Timing of computed tomography and prediction of vasospasm after aneurysmal subarachnoid hemorrhage.

Abstract:

BACKGROUND:The initial noncontrast computed tomography (CT) study of the head after an aneurysmal subarachnoid hemorrhage (SAH) is used to predict the risk of developing vasospasm. Changes in the extent of subarachnoid blood seen on CT images occur as a function of time after SAH, but there is no consensus on the time interval during which this study needs to be completed. METHODS:Clinical and radiological information on adult SAH patients were reviewed. Patients were grouped based on the time elapsed from ictus to the initial head CT study. The amount of subarachnoid blood on CT was graded using the Hijdra sum score (HSS) and the modified Fisher scale (MFS). The relationship between the initial CT grading score and the risk of angiographic vasospasm was assessed for each group. RESULTS:A total of 224 consecutive patients were identified (145 females, 65%). Initial CT was performed within 24 h of the event in 163 (Group 1, 73%) and after 24 h in 61 patients (Group 2, 27%). A total of 54 patients (24%) developed angiographic vasospasm. A statistically significant association between the extent of subarachnoid blood and subsequent development of vasospasm was observed only if the initial CT imaging study was performed within 24 h of aneurysmal rupture (P = 0.0001 and 0.02 for HSS and MFS, respectively). CONCLUSIONS:We propose that only CT scans obtained within 24 h of a subarachnoid bleeding event should be used to estimate the risk of vasospasm.

journal_name

Neurocrit Care

journal_title

Neurocritical care

authors

Dupont SA,Wijdicks EF,Manno EM,Lanzino G,Brown RD Jr,Rabinstein AA

doi

10.1007/s12028-009-9227-7

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

71-5

issue

1

eissn

1541-6933

issn

1556-0961

journal_volume

11

pub_type

杂志文章
  • Characteristics and Outcomes of Critically Ill Pediatric Patients with Posterior Reversible Encephalopathy Syndrome.

    abstract:BACKGROUND/OBJECTIVE:Posterior reversible encephalopathy syndrome (PRES) is a clinical and radiologic entity, typically manifesting as reversible neurological symptoms and signs of white matter edema on magnetic resonance imaging. PRES has been widely described in adults. Studies of PRES in children are mostly limited ...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-019-00720-9

    authors: Fisler G,Monty MA,Kohn N,Assaad P,Trope R,Kessel A

    更新日期:2020-02-01 00:00:00

  • The FOUR score predicts outcome in patients after traumatic brain injury.

    abstract:BACKGROUND:The most widely used and most studied coma score to date is the Glasgow Coma Scale (GCS), which is used worldwide to assess level of consciousness and predict outcome after traumatic brain injury (TBI). Our aim was to determine whether the Full Outline of UnResponsiveness (FOUR) score is an accurate predicto...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-011-9617-5

    authors: Sadaka F,Patel D,Lakshmanan R

    更新日期:2012-02-01 00:00:00

  • Pressures, flow, and brain oxygenation during plateau waves of intracranial pressure.

    abstract:BACKGROUND:Plateau waves are common in traumatic brain injury. They constitute abrupt increases of intracranial pressure (ICP) above 40 mmHg associated with a decrease in cerebral perfusion pressure (CPP). The aim of this study was to describe plateau waves characteristics with multimodal brain monitoring in head injur...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-013-9918-y

    authors: Dias C,Maia I,Cerejo A,Varsos G,Smielewski P,Paiva JA,Czosnyka M

    更新日期:2014-08-01 00:00:00

  • Surgical treatment of space occupying edema and hemorrhage due to cerebral venous thrombosis during pregnancy.

    abstract:BACKGROUND:During late pregnancy and the puerperium cerebral venous and sinus thrombosis (CVST) is a rare but important cause of stroke. Despite adequate anticoagulation some patients deteriorate, which may warrant the use of more aggressive treatment modalities. CASE REPORT:A 29-year-old pregnant woman (29th week of ...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-010-9389-3

    authors: Ebke M,Jürgens KU,Tomandl B,Merten U,Kastrup A

    更新日期:2011-08-01 00:00:00

  • Impact of Sleep Deprivation in the Neurological Intensive Care Unit: A Narrative Review.

