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Table 1 Clinical course, TCD and radiological findings, and therapy

From: Possible overlap between reversible cerebral vasoconstriction syndrome and symptomatic vasospasm after aneurysmal subarachnoid hemorrhage

Day from bleeding

TCD

Symptoms

Brain CT or MR angiography

Treatment

 

Mean velocity (cm/s) (left MCA/right MCA)

 

Vasospasm

 

D1

 

Headache, loss of consciousness

 

Nimodipine

D2

 

(Clipping)

 

Nimodipine, MgSO4

D3

   

Nimodipine, MgSO4

D4

130/111

Headache

 

Nimodipine, MgSO4

D5

154/123

Headache

Left MCA(P)

Nimodipine, MgSO4, THT

D6

160/135

  

Nimodipine, MgSO4, THT

D7

105/88

  

Nimodipine, MgSO4, THT

D8

   

Nimodipine, MgSO4, THT

D9

   

Nimodipine, MgSO4, THT

D10

95/88

  

Nimodipine, MgSO4, THT

D11

   

Nimodipine, MgSO4

D12

   

Nimodipine, MgSO4

D13

174/109

Aphasia, right hemiplegia

Left ACA(C), diffuse D on left M1 and right M1–M2

Nimodipine, MgSO4, THT-IA nimodipine, IV milrinone

D14

99/62

Right leg plegia

 

Nimodipine, MgSO4, THT, milrinone

D15

92/63

  

Nimodipine, MgSO4, THT, milrinone

  

Motor recovery

  

D16

   

Nimodipine, MgSO4, THT, milrinone

D17

105/60

  

Nimodipine, MgSO4, THT, milrinone

D18

140/60

Headache

 

Nimodipine, MgSO4, THT, milrinone

D19

145/88

Headache

 

Nimodipine, MgSO4, THT, milrinone

D20

121/80

  

Nimodipine, MgSO4, THT, milrinone

D21

122/62

  

Nimodipine, MgSO4, THT, milrinone

D22

   

Nimodipine, MgSO4, THT, milrinone

D23

   

Nimodipine, MgSO4, THT, milrinone

D24

89/71

  

Nimodipine, MgSO4, THT

D25

150/220

Confusion, agitation, headache +++

See Fig. 1

Nimodipine, MgSO4, THT-IA + IV milrinone

D26

109/165

Headache

 

Nimodipine, MgSO4, THT, milrinone

D27

96/100

Headache

 

Nimodipine, MgSO4, THT, milrinone

D28

78/130

Headache

 

Nimodipine, MgSO4, THT, milrinone

D29

   

Nimodipine, MgSO4, THT, milrinone

D30

 

Transient dysarthria and right hemiparesia

RP1, focal BT, segmental left M1, right M1

Nimodipine, MgSO4, THT

D31

96/166

  

Nimodipine, MgSO4, THT

D32

83/152

  

Nimodipine, MgSO4, THT

D33

   

Nimodipine

D34

94/171

  

Nimodipine

D35

   

Nimodipine

D36

   

Nimodipine

D37

   

Nimodipine

D38

87/145

Full recovery

 

Nimodipine

  1. TCD transcranial Doppler, left ACA left anterior cerebral artery, left MCA left middle cerebral artery, right MCA right middle cerebral artery, LM1 segment M1 of left MCA, RM1–2 segments 1–2 of right MCA, RP1 segment P1 of the right posterior cerebral artery, BT basilar trunk, P proximal, C complete, D distal, THT triple-H therapy, IA intra-arterial (in loco), IV intravenous