Subarachnoid haemorrhage (SAH): vasospasm

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Subarachnoid haemorrhage (SAH): vasospasm. Symptomatic vasospasm, Angiographic vasospasm, Sonographic vasospasm. Fully referenced neurology checklist.

Definitions

  • Symptomatic vasospasm
  • Angiographic vasospasm
  • Sonographic vasospasm

Positive predictors

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Negative predictors

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Investigations

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Prevention

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Treatments: Triple H therapy

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Treatments: endovascular therapy (EVT)

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Investigational treatments

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Predictors of poor outcome

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Synonym

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References

  1. Rabinstein AA, Lanzino G, Wijdicks EFM. Multidisciplinary management and emerging therapeutic strategies in aneurysmal subarachnoid haemorrhage. Lancet Neurol 2010; 9:504-519.
  2. Connolly Jr ES, Rabinstein AA, Carhuapoma JR, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2012; 43:1711-1737.
  3. Shah VA, Gonzalez LF, Suarez JI. Therapies for delayed cerebral ischemia in aneurysmal subarachnoid hemorrhage. Neurocrit Care 2023 (Online ahead of print).
  4. Musmar B, El-Hajj VG, Roy JM, et al. Predictors of cerebral vasospasm after aneurysmal subarachnoid hemorrhage: a multivariable analysis of 506 patients. J Neurol Sci 2026; 490:126172.
  5. Musmar B, Roy JM, Abdalrazeq H, et al. The effect of statins on clinical outcomes in patients with aneurysmal subarachnoid hemorrhage: a propensity-score weighted analysis. Clin Neurol Neurosurg 2026; 260:109257.
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