Sajal Kulhari

Department of Medicine, Case Western Reserve University, Cleveland, Ohio, USA

Publications

• Perspective   
  A Perspective on Cerebral Vasospasm Post Aneurysmal Subarachnoid Hemorrhage: Synopsis, Guidelines, Treatment, & Advances
  Author(s): Sajal Kulhari*
  
  Cerebral vasospasm is a serious complication that occurs after Aneurysmal Subarachnoid Hemorrhage (ASAH), affecting approximately one-third of patients with ASAH. It can lead to Delayed Cerebral Infarction (DCI), resulting in high mortality and severe disability. Current guidelines recommend a combination of proximal cerebral vessel balloon angioplasty and intra-arterial vasodilators or solely the use of intra-arterial vasodilators for treating cerebral vasospasm. However, distal balloon angioplasty is not recommended due to its associated risks, such as arterial rupture. DCI, often caused by cerebral vasospasm, can be diagnosed clinically or radiologically. Treatment aims to prevent DCI and includes the administration of Nimodipine, maintaining euvolemia, and stabilizing blood pressure. In cases where standard management fails, endovascular rescue interventions can be considered, suc.. Read More»
  

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