What is the recommended treatment for SAH?
The traditional treatment of subarachnoid hemorrhage (SAH) from a ruptured cerebral aneurysm included strict blood pressure control, with fluid restriction and antihypertensive therapy.
What is the treatment of cerebral vasospasm?
Nimodipine has been recommended as first-line medical treatment for preventing post-aSAH cerebral vasospasm. It is usually given orally at a dosage of 60 mg every 4 hours for 21 days after the initial subarachnoid hemorrhage.
What medication is used to treat vasospasm?
Nimodipine. Nimodipine is a dihydropyridine agent that blocks voltage-gated calcium channels and has a dilatory effect on arterial smooth muscle. It is the only FDA-approved agent for vasospasm with a half-life of about 9 h .
Is SAH considered a stroke?
Subarachnoid Hemorrhage (SAH) Subarachnoid hemorrhage, or SAH, is a type of stroke that can be caused by head trauma. In patients without head trauma, SAH is most commonly caused by a brain aneurysm.
How long can you live with a subarachnoid hemorrhage?
Approximately 25% of patients die within 24 hours, with or without medical attention. Hospitalized patients have an average mortality rate of 40% in the first month. About half of affected individuals die in the first 6 months. Rebleeding, a major complication, carries a mortality rate of 51-80%.
Can Vasospasms be cured?
Treatment for vasospasm can occur through both ICU intervention and endovascular administration of intra-arterial vasodilators and balloon angioplasty. The best outcomes are often attained when these methods are used in conjunction.
Is cerebral vasospasm curable?
It may lead to decreased blood flow and result in neurologic deterioration defined as delayed cerebral ischemia (DCI) (Francoeur & Mayer, 2016). Cerebral vasospasm constitutes one of the major potentially treatable causes of morbidity and mortality following aneursymal SAH.
How long can you live after a subarachnoid hemorrhage?