Distribution of angiographic vasospasm after subarachnoid hemorrhage: implications for diagnosis by transcranial Doppler ultrasonography.

Abstract:

:A study was undertaken to determine how frequently angiographic vasospasm occurs outside the normal access range of transcranial Doppler ultrasound in patients who have suffered a subarachnoid hemorrhage. Vasospasm located in the basal vessels is readily identifiable using transcranial Doppler ultrasound whereas spasm affecting the more distal, vertically oriented arteries is outside the standard detection range. It is therefore speculated that the sensitivity of the technique would be adversely affected by a high incidence of distal vasospasm. A total of 136 angiograms performed on 68 patients after a subarachnoid hemorrhage from anterior circulation aneurysms were reviewed to determine the typical distribution of vasospasm. Of the 40 cases that showed greater than or equal to 25% vessel narrowing, 50.0% had spasm restricted to the basal vessels, 42.5% had spasm involving both basal and distal segments, and 7.5% had spasm of the distal segments only. None of the patients with distal vasospasm alone developed delayed ischemic deficits. It is concluded that most patients with anterior circulation aneurysms who develop vasospasm will have involvement of the basal vessels, but a small number of patients may develop vasospasm only in distal vessels.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Newell DW,Grady MS,Eskridge JM,Winn HR

subject

Has Abstract

pub_date

1990-10-01 00:00:00

pages

574-7

issue

4

eissn

0148-396X

issn

1524-4040

journal_volume

27

pub_type

杂志文章
  • Transient hyperemia immediately after rapid decompression of chronic subdural hematoma.

    abstract:OBJECTIVE:Intracerebral hemorrhage occurring after removal of a chronic subdural hematoma (CSH) is a rare but usually devastating postoperative complication. In patients with CSH, we determined cerebral blood flow immediately after surgical decompression to clarify the pathogenic mechanism of this complication. METHOD...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199909000-00014

    authors: Ogasawara K,Koshu K,Yoshimoto T,Ogawa A

    更新日期:1999-09-01 00:00:00

  • Magnetic resonance imaging of symptomatic Rathke's cleft cyst: report of a case.

    abstract::A case of symptomatic Rathke's cleft cyst is described. In spite of the intrasellar component and radiological and clinical evidence of involvement of the pituitary gland, the sella turcica was minimally involved. MRI afforded optimal visualization and localization of the intra- and suprasellar components vis-à-vis th...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198902000-00021

    authors: Wagle VG,Nelson D,Rossi A,Uphoff D

    更新日期:1989-02-01 00:00:00

  • The current role of microsurgery for posterior circulation aneurysms: a selective approach in the endovascular era.

    abstract:OBJECTIVE:During the past decade, management of posterior circulation aneurysms has shifted away from microsurgery. Currently, microsurgical clipping is considered a primary, competitive alternative to endovascular coiling, or more commonly, a secondary alternative when endovascular therapy is unfavorable. We present a...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000333295.59738.de

    authors: Sanai N,Tarapore P,Lee AC,Lawton MT

    更新日期:2008-06-01 00:00:00

  • Multiphoton excitation of autofluorescence for microscopy of glioma tissue.

    abstract:OBJECTIVE:Intraoperative detection of residual tumor tissue in glioma surgery remains an important challenge because the extent of tumor removal is related to the prognosis of the disease. Multiphoton excited fluorescence tomography of living tissues provides high-resolution structural and photochemical imaging at a su...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000204885.45644.22

    authors: Leppert J,Krajewski J,Kantelhardt SR,Schlaffer S,Petkus N,Reusche E,Hüttmann G,Giese A

    更新日期:2006-04-01 00:00:00

  • A pineal region germ cell tumor with rapid enlargement after a long-term follow-up: case report.

    abstract:BACKGROUND AND IMPORTANCE:The natural history of pineal region germ cell tumors (GCTs) is not well known. We report a rare case of a pineal region GCT showing rapid enlargement within 2 months, after 7 years with no growth. CLINICAL PRESENTATION:A boy presented with gonadotropin-independent precocious puberty at 6 yea...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318284708a

    authors: Jinguji S,Fukuda M,Nagasaki K,Fujii Y

    更新日期:2013-04-01 00:00:00

  • Nitrous oxide suppresses the electromyographic response evoked by electrical stimulation of the motor cortex.

