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subarchnoid hemorrhage

Liang Shen, Sheng Qiu, Zhongzhou Su, Xudong Ma, Renfu Yan
BACKGROUND: Lumbar puncture is often used for the diagnosis and treatment of subarchnoid hemorrhage, infection of Cerebro-spinal Fluid (CSF), hydrocephalus in neurosurgery department patients. It is general that paradoxical herniation followed by lumbar puncture is quite rare in decompressive craniectomy cases; the related reports are very few. Moreover, most of the paradoxical herniation cases are chronic, which often occur weeks or even months after the lumbar puncture, to date, barely no reports on the acute onset paradoxical herniation have been found...
August 2, 2017: BMC Neurology
Konark Malhotra, James J Conners, Vivien H Lee, Shyam Prabhakaran
The absolute transcranial Doppler (TCD) velocity threshold has been validated as a screening tool for vasospasm after subarchnoid hemorrhage (SAH). We assessed whether relative changes in velocity were superior to absolute TCD thresholds in the detection of symptomatic vasospasm. We reviewed consecutive patients with aneurysmal SAH who underwent serial TCD monitoring and survived at least 7 days. We recorded initial flow velocity (IFV) and maximal flow velocity (MFV) of the middle cerebral artery (MCA) serially up to 14 days from admission...
January 2014: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Adnan Agha, Mohammad Al-Hakami
BACKGROUND: The authors report an unusual case of the radiological appearance of diffuse subarachnoid hemorrhage on brain computed tomographic (CT) scan in a patient with post-resuscitation anoxic encephalopathy. CLINICAL PRESENTATION: A young man with chronic renal failure collapsed unconscious while starting hemodialysis and was revived after resuscitation for almost one hour. He was shifted to intensive care unit and subsequent CT scan after 3 days showed a picture compatible with diffuse subarachnoid hemorrhage...
July 2011: Mædica
Vahid Jusufovic, Jasmin Zvornicanin, Zlatko Musanovic, Senada Sarihodzic
PURPOSE: To present a case of Terson's syndrome consequent to ruptured intracranial aneurism treated successfully with a combined therapeutic approach. METHODS: Case report. A 37 year old man was urgently referred to the UCC Tuzla with sudden headache, vomiting and unconsciousness. CT scan showed ruptured aneurism of anterior communicant artery with signs of retinal thickening. Later ocular examination showed the massive bilateral vitreous haemorrhage. RESULTS: Patient was treated with medicamentous therapy for 7 months with no significant improvement...
2011: Medicinski Arhiv
Junhao Yan, Li Li, Nikan H Khatibi, Lei Yang, Ke Wang, Weiguang Zhang, Robert D Martin, Jingyan Han, John Zhang, Changman Zhou
The blood-brain barrier (BBB) plays a vital role as both a physiologic and physical barrier in regulating the movement of water from the vasculature to the brain. During a subarachnoid hemorrhage (SAH), the BBB is disrupted by a variety of mediators, one of which can result in endothelial cell death. As a result, in the present study, we investigated the role of PUMA (p53 upregulated modulator of apoptosis) following SAH injury in rats. Specifically evaluating whether through the endoplasmic reticulum (ER), PUMA could orchestrate the induction of endothelial cell apoptosis and cause a disruption in the blood-brain barrier integrity...
August 2011: Experimental Neurology
Chikao Ibuki, Hiroshi Kawamata, Yoshihiko Seino, Kyoichi Mizuno
A 29-year-old woman with refractory hypertension who previously suffered from subarchnoid hemorrhage visited our facility. The diagnosis of renovascular hypertension due to fibromuscular dysplasia was made based on a high level of plasma renin activity (PRA) and aldosterone concentration (AC), and computed tomographic image of bilateral renal artery stenosis/obstruction. Angioplasty, which could be performed only to the left renal artery, failed to regain sufficient BP control. The addition of eplerenone, an aldosterone receptor blocker, to the conventional antihypertensive drugs successfully and safely lowered BP and preserved the renal function despite the persistence of high PRA and AC values...
