm is a challenging component of the subarachnoid hemorrhage “syndrome” that is unpredictable and very difficult to monitor using noninvasive or invasive monitoring technologies in neurocritical units. Methods. We describe the novel use of computerized tomography perfusion (CTP) imaging to choose proper targets for invasive cerebral blood flow monitors. Results. A total of 3 patients are included in this report. CTP parameters were used to generate points of interest to target using invasive cerebral monitoring of the cerebral blood flow and initiate vasodilator therapy and subsequently guide its weaning. Conclusions. CTP can be useful in localizing a specific anatomical target for invasive monitoring in subarachnoid hemorrhage patients suffering from vasospasm.http://dx.doi.org/10.1155/2018/5162629 |
spellingShingle | Hosam Al-Jehani Judith Marcoux Kawthar Hadhiah Faisal Alabbas Mark Angle Jeanne Teitelbaum CT Perfusion to Guide Placement of Invasive Cerebral Perfusion Monitor in Subarachnoid Hemorrhage Induced Vasospasm Case Reports in Neurological Medicine |
title | CT Perfusion to Guide Placement of Invasive Cerebral Perfusion Monitor in Subarachnoid Hemorrhage Induced Vasospasm |
title_full | CT Perfusion to Guide Placement of Invasive Cerebral Perfusion Monitor in Subarachnoid Hemorrhage Induced Vasospasm |
title_fullStr | CT Perfusion to Guide Placement of Invasive Cerebral Perfusion Monitor in Subarachnoid Hemorrhage Induced Vasospasm |
title_full_unstemmed | CT Perfusion to Guide Placement of Invasive Cerebral Perfusion Monitor in Subarachnoid Hemorrhage Induced Vasospasm |
title_short | CT Perfusion to Guide Placement of Invasive Cerebral Perfusion Monitor in Subarachnoid Hemorrhage Induced Vasospasm |
title_sort | ct perfusion to guide placement of invasive cerebral perfusion monitor in subarachnoid hemorrhage induced vasospasm |
url | http://dx.doi.org/10.1155/2018/5162629 |
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