Arterial spasm and recovery from subarachnoid haemorrhage.
Abstract
In a series of 120 cases of subarachnoid haemorrhage due to ruptured intracranial aneurysm the occurrence of preoperative arterial spasm was found to have no effect upon the clinical outcome. After surgery, generalised arterial spasm was found to lead to an increased probability of fatality, and to an increased probability of psychological impariment among the survivors. The occurrence of spasm only in the vessels immediately adjacent to the haemorrhage did not constitute a risk to survival. However, the presence of generalised or localised spasm led to an increased risk of neurological impairment. It is suggested that the mechanisms by which postoperative arterial spasm is responsible for fatalities and for neurological impairment are distinct.
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Selected References
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- Loach AB, Azevedo Filho HR. Some observations on the microneurosurgical treatment of intracranial aneurysms. Acta Neurochir (Wien) 1976;35(1-3):97–103. [PubMed] [Google Scholar]
- LOGUE V. Surgery in spontaneous subarachnoid haemorrhage; operative treatment of aneurysms on the anterior cerebral and anterior communicating artery. Br Med J. 1956 Mar 3;1(4965):473–479.[PMC free article] [PubMed] [Google Scholar]
- Millikan CH. Cerebral vasospasm and ruptured intracranial aneurysm. Arch Neurol. 1975 Jul;32(7):433–449. [PubMed] [Google Scholar]
- STORNELLI SA, FRENCH JD. SUBARACHNOID HEMORRHAGE--FACTORS IN PROGNOSIS AND MANAGEMENT. J Neurosurg. 1964 Sep;21:769–780. [PubMed] [Google Scholar]