CLINICOANGIOGRAPHIC MANIFESTATIONS OF VAS CULAR SPASMS UPON ANEURYSMAL RUPTURE

The clinical picture was compared to angiographic findings on the spas m in 85 patients in acute period of an aneurysmal rupture in the absen ce of the intracranial hematoma. Spasm-induced ischemia was responsibl e for cerebral dysfunction and neurological symptoms. Days 5-13 since the aneurysmal rupture can be viewed as a functionally significant spa sm interval. To prevent repeat hemorrhages and brain ischemia, aneurys mal intervention should be conducted on early hours and days of the di sease, before or during a less severe vascular spasm.