Subarachnoid Hemorrhage Clinical Trial
Official title:
Quantification of Cerebral Blood Flow by Arterial Spin Labeling in the Screening and Monitoring of Vasospasm in Subarachnoid Haemorrhage
A technique of MRI infusion -l'Arterial Spin Labeling-, non-invasive and non-irradiating, repeatable over time, appears promising in the field. This sequence allows for routine, generate perfusion maps relating to the entire brain volume
The subarachnoid hemorrhage (SAH) is a relatively severe disease whose prognosis is
particularly related to the early onset of arterial vasospasm, maximum between the 5th and
14th day after SAH. Many obstacles make it difficult screening and monitoring of such
complication. The challenge is to be able to demonstrate a reduction in regional cerebral
blood flow before the onset of irreversible parenchymal sequelae, responsible for the
majority of long-term morbidity among survivors. In clinical routine, screening vasospasm is
achieved by Doppler intracranial arteries (DTC). However, its sensitivity is poor with
regard to the middle and anterior cerebral arteries. The gold standard for diagnosis is
cerebral arteriography. However, vasospasm in arteriography or trans-cranial Doppler does
not prejudice the appearance of a delayed ischemic deficit.
A technique of MRI infusion -l'Arterial Spin Labeling-, non-invasive and non-irradiating,
repeatable over time, appears promising in the field. This sequence allows for routine,
generate perfusion maps relating to the entire brain volume
;
Intervention Model: Single Group Assignment, Masking: Open Label
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