Abstract

TOCO OLIVARES, Igor Gonzalo; QUISBERT PORTUGAL, Alisson Karla  and  OCHOA PINTO, Sergio Armando. CEREBRAL VASOSPASM RELATED TO HYPERGLYCEMIA IN PATIENT WITH SUBARACOID ANEURYSMATIC HAEMORRHAGE: CLINICAL CASE AND REVIEW OF LITERATURE. Rev. Méd. La Paz [online]. 2021, vol.27, n.1, pp.54-59. ISSN 1726-8958.

Aneurysmal subarachnoid hemorrhage is a very serious phenomenon associated with high rates of morbidity and mortality, this depends on the initial severity. The control of glucose is one of the care that must be taken into account since it is closely related to the development of secondary complications. We present the clinical case of a patient with a history of type 2 diabetes treated irregularly, who presented an aneurysmal subarachnoid hemorrhage, complicated by cerebral vasospasm, infarction, secondary hydrocephalus and pulmonary infections in relation to hyperglycemia during the post-operative period of difficult and refractory treatment. We expose the pathophysiological mechanisms that cause alterations in the cerebral vascular self-regulation phenomena and consequently cerebral perfusion disorders that decrease the neurological state of the patient, highlighting that the control of glycemia in the course of a subarachnoid hemorrhage can help a better outcome of the patients.

Keywords : Hyperglycemia; subarachnoid hemorrhage; cerebral vasospasmo.

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