{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T07:42:27Z","timestamp":1790840547989,"version":"4.1.0"},"reference-count":30,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"18","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2025,5,5]]},"abstract":"\n BACKGROUND<\/jats:title>\n Cerebral vasospasm (CVS) following aneurysmal subarachnoid hemorrhage (SAH) typically occurs 3\u20135 days after the onset of SAH, reaching its peak at day 7, and persists for 2\u20133 weeks. Generally, once the period of CVS is over and radiological improvement has been observed, recurrence is rare.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n The authors present the case of a 92-year-old female with a complaint of unconsciousness. CT showed diffuse SAH and CT angiography revealed a 9-mm right internal carotid-ophthalmic artery aneurysm. On day 1, they performed balloon-assisted coil embolization. On day 8, MR angiography (MRA) showed severe CVS in both distal middle cerebral arteries. On day 15, MRA showed complete improvement of CVS. However, on day 21, MRA showed recurrence of diffuse CVSs, particularly in the right middle cerebral artery, right vertebral artery, and basilar artery, and CVS persisted for approximately 1 week. On day 29, an improvement in the CSV was observed on MRA, and subsequent monitoring revealed no further occurrence of CVS.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n Here, a novel case of recurrence after complete improvement of CVS following aneurysmal SAH is presented. Even after the period of CVS is over and radiological improvement has been observed, regular imaging follow-up remains crucial.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE25138<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case25138","type":"journal-article","created":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T20:14:40Z","timestamp":1746476080000},"source":"Crossref","is-referenced-by-count":1,"title":["Recurrence after improvement of cerebral vasospasm following aneurysmal subarachnoid hemorrhage: illustrative case"],"prefix":"10.3171","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-2319-709X","authenticated-orcid":true,"given":"Takahiro","family":"Tsuchiya","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Teraoka Memorial Hospital, Hiroshima, Japan"},{"name":"Teraoka Geriatric Healthcare Center, Teraoka Memorial Hospital, Hiroshima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9931-0716","authenticated-orcid":true,"given":"Tsukasa","family":"Koike","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Teraoka Memorial Hospital, Hiroshima, Japan"},{"name":"Teraoka Geriatric Healthcare Center, Teraoka Memorial Hospital, Hiroshima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8805-4440","authenticated-orcid":true,"given":"Makoto","family":"Sakamoto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tottori University, Tottori, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsumi","family":"Takenobu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Teraoka Memorial Hospital, Hiroshima, Japan"},{"name":"Teraoka Geriatric Healthcare Center, Teraoka Memorial Hospital, Hiroshima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Teraoka","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Teraoka Memorial Hospital, Hiroshima, Japan"},{"name":"Teraoka Geriatric Healthcare Center, Teraoka Memorial Hospital, Hiroshima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"1","key":"bib1","series-title":"J Clin Neurosci","first-page":"19","article-title":"A review of cerebral vasospasm in aneurysmal subarachnoid haemorrhage part I: incidence and effects","volume":"1","author":"Dorsch","year":"1994","unstructured":"Dorsch NWKing MT.A review of cerebral vasospasm in aneurysmal subarachnoid haemorrhage part I: incidence and effects. J Clin Neurosci. 1994;1(1):19-26."},{"issue":"1","key":"bib2","series-title":"Can J Neurol Sci","first-page":"15","article-title":"Cerebral vasospasm: a review","volume":"43","author":"Findlay","year":"2016","unstructured":"Findlay JMNisar JDarsaut T.Cerebral vasospasm: a review. Can J Neurol Sci. 2016;43(1):15-32."