Cerebral vasospasm with ruptured saccular aneurysm--the clinical manifestations

Neurosurgery. 1977 Nov-Dec;1(3):245-8. doi: 10.1227/00006123-197711000-00004.


Fifty cases of verified intracranial ruptured saccular aneurysm were analyzed to investigate the relationship of the development of a delayed cerebral ischemic deficit to the presence of cerebral vasospasm visualized on angiography. Twenty-five patients developed a delayed ischemic deficit (DID), and all showed Grade 3+ or 4+ vasospasm. Nineteen patients had Grade 0, 1+, or 2+ vasospasm, and none developed a DID. It was concluded that in this study vasospasm accounted for all DID's and that in the absence of vasospasm DID did not occur. The DID occurred most often on Day 8 (7 of 25 cases).

MeSH terms

  • Adult
  • Aphasia / etiology
  • Cerebral Angiography
  • Hemiplegia / etiology
  • Humans
  • Intracranial Aneurysm / complications*
  • Ischemic Attack, Transient / complications*
  • Ischemic Attack, Transient / diagnostic imaging
  • Male
  • Paralysis / etiology
  • Rupture, Spontaneous
  • Subarachnoid Hemorrhage / etiology*
  • Time Factors