Cerebral arterial spasm--a clinical review

British Journal of Neurosurgery
N W Dorsch

Abstract

A review of the literature on cerebral vasospasm after aneurysmal subarachnoid haemorrhage (SAH) has shown that angiographic vasospasm occurs in 67.3% of cases when angiography is timed for the highest likelihood, and delayed ischaemic deficit or symptomatic vasospasm in 32.6%. The presence of vasospasm has a marked effect on overall outcome of SAH, and the outcome of delayed ischaemia itself is in about one-third death and in one-third permanent deficit. Management with fluid loading or induced hypertension and with calcium antagonists has been reported widely for both prevention and treatment, and can reduce the incidence and improve the outcome of vasospasm. Other forms of treatment including tissue plasminogen activator, aminosteroids and transluminal angioplasty also appear useful. In spite of these improved therapeutic possibilities, large numbers of patients are still being reported in whom no specific treatment is used.

Citations

Dec 14, 2006·Neurological Research·Richard J RomanLotfi Hacein-Bey
Oct 17, 2008·Neurocritical Care·Salvatore SalomoneJohn Randall Sims
Sep 1, 2008·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·T Trojanowski
Sep 23, 2010·Journal of Pharmacological Sciences·Katsuya Hirano, Mayumi Hirano
May 22, 2013·Neurology Research International·Travis R LadnerJ Mocco
Nov 22, 2014·Stroke; a Journal of Cerebral Circulation·Rune RasmussenNiels Vidiendal Olsen
Sep 17, 2015·Acta Neurologica Scandinavica·L Z CsajbokB Nellgård
Jul 10, 2018·Molecular Neurobiology·T Peeyush KumarSpiros L Blackburn
Aug 6, 2000·Neurologia Medico-chirurgica·Y Takanashi, M Shinonaga
Jul 13, 2006·Clinical and Experimental Hypertension : CHE·Giulio MairaBarbora Tirpakova
Aug 14, 2008·Journal of Cerebral Blood Flow and Metabolism : Official Journal of the International Society of Cerebral Blood Flow and Metabolism·Wolfram ScharbrodtMatthias F Oertel
Dec 18, 2013·Translational Stroke Research·Shakira Brathwaite, R Loch Macdonald
Oct 3, 2014·BioMed Research International·Chih-Lung LinCarl Muroi
Dec 30, 2018·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Khaled ElzaafaranyArie Nakhmani
Oct 6, 2001·Stroke; a Journal of Cerebral Circulation·J E Conway, R J Tamargo
Oct 27, 2007·Stroke; a Journal of Cerebral Circulation·Kaisorn L ChaichanaRafael J Tamargo
Dec 14, 2006·Neurological Research·Gary L Gallia, Rafael J Tamargo
Oct 19, 2007·The Cochrane Database of Systematic Reviews·S M Dorhout MeesG J E Rinkel
Aug 8, 2012·Asian Journal of Neurosurgery·Neelam K VenkataramanaChristos Panotopoulos

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antihypertensive Agents: Mechanisms of Action

Antihypertensive drugs are used to treat hypertension (high blood pressure) which aims to prevent the complications of high blood pressure, such as stroke and myocardial infarction. Discover the latest research on antihypertensive drugs and their mechanism of action here.

Related Papers

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
N W Dorsch
Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
N W Dorsch, M T King
Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses
N W Dorsch
Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Y A Zurynski, N W Dorsch
The Cochrane Database of Systematic Reviews
I Roberts
© 2021 Meta ULC. All rights reserved