},{"issue":"4","key":"bib3","series-title":"Stroke","first-page":"919","article-title":"Angiographic vasospasm is strongly correlated with cerebral infarction after subarachnoid hemorrhage","volume":"42","author":"Crowley","year":"2011","unstructured":"Crowley RWMedel RDumont ASAngiographic vasospasm is strongly correlated with cerebral infarction after subarachnoid hemorrhage. Stroke. 2011;42(4):919-923."},{"issue":"6","key":"bib4","series-title":"J Neurosurg","first-page":"1052","article-title":"Frequency and clinical impact of asymptomatic cerebral infarction due to vasospasm after subarachnoid hemorrhage","volume":"109","author":"Schmidt","year":"2008","unstructured":"Schmidt JMWartenberg KEFernandez AFrequency and clinical impact of asymptomatic cerebral infarction due to vasospasm after subarachnoid hemorrhage. J Neurosurg. 2008;109(6):1052-1059."},{"issue":"5","key":"bib5","series-title":"J Neurosurg","first-page":"1302","article-title":"Vasospasm risk following aneurysmal subarachnoid hemorrhage in older adults","volume":"139","author":"Pavelka","year":"2023","unstructured":"Pavelka MNecarsulmer JHo JSasaki-Adams D.Vasospasm risk following aneurysmal subarachnoid hemorrhage in older adults. J Neurosurg. 2023;139(5):1302-1310."},{"issue":"1","key":"bib6","series-title":"Eur Stroke J","first-page":"172","article-title":"Early and recurrent cerebral vasospasms after aneurysmal subarachnoid hemorrhage: the impact of age","volume":"9","author":"Tokareva","year":"2024","unstructured":"Tokareva BMeyer LHeitkamp CEarly and recurrent cerebral vasospasms after aneurysmal subarachnoid hemorrhage: the impact of age. Eur Stroke J. 2024;9(1):172-179."},{"issue":"2","key":"bib7","series-title":"J Neurosurg","first-page":"173","article-title":"Time course of vasospasm in man","volume":"48","author":"Weir","year":"1978","unstructured":"Weir BGrace MHansen JRothberg C.Time course of vasospasm in man. J Neurosurg. 1978;48(2):173-178."},{"key":"bib8","series-title":"World Neurosurg","first-page":"488","article-title":"Outcome of patients with long-lasting cerebral vasospasm after subarachnoid hemorrhage: is prolonged treatment for cerebral vasospasm worthwhile? A matched-pair analysis","volume":"88","author":"Konczalla","year":"2016","unstructured":"Konczalla JBrawanski NBruder MSenft CPlatz JSeifert V.Outcome of patients with long-lasting cerebral vasospasm after subarachnoid hemorrhage: is prolonged treatment for cerebral vasospasm worthwhile? A matched-pair analysis. World Neurosurg. 2016;88:488-496."},{"issue":"4","key":"bib9","series-title":"J Neurosurg","first-page":"494","article-title":"Symptomatic arterial luminal narrowing presenting months after subarachnoid hemorrhage and aneurysm clipping","volume":"69","author":"Kondziolka","year":"1988","unstructured":"Kondziolka DBernstein MSpiegel SMter Brugge K.Symptomatic arterial luminal narrowing presenting months after subarachnoid hemorrhage and aneurysm clipping. J Neurosurg. 1988;69(4):494-499."},{"issue":"9","key":"bib10","series-title":"Neurol Med Chir (Tokyo)","first-page":"677","article-title":"Very late-onset symptomatic cerebral vasospasm caused by a large residual aneurysmal subarachnoid hematoma--case report","volume":"39","author":"Yamaguchi","year":"1999","unstructured":"Yamaguchi MBun TKuwahara TKitamura S.Very late-onset symptomatic cerebral vasospasm caused by a large residual aneurysmal subarachnoid hematoma--case report. Neurol Med Chir (Tokyo). 1999;39(9):677-680."},{"issue":"4","key":"bib11","series-title":"Br J Neurosurg","first-page":"647","article-title":"Recurrent delayed-onset cerebral vasospasm following ruptured ICA aneurysm: case report","volume":"37","author":"Jaradat","year":"2023","unstructured":"Jaradat AAAleshawi AJAl Barbarawi MMAlhamdan MF.Recurrent delayed-onset cerebral vasospasm following ruptured ICA aneurysm: case report. Br J Neurosurg. 2023;37(4):647-649."