A 50-year-old man on ICU has SAH WFNS grade 4. On day 7, TCD shows MCA mean velocity 200 cm/s. What is the most likely complication?...

Question

A 50-year-old man on ICU has SAH WFNS grade 4. On day 7, TCD shows MCA mean velocity 200 cm/s. What is the most likely complication?

Accepted Answer

Delayed cerebral ischaemia from cerebral vasospasm - elevated TCD velocities (MCA mean more than 120 cm/s) with Lindegaard ratio more than 3 indicate arterial narrowing; DCI occurs in approximately 30% of SAH patients between days 4-14

Answer

Rebleeding

Answer

Hydrocephalus

Answer

Seizures

Answer

Infection

uk-fficm MCQ (SBA): SAH - Vasospasm

A 50-year-old man on ICU has SAH WFNS grade 4. On day 7, TCD shows MCA mean velocity 200 cm/s. What is the most likely complication?