    abstract::Sleep is fundamental for everyday functioning, yet it is often negatively impacted in critically ill patients by the intensive care setting. With a focus on the neurological intensive care unit (NeuroICU), this narrative review summarizes methods of measuring sleep and addresses common causes of sleep disturbance in t...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-019-00795-4

    authors: Chang VA,Owens RL,LaBuzetta JN

    更新日期:2020-04-01 00:00:00

  • The contrecoup-coup phenomenon: a new understanding of the mechanism of closed head injury.

    abstract::A common observation in closed head injuries is the contrecoup brain injury. As the in vivo brain is less dense than the cerebrospinal fluid (CSF), one hypothesis explaining this observation is that upon skull impact, the denser CSF moves toward the site of skull impact displacing the brain in the opposite direction, ...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1385/NCC:1:3:385

    authors: Drew LB,Drew WE

    更新日期:2004-01-01 00:00:00

  • MRI default mode network connectivity is associated with functional outcome after cardiopulmonary arrest.

    abstract:BACKGROUND:We hypothesized that the degree of preserved functional connectivity within the DMN during the first week after cardiopulmonary arrest (CPA) would be associated with functional outcome at hospital discharge. METHODS:Initially comatose CPA survivors with indeterminate prognosis at 72 h were enrolled. Sevente...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-014-9953-3

    authors: Koenig MA,Holt JL,Ernst T,Buchthal SD,Nakagawa K,Stenger VA,Chang L

    更新日期:2014-06-01 00:00:00

  • Blood pressure regulation to prevent progression of blunt traumatic intracranial hemorrhage in stable patients.

    abstract:BACKGROUND:Target blood pressure (BP) in stable (non-hypotensive) patients with acute isolated blunt traumatic intracranial hemorrhage (TICH) is unknown. To address this issue, our study correlated BP with radiological volumetric progression (RP) and neurological deterioration (ND) in these patients. METHODS:A retrosp...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-014-9957-z

    authors: Bugaev N,Al-Hazmi M,Allcorn M,Arabian SS,Riesenburger R,Safain M,Burke S,Colangelo A,Rabinovici R

    更新日期:2014-08-01 00:00:00

  • The prognostic value of the EEG in postanoxic coma.

    abstract:INTRODUCTION:Several studies have been performed to assess the prognostic value of early neurological and neurophysiological findings in patients with postanoxic coma, but they have not led to precise, generally accepted, prognostic rules. This study was performed to assess whether it is possible to create a prognostic...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-008-9178-4

    authors: Roest A,van Bets B,Jorens PG,Baar I,Weyler J,Mercelis R

    更新日期:2009-01-01 00:00:00

  • Perfusion CT to evaluate the effect of transluminal angioplasty on cerebral perfusion in the treatment of vasospasm after subarachnoid hemorrhage.

    abstract:INTRODUCTION:Delayed ischemic neurologic deficits secondary to vasospasm are a major cause of morbidity and mortality after subarachnoid hemorrhage (SAH). Treatment of vasospasm after SAH is associated with complications, and reliable techniques for evaluating effects of treatment of vasospasm in such patients are warr...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1385/ncc:6:1:40

    authors: Majoie CB,van Boven LJ,van de Beek D,Venema HW,van Rooij WJ

    更新日期:2007-01-01 00:00:00

  • Cerebral ischemia and neurogenesis: a two-time comparison.

    abstract:BACKGROUND:This study compares the effect of mild and severe cerebral ischemia on neuronal damage and neurogenesis. METHODS:Sixteen Sprague-Dawley rats, anesthetized with 0.8 vol% halothane in O(2)/air, were subjected to forebrain ischemia by bilateral common carotid artery occlusion plus hemorrhagic hypotension (mean...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-008-9121-8

    authors: Winkelheide U,Engelhard K,Kaeppel B,Winkler J,Hutzler P,Werner C,Kochs E