2010: Internal Medicine
Vamsi K Yerramneni, P Sarat Chandra, Manish K Kasliwal, Sumit Sinha, Ashish Suri, Aditya Gupta, Bhawani S Sharma
Oculomotor nerve palsy (ONP) can be the presenting feature of ruptured or an unruptured posterior communicating artery (PcomA) aneurysm. Etiopathogenesis and recovery of ONP following treatment of PcomA aneurysm has been a subject of controversy. Case records of thirteen patients (mean age 42 years (range 19-65 years), M:F: 3:10) with PcomA aneurysm and ONP who underwent surgery over a period of eight years were analyzed. Twelve patients presented with subarchnoid hemorrhage and one had unruptured aneurysm...
January 2010: Neurology India
F Brami, V Domigo, S Godon-Hardy, D Trystram, C Oppenheim, J F Méder
PURPOSE: To report clinical and imaging features of diffuse cerebral vasoconstriction and to discuss the role of non-invasive imaging modalities for the diagnosis and the follow-up. PATIENTS AND METHODS: Retrospective study including 13 consecutive patients with a diffuse cerebral vasoconstriction. Evaluation of the sensitivity of Doppler US and magnetic resonance angiography for the diagnosis. RESULTS: The diagnosis is based on the association of a thunderclap headache, declenching factors found in 50% of cases and of stenosis involving middle and small cerebra arteries...
November 2009: Journal de Radiologie
Jiong Dai, Shanquan Li, Xiaoxiong Li, Wenhao Xiong, Yongming Qiu
BACKGROUND: Intraventricular hemorrhage (IVH) is an independent risk factor for both morbidity and mortality in patients with intracerebral hemorrhage and subarchnoid hemorrhage. The pathophysiological mechanisms by which blood within the ventricles causes brain damage are still poorly understood. SETTINGS AND DESIGN: We developed a canine (dog) model with long-term survival. AIMS: To study the mechanisms of pathological changes associated with IVH...
September 2009: Neurology India
Ayumi Narisawa, Toshie Takahashi, Ryuta Saito, Kenichi Sato, Hidenori Endo, Nobuo Noshita, Uichi Kaneko
We present a case of ruptured distal middle cerebral artery aneurysm associated with occlusion of the anterior trunk of the ipsilateral middle cerebral artery. An 83-year-old man had right homonymous hemianopsia and right mild hemiparesis. CT scan revealed hematoma and a perifocal low density area at the left occipital subcortex without subarchnoid hemorrhage (SAH). MRI showed repeated bleeding at the same location as the CT scan. Moreover, cerebral angiograms disclosed an aneurysm on the leptomeningeal anastomosis from the left posterior cerebral artery to the middle cerebral artery...
August 2009: No Shinkei Geka. Neurological Surgery
Dae-Hee Seo, Won-Cheol Lee, Il-Seung Choe, Sung-Choon Park, Young-Soo Ha
Anterior communicating artery (Acom) complex and anterior cerebral artery (ACA) are the frequent sites of arterial anomalies. Aneurysms associated with triplicate ACA are rare. Blood blister-like aneurysm (BBA) of the Acom is also very rare. This report presents these two rare types of aneurysms in a 63-year old man who presented with subarchnoid hemorrhage secondary to accessory ACA aneurysmal rupture. During surgery, a BBA of the Acom was also found. Both the aneurysms were treated simultaneously. The BBA bled intraprocedurally but was repaired successfully by neck reconstruction and clipping with the preservation of the parent and the branching arteries...
January 2009: Neurology India
H L Brydon, H Akil, S Ushewokunze, J S Dhir, A Taha, A Ahmed
For the past 50 years the pterional craniotomy has been the standard approach for anterior circulation aneurysms. However, this is a major procedure. As the trend is towards minimally invasive surgery generally, we have been developing a minimally invasive approach for anterior circulation aneurysms - the supraorbital microcraniotomy. We present first 50 patients who underwent this operation after an aneurysmal subarchnoid haemorrhage. The data were collected prospectively between 2001 and 2004. A total of 60 aneurysms were clipped (10 patients had two aneurysms)...
February 2008: British Journal of Neurosurgery
Norimitsu Nagamine, Noriyuki Shintani, Atsushi Furuya, Satomi Suzuki, Akihiko Nonaka, Fumiaki Abe, Takashi Matsukawa
We report two cases of anesthetic management for emergency cesarean sections and craniotomies in patients with intracranial hemorrhage. Case 1: A 32-year-old woman at 33 weeks gestation suffered from subarchnoid hemorrhage due to the rupture of cerebral aneurysm. Case 2: A 38-week-pregnant woman aged 32 developed intracerebral hematoma resulting from ruptured arteriovenous malformation. The weights of the fetuses were estimated to be 1756 g and 1996 g respectively, and they were expected premature. Discussions with obstetricians, neurosurgeons and neonatologists encouraged us to schedule cesarean section followed by craniotomy under general anesthesia...