},{"key":"bib12","series-title":"World Neurosurg","first-page":"52","article-title":"Recurrent cerebral vasospasm and delayed cerebral ischemia weeks subsequent to elective clipping of an unruptured middle cerebral artery aneurysm","volume":"141","author":"Cuoco","year":"2020","unstructured":"Cuoco JAGuilliams ELRogers CMPatel BMMarvin EA.Recurrent cerebral vasospasm and delayed cerebral ischemia weeks subsequent to elective clipping of an unruptured middle cerebral artery aneurysm. World Neurosurg. 2020;141:52-58."},{"issue":"1","key":"bib13","series-title":"BMC Neurol","article-title":"Vasospasm and delayed cerebral ischemia after uneventful clipping of an unruptured intracranial aneurysm\u2014a case report","volume":"19","author":"Campe","year":"2019","unstructured":"Campe CNeumann JSandalcioglu IERashidi ALuchtmann M.Vasospasm and delayed cerebral ischemia after uneventful clipping of an unruptured intracranial aneurysm\u2014a case report. 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AJNR Am J Neuroradiol. 2000;21(6):1011-1015."},{"issue":"1","key":"bib1","series-title":"J Clin Neurosci","first-page":"19","article-title":"A review of cerebral vasospasm in aneurysmal subarachnoid haemorrhage part I: incidence and effects","volume":"1","author":"Dorsch","year":"1994","unstructured":"Dorsch NWKing MT.A review of cerebral vasospasm in aneurysmal subarachnoid haemorrhage part I: incidence and effects. J Clin Neurosci. 1994;1(1):19-26."},{"issue":"1","key":"bib2","series-title":"Can J Neurol Sci","first-page":"15","article-title":"Cerebral vasospasm: a review","volume":"43","author":"Findlay","year":"2016","unstructured":"Findlay JMNisar JDarsaut T.Cerebral vasospasm: a review. Can J Neurol Sci. 2016;43(1):15-32."},{"issue":"4","key":"bib3","series-title":"Stroke","first-page":"919","article-title":"Angiographic vasospasm is strongly correlated with cerebral infarction after subarachnoid hemorrhage","volume":"42","author":"Crowley","year":"2011","unstructured":"Crowley RWMedel RDumont ASAngiographic vasospasm is strongly correlated with cerebral infarction after subarachnoid hemorrhage. Stroke. 2011;42(4):919-923."},{"issue":"6","key":"bib4","series-title":"J Neurosurg","first-page":"1052","article-title":"Frequency and clinical impact of asymptomatic cerebral infarction due to vasospasm after subarachnoid hemorrhage","volume":"109","author":"Schmidt","year":"2008","unstructured":"Schmidt JMWartenberg KEFernandez AFrequency and clinical impact of asymptomatic cerebral infarction due to vasospasm after subarachnoid hemorrhage. J Neurosurg. 2008;109(6):1052-1059."},{"issue":"5","key":"bib5","series-title":"J Neurosurg","first-page":"1302","article-title":"Vasospasm risk following aneurysmal subarachnoid hemorrhage in older adults","volume":"139","author":"Pavelka","year":"2023","unstructured":"Pavelka MNecarsulmer JHo JSasaki-Adams D.Vasospasm risk following aneurysmal subarachnoid hemorrhage in older adults. J Neurosurg. 2023;139(5):1302-1310."},{"issue":"1","key":"bib6","series-title":"Eur Stroke J","first-page":"172","article-title":"Early and recurrent cerebral vasospasms after aneurysmal subarachnoid hemorrhage: the impact of age","volume":"9","author":"Tokareva","year":"2024","unstructured":"Tokareva BMeyer LHeitkamp CEarly and recurrent cerebral vasospasms after aneurysmal subarachnoid hemorrhage: the impact of age. Eur Stroke J. 2024;9(1):172-179."},{"issue":"2","key":"bib7","series-title":"J Neurosurg","first-page":"173","article-title":"Time course of vasospasm in man","volume":"48","author":"Weir","year":"1978","unstructured":"Weir BGrace MHansen JRothberg C.Time course of vasospasm in man. J Neurosurg. 1978;48(2):173-178."},{"key":"bib8","series-title":"World Neurosurg","first-page":"488","article-title":"Outcome of patients with long-lasting cerebral vasospasm after subarachnoid hemorrhage: is prolonged treatment for cerebral vasospasm worthwhile? A matched-pair analysis","volume":"88","author":"Konczalla","year":"2016","unstructured":"Konczalla JBrawanski NBruder MSenft CPlatz JSeifert V.Outcome of patients with long-lasting cerebral vasospasm after subarachnoid hemorrhage: is prolonged treatment for cerebral vasospasm worthwhile? A matched-pair analysis. World Neurosurg. 