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Protocol Based Real-Time Continuous Electroencephalography for Detecting Vasospasm in Subarachnoid Hemorrhage.
Jeong-Ho Hong1, Jae Seung Bang2, Jin-Heon Chung3
1Department of Neurology, Keimyung University Dongsan Medical Center, Daegu, Korea.
Continuous electroencephalography (cEEG) promptly detected symptomatic vasospasm in a subarachnoid hemorrhage (SAH) patient, enabling rapid treatment and full recovery. Real-time cEEG monitoring is crucial for timely intervention in SAH.
Area of Science:
- Neurology
- Neurocritical Care
Background:
- Aneurysmal subarachnoid hemorrhage (SAH) poses risks of vasospasm and delayed cerebral ischemia.
- Early detection of vasospasm is critical for preventing neurological deficits.
Observation:
- A 50-year-old female with aneurysmal SAH developed global aphasia and left hemiparesis.
- Continuous electroencephalography (cEEG) revealed changes indicative of vasospasm preceding neurological symptoms.
Findings:
- Real-time cEEG monitoring facilitated prompt diagnosis of symptomatic vasospasm.
- Intra-arterial vasodilator therapy was administered immediately following cEEG detection.
- The patient recovered without significant neurological deficits.
Implications:
- Protocol-based, real-time cEEG can significantly reduce diagnostic delays for vasospasm in SAH.
- Timely intervention guided by cEEG monitoring can improve clinical outcomes in SAH patients.
- cEEG serves as a valuable tool in the neurocritical care of SAH.
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