    更新日期:2008-01-01 00:00:00

  • Intracranial pressure monitoring: fundamental considerations and rationale for monitoring.

    abstract::Traumatic brain injury (TBI) is a major cause of death and disability worldwide. In large part critical care for TBI is focused on the identification and management of secondary brain injury. This requires effective neuromonitoring that traditionally has centered on intracranial pressure (ICP). The purpose of this pap...

    journal_title:Neurocritical care

    pub_type: 杂志文章,评审

    doi:10.1007/s12028-014-0048-y

    authors: Chesnut R,Videtta W,Vespa P,Le Roux P,Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring.

    更新日期:2014-12-01 00:00:00

  • Hyperbaric Oxygen Protects Against Cerebral Damage in Permanent Middle Cerebral Artery Occlusion Rats and Inhibits Autophagy Activity.

    abstract:BACKGROUND:To investigate the effects of hyperbaric oxygen (HBO) on brain damage and autophagy levels in a rat model of middle cerebral artery occlusion. METHODS:Neurologic injury and infarcted areas were evaluated according to the modified neurological severity score and 2,3,5-triphenyltetrazolium chloride staining. ...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-018-0577-x

    authors: Lu K,Wang H,Ge X,Liu Q,Chen M,Shen Y,Liu X,Pan S

    更新日期:2019-02-01 00:00:00

  • Admission Heart Rate Variability is Associated with Fever Development in Patients with Intracerebral Hemorrhage.

    abstract:BACKGROUND:Fever is associated with worse outcome after intracerebral hemorrhage (ICH). Autonomic dysfunction, commonly seen after brain injury, results in reduced heart rate variability (HRV). We sought to investigate whether HRV was associated with the development of fever in patients with ICH. METHODS:We prospectiv...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-019-00684-w

    authors: Swor DE,Thomas LF,Maas MB,Grimaldi D,Manno EM,Sorond FA,Batra A,Kim M,Prabhakaran S,Naidech AM,Liotta EM

    更新日期:2019-04-01 00:00:00

  • Hydrocephalus Growth: Definition, Prevalence, Association with Poor Outcome in Acute Intracerebral Hemorrhage.

    abstract:BACKGROUND/OBJECTIVES:To propose a novel definition for hydrocephalus growth and to further describe the association between hydrocephalus growth and poor outcome among patients with intracerebral hemorrhage (ICH). METHODS:We analyzed consecutive patients who presented within 6 h after ICH ictus between July 2011 and ...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-020-01140-w

    authors: Yang WS,Shen YQ,Zhang XD,Zhao LB,Wei X,Xiong X,Xie XF,Li R,Deng L,Li XH,Lv XN,Lv FJ,Li Q,Xie P

    更新日期:2020-11-10 00:00:00

  • Comparison of Three Point-of-Care Ultrasound Views and MRI Measurements for Optic Nerve Sheath Diameter: A Prospective Validity Study.

    abstract:INTRODUCTION:Point-of-care ultrasound of the optic nerve sheath diameter (ONSD) to diagnose increased intracranial pressure (ICP) is of great interest in various clinical scenarios. Yet, the lack of examination standardization has made clinical utility difficult. We compare three ultrasound ocular plane views (inferior...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-019-00881-7

    authors: Raval R,Shen J,Lau D,Ferguson N,Kelly T,Daniels J,Dorotta I,Ramsingh D

    更新日期:2020-08-01 00:00:00

  • Blood Pressure Guideline Adherence in Patients with Ischemic and Hemorrhagic Stroke in the Neurointensive Care Unit Setting.

    abstract:BACKGROUND AND PURPOSE:Patients with acute brain injuries require strict physiologic control to minimize morbidity and mortality. This study aimed to assess in-hospital compliance to strict physiologic parameters (BP, HR, ICP, SpO2) in these populations. METHODS:Patients with severe cerebrovascular events were admitte...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-015-0116-y

    authors: Porto GB,Spiotta AM,Chalela JA,Kellogg RT,Jauch EC

    更新日期:2015-12-01 00:00:00

  • Cerebral gumma mimicking glioblastoma multiforme.

