{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T14:06:23Z","timestamp":1783778783162,"version":"3.55.0"},"reference-count":22,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,9,17]]},"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:p>Traumatic brain injury (TBI) is a leading cause of morbidity and mortality in young individuals. Management of TBI is complex and aims to prevent secondary injury and optimise conditions for neurological recovery. Vasospasm is a possible complication of TBI, and its significance is unknown. Its incidence is underestimated and there are currently no preventive or therapeutic approaches with proven efficacy. The occurrence of vasospasm contributes to secondary brain injury and worsens prognosis. The diagnosis of vasospasm in TBI is challenging due to the difficulty in perceiving neurological deterioration in these patients. We present a case of a young patient admitted to the neurocritical care unit following TBI. He presented a partial neurological recovery, followed by clinical deterioration and persistent coma. The diagnosis of extensive ischaemic lesions due to severe vasospasm was established. Suspicion of vasospasm and timely screening, particularly in high-risk patients, may improve survival and outcomes in TBI.<\/jats:p>","DOI":"10.1136\/bcr-2024-262308","type":"journal-article","created":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T13:40:11Z","timestamp":1729518011000},"page":"e262308","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Vasospasm in traumatic brain injury"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0056-1783","authenticated-orcid":false,"given":"In\u00eas Miranda","family":"Carqueja","sequence":"first","affiliation":[{"name":"Intensive Care Medicine, Hospital Pedro Hispano, Matosinhos, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriana Am\u00e9rica","family":"Silva","sequence":"additional","affiliation":[{"name":"Intensive Care Medicine, Centro Hospitalar T\u00e2mega e Sousa, EPE, Penafiel, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu\u00eds","family":"Albuquerque","sequence":"additional","affiliation":[{"name":"Neuroradiology, Centro Hospitalar Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabete","family":"Monteiro","sequence":"additional","affiliation":[{"name":"Neurocritical Care, Intensive Care Medicine, Centro Hospitalar Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,10,21]]},"reference":[{"key":"2025082801340218000_17.10.e262308.1","doi-asserted-by":"crossref","first-page":"1411","DOI":"10.1089\/neu.2015.4126","article-title":"Epidemiology of Traumatic Brain Injury in Europe: A Living Systematic Review","volume":"38","author":"Brazinova","year":"2021","journal-title":"J Neurotrauma"},{"key":"2025082801340218000_17.10.e262308.2","first-page":"542","article-title":"Pathophysiology of severe traumatic brain injury","volume":"62","author":"O\u2019leary","year":"2018","journal-title":"J Neurosurg Sci"},{"key":"2025082801340218000_17.10.e262308.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.nec.2016.06.002"},{"key":"2025082801340218000_17.10.e262308.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2017.06.003"},{"key":"2025082801340218000_17.10.e262308.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.03.083"},{"key":"2025082801340218000_17.10.e262308.6","doi-asserted-by":"crossref","first-page":"1096","DOI":"10.1111\/cns.13222","article-title":"Clinical and experimental aspects of aneurysmal subarachnoid hemorrhage","volume":"25","author":"Daou","year":"2019","journal-title":"CNS Neurosci Ther"},{"key":"2025082801340218000_17.10.e262308.7","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000436"},{"key":"2025082801340218000_17.10.e262308.8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.31728\/jnn.2022.00115","article-title":"Transcranial Doppler Monitoring in Subarachnoid Hemorrhage","volume":"14","author":"Park","year":"2022","journal-title":"J Neurosonol Neuroimag"},{"key":"2025082801340218000_17.10.e262308.9","doi-asserted-by":"crossref","unstructured":"Bonow RH , Young CC , Bass DI , et al . 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