skip to main content

SAH Vasospasm Treatment — FRCA Final MCQ

Instant feedback + full explanation. One question, done properly.

ModerateNeuroanaesthesiaSAH Vasospasm TreatmentFRCA Final

SAH Fisher Grade 3, Day 5: new confusion, left weakness, no new haemorrhage on CT, elevated TCD MCA velocities. Diagnosis and treatment?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Cerebral vasospasm — nimodipine and induced hypertension

New focal deficit Day 5 post-SAH + elevated TCD + no new haemorrhage = cerebral vasospasm. Peak Days 4-14. Nimodipine 60 mg 4-hourly orally (or IV). Avoid hypovolaemia, induce hypertension. Refractory: endovascular angioplasty/intra-arterial vasodilators.

Reference: NICE – 2022 – SAH; AHA/ASA – 2023 – SAH guidelines