Why the study?
Patients with good-grade aneurysmal subarachnoid hemorrhage may experience secondary deterioration due to delayed cerebral ischemia, making neurological assessment challenging, and invasive neuromonitoring may help guide treatment.
Does invasive neuromonitoring improve functional outcomes at 12 months in good-grade subarachnoid hemorrhage patients with secondary deterioration?
Population
54 good-grade SAH patients with secondary deterioration evading further neurological assessment
Comparison
Management after vs before introduction of invasive neuromonitoring in 2014
Design
Single tertiary care center observational analysis
Follow-up
12 months
Authors
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INM may guide DCI treatment when neurological assessment fails in good-grade SAH; leaves open need for prospective trials before practice change.
Does invasive neuromonitoring improve functional outcomes at 12 months in good-grade subarachnoid hemorrhage patients with secondary deterioration?
The introduction of invasive neuromonitoring to guide delayed cerebral ischemia treatment in good-grade subarachnoid hemorrhage patients with secondary deterioration may increase the rate of good recovery and reduce infarction load.
Veldeman et al. (2020) studied this question.
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