After how many days does Delayed ischemic neurological deficit occurs in SAH?: (A) 1, (B) 7, (C) 15, (D) 30
Answer is B. Delayed ischemic neurological deficit refers to the focal neurological deficits which occurs between 3 and 10 days (avg. 7 days) after the SAH. It is caused by cerebral vasospasm which correlates with the amount of bleeding in subarachnoid space It is managed with nimodipine &IV fluids. Prevention of hypoxia and hypotension along with control of ICP is helpful