September 2007: Masui. the Japanese Journal of Anesthesiology
Ivelina Gueorguieva, Simon R Clark, Catherine J McMahon, Sylvia Scarth, Nancy J Rothwell, Pippa J Tyrrell, Pippa J Tyrell, Stephen J Hopkins, Malcolm Rowland
UNLABELLED: What is already known about this subject? The naturally occurring interlukin-1 receptor antagonist (IL-1RA) markedly protects rodents against ischaemic, excitotoxic and traumatic brain injury, suggesting it may be of therapeutic value. When administered intravenously to patients soon after stroke, IL-1RA is safe and reduces the peripheral inflammatory response. However, IL-1RA is a large protein (17 kDa), which may limit brain penetration, thereby limiting its potential utility in brain injury...
March 2008: British Journal of Clinical Pharmacology
Hideyuki Ishihara, Shoichi Kato, Tatsuo Akimura, Eiichi Suehiro, Takayuki Oku, Michiyasu Suzuki
BACKGROUND: Three dimensional rotational angiography (3DRA) is a powerful method for depicting intracranial vascular lesions because of its 3D imaging capability. The purpose of this study was to analyse if 3DRA had reduced the incidence of angiogram-negative subarchnoid haemorrhage (SAH) and which type of aneurysm tended to be overlooked with conventional digital subtraction angiography. METHOD: Angiogram-negative SAH was defined as present in those patients with SAH who had no demonstrable lesion revealed by more than two adequate cerebral angiograms...
March 2007: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
G E Sviri, J F Soustiel, M Zaaroor
BACKGROUND: Brain natriuretic peptide (BNP) is a potent natriuretic and vasodilator factor which, by its systemic effects, can decrease cerebral blood flow (CBF). In aneurysmal subarchnoid hemorrhage (aSAH), BNP plasma concentrations were found to be associated with hyponatremia and were progressively elevated in patients who eventually developed delayed ischemic deficit secondary to vasospasm. The purpose of the present study was to evaluate trends in BNP plasma concentrations during the acute phase following severe (traumatic brain injury) TBI...
May 2006: Acta Neurochirurgica
No abstract text is available yet for this article.
May 1956: La Tunisie Médicale
Güther Kleinpeter, Stephan Lehr
OBJECTIVE: The role of hypertension as a major risk factor for the development and rupture of cerebral aneurysms is a subject of considerable debate. METHODS: In order to substantiate or weaken the hypothesis of the atherogenic, degenerative origin of this disease, in addition to hypertension the influence of smoking and the covariates body weight, hematocrit, fibrinogen and leukocrit were examined in a hospital-based case-control and cohort study. 141 consecutive patients with subarachnoid hemorrhage (SAH) and verified cerebral aneurysms, admitted between September 1994 and August 1998, were investigated...
May 15, 2002: Wiener Klinische Wochenschrift
Tomohiro Araki, Hiroaki Fujiwara, Takasumi Yasuda, Takehiro Suyama, Waro Taki
Cerebral aneurysm may occur in some cases of major cerebral artery occlusion. However, according to our search of the literature, only four cases of aneurysmal subarchnoid hemorrhage (SAH) associated with bilateral common carotid artery occlusion (CCAO) have been reported in addition to the case we report here with a summary of the previously reported cases. A healthy 82-year-old female was found unconscious and admitted to our hospital where her neurological state was diagnosed as Hunt & Kosnik grade II, World Federation of Neurosurgical Societies grade II...
August 2002: No Shinkei Geka. Neurological Surgery
C Duan, T Li, Z Han
OBJECTIVE: To study the short-term and long-term effectiveness of endovascular embolization with Guglielmi detachable coil (GDC) or mechanical detachable spiral (MDS) intreating intracranial aneurysms. METHODS: 362 patients with cerebral aneurysms were treated by endovascular embolization with GDC or MDS. Follow-up interviews in the form of correspondence or hospital visit were conducted to 173 of those patients 3 approximately 24 months after the treatment. DSA cerebral artery angiography was made to 84 patients...
May 25, 2001: Zhonghua Yi Xue za Zhi [Chinese medical journal]
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