Multimodality Monitoring for Delayed Cerebral Ischemia in Subarachnoid Hemorrhage: A Mini Review

Collin M Labak; Berje Haroutuon Shammassian; Xiaofei Zhou; Ayham Alkhachroum

doi:10.3389/fneur.2022.869107

Multimodality Monitoring for Delayed Cerebral Ischemia in Subarachnoid Hemorrhage: A Mini Review

Front Neurol. 2022 Apr 13:13:869107. doi: 10.3389/fneur.2022.869107. eCollection 2022.

Authors

Collin M Labak^{1

2}, Berje Haroutuon Shammassian^{3

4}, Xiaofei Zhou^{1

2}, Ayham Alkhachroum^{3

4}

Affiliations

¹ Department of Neurosurgery, Case Western Reserve University School of Medicine, Cleveland, OH, United States.
² Department of Neurosurgery, University Hospitals Cleveland Medicine Center, Cleveland, OH, United States.
³ Department of Neurology, Division of Neurocritical Care, University of Miami Leonard M. Miller School of Medicine, Miami, FL, United States.
⁴ Department of Neurology, Jackson Memorial Hospital, Miami, FL, United States.

Abstract

Aneurysmal subarachnoid hemorrhage is a disease with high mortality and morbidity due in large part to delayed effects of the hemorrhage, including vasospasm, and delayed cerebral ischemia. These two are now recognized as overlapping yet distinct entities, and supportive therapies for delayed cerebral ischemia are predicated on identifying DCI as quickly as possible. The purpose of this overview is to highlight diagnostic tools that are being used in the identification of DCI in the neurocritical care settings.

Keywords: delayed cerebral ischemia; monitoring; multimodal monitoring; subarachnoid hemorrhage; vasospasm.

Publication types

Review