Review Article

Cerebral Vasospasm in Traumatic Brain Injury

Table 1

Comparison of the epidemiology of traumatic subarachnoid hemorrhage (tSAH) to that of aneurysmal subarachnoid hemorrhage (aSAH). The shorter duration and lower incidence of clinical vasospasm highlight the less severe course of vasospasm following tSAH in comparison to aSAH.

tSAHaSAH

Earliest onset (PBD*)2 [9, 10, 2730]3 [8, 26]
Timing of peak vessel-velocity (PBD*)5–7 [19, 27]5–14 [19]
Incidence of TCD-diagnosed vasospasm 19%–68% [8, 27, 28, 30, 32, 33]38%–45% [3436]
Incidence of angiography-diagnosed vasospasm 18.6%–41% [37, 38]43.2% [34]
Evidence of clinical vasospasm among those with radiographic vasospasm3.9%–16.6% [8, 11, 30, 39] 17%–40% [26]

PBD: postbleed day. TCD: transcranial Doppler.