    abstract::This article reports an unusual case of a syphilitic gumma with a clinical and radiographical presentation initially suggestive of glioblastoma multiforme. Pathological evaluation was essential in establishing the diagnosis of neurosyphilis and in excluding neoplastic involvement. Cerebral gumma should be considered a...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1385/NCC:2:3:300

    authors: Ances BM,Danish SF,Kolson DL,Judy KD,Liebeskind DS

    更新日期:2005-01-01 00:00:00

  • Lymphopenia, Infectious Complications, and Outcome in Spontaneous Intracerebral Hemorrhage.

    abstract:BACKGROUND:Lymphopenia is increasingly recognized as a consequence of acute illness and may predispose to infections. We investigated whether admission lymphopenia (AL) is associated with increased risk of infectious complications and poor outcome in patients with spontaneous intracerebral hemorrhage (ICH). METHODS:We...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-016-0367-2

    authors: Morotti A,Marini S,Jessel MJ,Schwab K,Kourkoulis C,Ayres AM,Gurol ME,Viswanathan A,Greenberg SM,Anderson CD,Goldstein JN,Rosand J

    更新日期:2017-04-01 00:00:00

  • Thrombocytosis in the NICU.

    abstract::An elevated platelet count may occur during care of neurology/neurosurgical patients and is usually due to reactive or secondary thrombocytosis (ST) caused by inflammation or infection. Primary (clonal) thrombocythemia or essential thrombocythemia associated with myeloproliferative disorders is usually known before or...

    journal_title:Neurocritical care

    pub_type: 杂志文章,评审

    doi:10.1007/s12028-008-9076-9

    authors: Powner DJ,Hoots WK

    更新日期:2008-01-01 00:00:00

  • The safety and feasibility of continuous intravenous magnesium sulfate for prevention of cerebral vasospasm in aneurysmal subarachnoid hemorrhage.

    abstract:INTRODUCTION:Cerebral vasospasm in aneurysmal subarachnoid hemorrhage (SAH) is associated with poor outcome. The safety and feasibility of continuous high-dose intravenous magnesium sulfate (MgSO4) for the prevention of cerebral vasospasm and ischemic cerebral injury has not been well studied. METHODS:Patients present...

    journal_title:Neurocritical care

    pub_type: 临床试验,杂志文章

    doi:10.1385/NCC:3:1:016

    authors: Yahia AM,Kirmani JF,Qureshi AI,Guterman LR,Hopkins LN

    更新日期:2005-01-01 00:00:00

  • The First CT Scan of the Brain: Entering the Neurologic Information Age.

    abstract::Computed tomography (CT) scan of the brain transitioned clinical neurology from the educated-guess world to the real computer-age world. One of the first CT scans-published by the British neuroradiologist James Ambrose-showed an intracranial hemorrhage and also suggested the use of iodine to demonstrate abnormal blood...

    journal_title:Neurocritical care

    pub_type: 历史文章,杂志文章

    doi:10.1007/s12028-017-0495-3

    authors: Wijdicks EFM

    更新日期:2018-06-01 00:00:00

  • Electroencephalography in survivors of cardiac arrest: comparing pre- and post-therapeutic hypothermia eras.

    abstract::Electroencephalography in the setting of hypothermia and anoxia has been studied in humans since the 1950s. Specific patterns after cardiac arrest have been associated with prognosis since the 1960s, with several prognostic rating scales developed in the second half of the twentieth century. In 2002, two pivotal clini...

    journal_title:Neurocritical care

    pub_type: 杂志文章,评审

    doi:10.1007/s12028-014-0018-4

    authors: Crepeau AZ,Britton JW,Fugate JE,Rabinstein AA,Wijdicks EF

    更新日期:2015-02-01 00:00:00

  • Spinal epidural abscess.