    abstract::The influence of nitrous oxide on motor evoked potential (MEP) elicited in rats by cortical and midcervical electrical stimulation was studied and compared with early components of somatosensory evoked potential (SEP) following stimulation of the posterior tibial nerve in 6 rats. We found that nitrous oxide gradually ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198901000-00009

    authors: Zentner J,Ebner A

    更新日期:1989-01-01 00:00:00

  • Intracranial developmental cysts in children: treatment by cystoperitoneal shunting.

    abstract::The author presents the results of primary cystoperitoneal shunting in 12 infants and children with developmental cysts in various intracranial locations. Preoperative studies were done in each child to rule out a brain tumor as the cause of the cyst and to determine whether communication existed between the cyst and ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198106000-00002

    authors: Stein SC

    更新日期:1981-06-01 00:00:00

  • Effect of Prior Embolization on Cerebral Arteriovenous Malformation Radiosurgery Outcomes: A Case-Control Study.

    abstract:BACKGROUND:Embolization before stereotactic radiosurgery (SRS) for cerebral arteriovenous malformations (AVM) has been shown to negatively affect obliteration rates, but its impact on the risks of radiosurgery-induced complications and latency period hemorrhage is poorly defined. OBJECTIVE:To determine, in a case-cont...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000772

    authors: Oermann EK,Ding D,Yen CP,Starke RM,Bederson JB,Kondziolka D,Sheehan JP

    更新日期:2015-09-01 00:00:00

  • A clinical evaluation of the Camino subdural screw and ventricular monitoring kits.

    abstract::The aim of this study was to compare readings of intracranial pressure from a ventricular catheter with those obtained from a Camino catheter-tipped transducer. The Camino transducer was evaluated in two ways: firstly, when it was inserted by a subdural screw, and secondly, when it was inserted into a ventricular cath...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199003000-00007

    authors: Chambers IR,Mendelow AD,Sinar EJ,Modha P

    更新日期:1990-03-01 00:00:00

  • Magnetoencephalographic study of posterior tibial nerve stimulation in patients with intracranial lesions around the central sulcus.

    abstract:OBJECTIVE:To study interhemispheric differences of somatosensory evoked field (SEF) characteristics and the spatial distribution of equivalent current dipole sources in patients with unilateral hemispheric lesions around the central sulcus region. METHODS:In 17 patients with perirolandic lesions, averaged somatosensor...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000306099.45764.5c

    authors: Willemse RB,de Munck JC,van't Ent D,Ris P,Baayen JC,Stam CJ,Vandertop WP

    更新日期:2007-12-01 00:00:00

  • Scalp Cirsoid Aneurysms: Case Illustration and Systematic Review of Literature.

    abstract:BACKGROUND:Scalp cirsoid aneurysms are rare subcutaneous arteriovenous fistulae affecting the scalp. They can be easily misdiagnosed and mistreated. OBJECTIVE:To review reported cases of scalp cirsoid aneurysms for their incidence, etiology, clinical presentation, treatment, and outcomes using an illustrative case. M...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyz303

    authors: Sofela A,Osunronbi T,Hettige S

    更新日期:2020-02-01 00:00:00

  • Cord compression secondary to cervical disc herniation associated with calcification of the ligamentum flavum: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Calcification of the ligamentum flavum is a rare disease that occurs almost exclusively in elderly Japanese people. We report the case of a young Caucasian woman who presented with a C5-C6 disc herniation associated with a cervical calcified ligamentum flavum. CLINICAL PRESENTATION:The patient...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200103000-00047

    authors: Ugarriza LF,Cabezudo JM,Porras LF,Rodríguez-Sánchez JA

    更新日期:2001-03-01 00:00:00

  • Surgical Outcomes for Minimally Invasive vs Open Transforaminal Lumbar Interbody Fusion: An Updated Systematic Review and Meta-analysis.

