Evidence map›Paper›PMID 41180094›Full record

ReviewJournal of intensive medicine2025

Post-traumatic vasospasm: Epidemiology, specificities, risk factors, and therapeutics.

Clara Perrault, Audrey Melcus, Etienne Lefevre, Eimad Shotar, David Ditchi, Lamine Abdennour, Vincent Degos, Alice Jacquens

Abstract readReview
In one paragraph

Review in Journal of intensive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Clara PerraultDépartement d'Anesthésie Réanimation, Réanimation Neurochirurgicale, Hôpital de la Pitié Salpêtrière, Paris, France.
Audrey MelcusDépartement d'Anesthésie Réanimation, Réanimation Neurochirurgicale, Hôpital de la Pitié Salpêtrière, Paris, France.
Etienne LefevreService de Neurochirurgie, Hôpital de la Pitié Salpêtrière, Paris, France.
Eimad ShotarService de Neuroradiologie, Hôpital de la Pitié Salpêtrière, Paris, France.
David DitchiDépartement d'Anesthésie Réanimation, Réanimation Neurochirurgicale, Hôpital de la Pitié Salpêtrière, Paris, France.
Lamine AbdennourDépartement d'Anesthésie Réanimation, Réanimation Neurochirurgicale, Hôpital de la Pitié Salpêtrière, Paris, France.
Vincent DegosDépartement d'Anesthésie Réanimation, Réanimation Neurochirurgicale, Hôpital de la Pitié Salpêtrière, Paris, France.
Alice JacquensDépartement d'Anesthésie Réanimation, Réanimation Neurochirurgicale, Hôpital de la Pitié Salpêtrière, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-traumatic vasospasm (PTV) of intracranial arteries is a serious complication of traumatic brain injury (TBI) that can lead to significant neurological deficits and ischemic brain lesions. Despite its clinical relevance, the pathogenesis of PTV is not fully understood, and effective management strategies remain a challenge. This review aims to synthesize the current knowledge on pathophysiology, risk factors, detection, prevention, and treatment of PTV. Early detection of PTV is made difficult by the complexity of TBI and its management. The gold standard for vasospasm detection remains digital subtraction angiography (DSA). However, noninvasive techniques such as transcranial Doppler (TCD) and S100 protein monitoring may assist in detecting PTV. Compared with vasospasm associated with aneurysmal subarachnoid hemorrhage (aSAH), PTV appears to occur earlier and to resolve more quickly. Several risk factors have been identified, including the severity of TBI, younger age, SAH, or the presence of other hematomas. Treatment options include nimodipine and endovascular therapies, such as angioplasty and milrinone, though these require careful management due to their invasive nature and potential hypotensive effect. PTV represents a critical complication of TBI, requiring early detection and timely intervention to prevent secondary brain injuries. Although current strategies, such as nimodipine and intra-arterial therapies, have shown promise, further research is needed to refine these approaches and improve outcomes. Enhanced understanding of PTV's pathophysiology, along with the development of more effective diagnostic and therapeutic tools, is essential for advancing patient care in TBI.

Indexed as

Subarachnoid hemorrhageTraumatic brain injuryVasospams intracranial

Identifiers

PMID41180094
PMCPMC12572897

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.