    abstract:INTRODUCTION:The incidence of spinal epidural abscesses (SEAs) is rising. Although increased awareness has led to decreased mortality, morbidity remains unacceptably high, with rapid deterioration of neurological status when there is a delay in initiation of treatment. Therefore, we need to build a better understanding...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1385/NCC:2:3:245

    authors: Kumar K,Hunter G

    更新日期:2005-01-01 00:00:00

  • The epidemiology of status epilepticus in the United States.

    abstract:OBJECTIVE:To summarize trends in status epilepticus (SE) in the United States by age, race, sex, admission source, disposition, incidence rates, and mortality. METHODS:Data from US National Hospital Discharge Survey were used from 1979 to 2010 to identify discharges with SE and common etiologies and complications of S...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-013-9935-x

    authors: Dham BS,Hunter K,Rincon F

    更新日期:2014-06-01 00:00:00

  • Cardiac troponin-I: a predictor of prognosis in subarachnoid hemorrhage.

    abstract:BACKGROUND:Release of cardiac biomarkers is reported in patients with subarachnoid hemorrhage (SAH). Data addressing the impact of cardiac injury on outcome in these patients is sparse. This study was conducted to ascertain the association of elevation of serum cardiac Troponin-I (cTnI) with mortality and neurological ...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-007-9038-7

    authors: Ramappa P,Thatai D,Coplin W,Gellman S,Carhuapoma JR,Quah R,Atkinson B,Marsh JD

    更新日期:2008-01-01 00:00:00

  • Persisting vasculitis after pneumococcal meningitis.

    abstract:INTRODUCTION:Bacterial meningitis is associated with a high mortality and a high incidence of neurological sequelae. Parainfectious vasculitis leading to ischemic brain damage is a known complication of bacterial meningitis but its treatment is uncertain. METHODS AND RESULTS:We report the case of a 53-year-old man wit...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1385/NCC:4:3:237

    authors: Pugin D,Copin JC,Goodyear MC,Landis T,Gasche Y

    更新日期:2006-01-01 00:00:00

  • Ventriculo-lumbar perfusion in acute ischemic stroke.

    abstract:INTRODUCTION:Effective treatment for severe ischemic stroke continues to be largely an unmet medical need. Using a nonvascular (paravascular cerebrospinal fluid) pathway to provide oxygen and nutrients to ischemic tissues may be a means of treating this disease. The primary objective of this study was to evaluate the s...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1385/NCC:5:1:21

    authors: Bell RD,Powers BL,Brock D,Provencio JJ,Flanders A,Benetiz R,Rosenwasser R,Strause J,Frazer G,Kramer MS,Hesson D,Barnitz J,Osterholm JL

    更新日期:2006-01-01 00:00:00

  • MeningiSSS: A New Predictive Score to Support Decision on Invasive Procedures to Monitor or Manage the Intracerebral Pressure in Children with Bacterial Meningitis.

    abstract:BACKGROUND:Knowing the individual child's risk is highly useful when deciding on treatment strategies, especially when deciding on invasive procedures. In this study, we aimed to develop a new predictive score for children with bacterial meningitis and compare this with existing predictive scores and individual risk fa...

    journal_title:Neurocritical care

    pub_type: 杂志文章

    doi:10.1007/s12028-019-00792-7

    authors: Johansson Kostenniemi U,Karlsson L,Silfverdal SA,Mehle C

    更新日期:2020-04-01 00:00:00

  • Boomerang sign on MRI.

    abstract:INTRODUCTION:Altered mental status and more subtle cognitive and personality changes after traumatic brain injury (TBI) are pervasive problems in patients who survive initial injury. MRI is not necessarily part of the diagnostic evaluation of these patients. METHODS:Case report with relevant image and review of the li...

    journal_title:Neurocritical care

    pub_type: 杂志文章,评审

    doi:10.1007/s12028-012-9699-8

    authors: Hirsch KG,Hoesch RE

    更新日期:2012-06-01 00:00:00