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Post-traumatic subarachnoid hemorrhage: A review.

Nikhilkumar J Modi, Manish Agrawal1, Virendra Deo Sinha

  • 1Department of Neurosurgery, SMS Medical College, Jaipur, Rajasthan, India.

Neurology India
|March 9, 2016
PubMed
Summary

Traumatic brain injury (TBI) and post-traumatic subarachnoid hemorrhage (tSAH) are rising concerns. This review evaluates advanced MRI techniques for diagnosing and predicting outcomes in tSAH patients, aiding effective management.

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Area of Science:

  • Neurology
  • Radiology
  • Trauma Surgery

Background:

  • Head injury is a leading cause of death and disability in young adults, with rising incidence.
  • Post-traumatic subarachnoid hemorrhage (tSAH) presents significant management challenges.
  • Effective prognostication and management are crucial for traumatic brain injury (TBI) patients with tSAH.

Purpose of the Study:

  • To evaluate the role of advanced MRI sequences in diagnosing tSAH.
  • To assess the utility of these MRI techniques in predicting patient outcomes.
  • To discuss the management nuances of tSAH complications.

Main Methods:

  • Review of diagnostic tools for TBI and tSAH, including CT, perfusion studies, transcranial Doppler, MRI, and angiography.
  • Evaluation of novel MRI sequences: fluid-attenuated inversion recovery (FLAIR), gradient reversal echo (GRE), and susceptibility weighted imaging (SWI).
  • Discussion of complications associated with tSAH, such as vasospasm and hydrocephalus.

Main Results:

  • Advanced MRI sequences (FLAIR, GRE, SWI) show promise as complementary diagnostic tools for tSAH.
  • These techniques aid in the prognostication of patients with tSAH.
  • Understanding and managing tSAH complications are critical for patient outcomes.

Conclusions:

  • Advanced MRI techniques offer valuable insights into the diagnosis and prognosis of tSAH.
  • Comprehensive management strategies addressing tSAH and its complications are essential.
  • Continued research into advanced imaging modalities is important for improving TBI patient care.