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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Autores principales: Al-Jehani, Hosam, Marcoux, Judith, Hadhiah, Kawthar, Alabbas, Faisal, Angle, Mark, Teitelbaum, Jeanne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5904811/
https://www.ncbi.nlm.nih.gov/pubmed/29805825
http://dx.doi.org/10.1155/2018/5162629
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author Al-Jehani, Hosam
Marcoux, Judith
Hadhiah, Kawthar
Alabbas, Faisal
Angle, Mark
Teitelbaum, Jeanne
author_facet Al-Jehani, Hosam
Marcoux, Judith
Hadhiah, Kawthar
Alabbas, Faisal
Angle, Mark
Teitelbaum, Jeanne
author_sort Al-Jehani, Hosam
collection PubMed
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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spelling pubmed-59048112018-05-27 CT Perfusion to Guide Placement of Invasive Cerebral Perfusion Monitor in Subarachnoid Hemorrhage Induced Vasospasm Al-Jehani, Hosam Marcoux, Judith Hadhiah, Kawthar Alabbas, Faisal Angle, Mark Teitelbaum, Jeanne Case Rep Neurol Med Case Report 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. Hindawi 2018-04-04 /pmc/articles/PMC5904811/ /pubmed/29805825 http://dx.doi.org/10.1155/2018/5162629 Text en Copyright © 2018 Hosam Al-Jehani et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Al-Jehani, Hosam
Marcoux, Judith
Hadhiah, Kawthar
Alabbas, Faisal
Angle, Mark
Teitelbaum, Jeanne
CT Perfusion to Guide Placement of Invasive Cerebral Perfusion Monitor in Subarachnoid Hemorrhage Induced Vasospasm
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5904811/
https://www.ncbi.nlm.nih.gov/pubmed/29805825
http://dx.doi.org/10.1155/2018/5162629
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