About the book
Cerebral vasospasm is the one of the most catastrophic complications of spontaneous subarachnoid hemorraghe. Following the third day after initial subarachnoid hemorraghe, at least two thirds of the patients will predicted to suffer from radiological or clinical vasospasm. The clinical presentation may vary from asymptomatic (only radiologically proven vasospasm) to severe ischemic conditions. If vasospasm is severe enough to cause delayed ischemic neurological deficits and infraction, the outcome of the patient will worsen seriously and doubles the mortality rate. Clinical vasospasm had been reported to have 5-10% mortality rate.
Both diagnosis and clinical manipulation of the patient with vasospasm is a unique and challenging situation. Multi-clinical approach is extremely mandatory. The patient must be treated in a center, which requires a experienced team with both neurological surgeons, interventional radiologists, neurologists and neuroanesthesiologists. Moreover, a well-equiped, isolated neurointensive care is needed for all patients suffering form subarachnoid hemorraghe.
In their daily practice, both neurological surgeons, interventional radiologists, neurologists, neuroanesthesiologists, and even intensive care providers have to deal and challenge of vasospasm. Numerous studies relevant to pathophysiological mechanisms underlying vasospasm had been published, but we still know little about the exact mechanisms causing vasospasm. In the last decades of modern medical era, despite the technological developments concerning the neurological care of the patients with vasospasm, we still have no effective treatment and preventive care of this devastating entity.
The aim of this book project is to provide in detailed knowledge to both physicians and scientists dealing with cerebral vasospasm. This book will attract interest of both students, residents, specialists and academics of neurological sciences.