Severe Cerebral Vasospasm Caused by Acute on Top of Chronic Spontaneous Subdural Hematoma: A Case Report and Review of the Literature Cerebral vasospasm is a well-known phenomenon that has been associated with subarachnoid hemorrhage due to aneurysmal bleeding. It can lead to serious outcomes if not recognized and treated promptly. It happens most frequently following cases of aneurysmal subarachnoid hemorrhage. Other causes include traumatic brain injury, reversible cerebral vasoconstriction syndrome, post-tumor resection, and non-aneurysmal subarachnoid hemorrhage. We describe a case of severe clinical vasospasm following acute on top of chronic spontaneous subdural hematoma in a patient with corpus callosum agenesis. Also, a small literature review of the possible risk factors of such occurrence is discussed.

18/ #Vasospasm is most typically associated with #AneurysmalSAH (day 3-14) or < so with #TBI (usually w/in 3 days), but not that common after #SDH.

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6/ @Uniklinik_Fr has been placing stereotactic catheter ventriculocisternostomy (STX-VCS) since 2015 in #AneurysmalSAH patients. This involves placement of a catheter transventricularly under stereotactic guidance into the prepontine cistern!

(see www.clinicalkey.com/...)