2016;88:488-496."},{"issue":"4","key":"bib9","series-title":"J Neurosurg","first-page":"494","article-title":"Symptomatic arterial luminal narrowing presenting months after subarachnoid hemorrhage and aneurysm clipping","volume":"69","author":"Kondziolka","year":"1988","unstructured":"Kondziolka DBernstein MSpiegel SMter Brugge K.Symptomatic arterial luminal narrowing presenting months after subarachnoid hemorrhage and aneurysm clipping. J Neurosurg. 1988;69(4):494-499."},{"issue":"9","key":"bib10","series-title":"Neurol Med Chir (Tokyo)","first-page":"677","article-title":"Very late-onset symptomatic cerebral vasospasm caused by a large residual aneurysmal subarachnoid hematoma--case report","volume":"39","author":"Yamaguchi","year":"1999","unstructured":"Yamaguchi MBun TKuwahara TKitamura S.Very late-onset symptomatic cerebral vasospasm caused by a large residual aneurysmal subarachnoid hematoma--case report. Neurol Med Chir (Tokyo). 1999;39(9):677-680."},{"issue":"4","key":"bib11","series-title":"Br J Neurosurg","first-page":"647","article-title":"Recurrent delayed-onset cerebral vasospasm following ruptured ICA aneurysm: case report","volume":"37","author":"Jaradat","year":"2023","unstructured":"Jaradat AAAleshawi AJAl Barbarawi MMAlhamdan MF.Recurrent delayed-onset cerebral vasospasm following ruptured ICA aneurysm: case report. Br J Neurosurg. 2023;37(4):647-649."},{"key":"bib12","series-title":"World Neurosurg","first-page":"52","article-title":"Recurrent cerebral vasospasm and delayed cerebral ischemia weeks subsequent to elective clipping of an unruptured middle cerebral artery aneurysm","volume":"141","author":"Cuoco","year":"2020","unstructured":"Cuoco JAGuilliams ELRogers CMPatel BMMarvin EA.Recurrent cerebral vasospasm and delayed cerebral ischemia weeks subsequent to elective clipping of an unruptured middle cerebral artery aneurysm. World Neurosurg. 2020;141:52-58."},{"issue":"1","key":"bib13","series-title":"BMC Neurol","article-title":"Vasospasm and delayed cerebral ischemia after uneventful clipping of an unruptured intracranial aneurysm\u2014a case report","volume":"19","author":"Campe","year":"2019","unstructured":"Campe CNeumann JSandalcioglu IERashidi ALuchtmann M.Vasospasm and delayed cerebral ischemia after uneventful clipping of an unruptured intracranial aneurysm\u2014a case report. BMC Neurol. 2019;19(1):226."},{"issue":"12","key":"bib14","series-title":"Neurol Med Chir (Tokyo)","first-page":"495","article-title":"Endovascular treatment for vasospasm after aneurysmal subarachnoid hemorrhage based on data of JR-NET3","volume":"58","author":"Imamura","year":"2018","unstructured":"Imamura HSakai NSatow TIihara KJR-NET investigators.Endovascular treatment for vasospasm after aneurysmal subarachnoid hemorrhage based on data of JR-NET3. Neurol Med Chir (Tokyo). 2018;58(12):495-502."},{"issue":"6","key":"bib15","series-title":"AJNR Am J Neuroradiol","first-page":"1011","article-title":"CT angiography for the detection of cerebral vasospasm in patients with acute subarachnoid hemorrhage","volume":"21","author":"Anderson","year":"2000","unstructured":"Anderson GBAshforth RSteinke DEFindlay JM.CT angiography for the detection of cerebral vasospasm in patients with acute subarachnoid hemorrhage. AJNR Am J Neuroradiol. 2000;21(6):1011-1015."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/9\/18\/article-CASE25138.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/9\/18\/article-CASE25138.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/9\/18\/article-CASE25138.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T23:37:20Z","timestamp":1770075440000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/9\/18\/article-CASE25138.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,5]]},"references-count":30,"journal-issue":{"issue":"18"},"URL":"https:\/\/doi.org\/10.3171\/case25138","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,5]]}}}