Role of transcranial color-coded Doppler in monitoring vasospasm and treatment outcome in a patient with treated ruptured aneurysm: a case report

Background: Managing subarachnoid hemorrhage (SAH) due to ruptured cerebral aneurysms requires vigilant monitoring of vasospasm and careful assessment of treatment efficacy. Digital subtraction angiography is the gold standard for evaluating vasospasm and therapeutic outcomes; however, transcranial color-coded Doppler (TCCD) has emerged as a valuable noninvasive alternative for ongoing monitoring.Case Report: We report the case of a middle-aged man with a ruptured right middle cerebral artery aneurysm who was treated with acute coil embolization and subsequently monitored using TCCD. TCCD effectively identified focal vasospasm progression, guiding timely pharmacological intervention. Moreover, its morphological insights were instrumental in assessing the success of endovascular treatment.Conclusion: This case highlights the practicality and diagnostic value of TCCD in the comprehensive management of SAH, demonstrating its utility as a noninvasive tool for monitoring vasospasm and evaluating endovascular treatment outcomes.