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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Main Authors: Hosam Al-Jehani, Judith Marcoux, Kawthar Hadhiah, Faisal Alabbas, Mark Angle, Jeanne Teitelbaum
Format: Article
Language:English
Published: Wiley 2018-01-01
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.
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institution Kabale University
issn 2090-6668
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publishDate 2018-01-01
publisher Wiley
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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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