Should endovascular therapy for cerebral vasospasm coincide with hypervolemic-hypertensive therapy (HT) in aneurysmal subarachnoid hemorrhage (SAH)?

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Should endovascular therapy for cerebral vasospasm coincide with hypervolemic-hypertensive therapy (HT) in aneurysmal subarachnoid hemorrhage (SAH)?

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In patients suffering from SAH, cerebral vasospasm is a major cause of morbidity and mortality from multifocal cerebral infaretion. Hypervolemic-hypertensive therapy is considered the cornerstone of the medical management and generally the first line approach. The therapeutic role of intra-arterial infusion of papaverine and balloon angioplasty has been established as an alternative therapy. The timing of neuroradiological intervention is unknown.

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