    abstract:BACKGROUND:Minimally invasive transforaminal lumbar interbody fusion (TLIF)-or MI-TLIF-has been increasing in prevalence compared with open TLIF (O-TLIF) procedures. The use of MI-TLIF is an evolving technique with conflicting reports in the literature about outcomes. OBJECTIVE:To investigate the impact of MI-TLIF in ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1227/NEU.0000000000000913

    authors: Khan NR,Clark AJ,Lee SL,Venable GT,Rossi NB,Foley KT

    更新日期:2015-12-01 00:00:00

  • Depression of nociceptive sensory activity in the rat spinal cord due to the intrathecal administration of drugs: effect of diazepam.

    abstract::The intrathecal (i.t.) administration of morphine inhibits nociceptive motor responses and activity in ascending axons evoked by stimulation of nociceptive afferent nerve fibers (nociceptive sensory response) in the rat. The i.t. administration of cholecystokinin octapeptide and ceruletide inhibits nociceptive motor r...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Jurna I

    更新日期:1984-12-01 00:00:00

  • Repairing holes in the head: a history of cranioplasty.

    abstract::Cranioplasty is almost as ancient as trephination, yet its fascinating history has been neglected. There is strong evidence that Incan surgeons were performing cranioplasty using precious metals and gourds. Interestingly, early surgical authors, such as Hippocrates and Galen, do not discuss cranioplasty and it was not...

    journal_title:Neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.1097/00006123-199703000-00033

    authors: Sanan A,Haines SJ

    更新日期:1997-03-01 00:00:00

  • Presentation and management of pediatric Chiari malformations without myelodysplasia.

    abstract::Chiari malformations without myelodysplasia are rarely diagnosed in the pediatric age group. With current neurodiagnostic techniques, however, they are being seen more frequently. Unfortunately, the prognosis is not clear because publications have included a number of different entities, used a variety of surgical app...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198811000-00008

    authors: Dyste GN,Menezes AH

    更新日期:1988-11-01 00:00:00

  • Intraventricular cavernous hemangioma: report of three cases and review of the literature.

    abstract::The clinical and radiographic presentations of 3 patients with intraventricular cavernous hemangioma are described. The accumulated total of 19 cases from the literature are compared to determine whether there is a common clinical and radiographic presentation for this benign intraventricular lesion. The differential ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198502000-00011

    authors: Chadduck WM,Binet EF,Farrell FW Jr,Araoz CA,Reding DL

    更新日期:1985-02-01 00:00:00

  • The localizing value of asymmetry in pupillary size in severe head injury: relation to lesion type and location.

    abstract::Reliable Assessment of the probability that a head injury patient harbors a surgical intracranial lesion is critical to both triage and treatment. The authors analyzed data from 608 patients with severe head injuries (Glasgow Coma Scale score, < or = 8) in the Traumatic Coma Data Bank to assess the reliability of pupi...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199405000-00008

    authors: Chesnut RM,Gautille T,Blunt BA,Klauber MR,Marshall LE

    更新日期:1994-05-01 00:00:00

  • The effect of early isolated lumbar extension exercise program for patients with herniated disc undergoing lumbar discectomy.

    abstract:OBJECTIVE:To determine the effects of a postoperative early isolated lumbar extension muscle-strengthening program on pain, disability, return to work, and power of back muscle after operation for herniated lumbar disc. METHODS:Seventy-five patients were randomized into an exercise group (20 men, 15 women) and a contr...

    journal_title:Neurosurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/neurosurgery/57.4.764

    authors: Choi G,Raiturker PP,Kim MJ,Chung DJ,Chae YS,Lee SH

    更新日期:2005-10-01 00:00:00

  • Repeat endovascular treatment in post-embolization recurrent intracranial aneurysms.

    abstract:OBJECTIVE:The purpose of this study was to describe clinical situations requiring repeat embolization in patients previously treated by endovascular coil embolization for intracranial aneurysms, and to report on our experiences of repeat embolization (RE). METHODS:A total of 466 patients harboring 522 intracranial ane...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000194188.51731.13

    authors: Kang HS,Han MH,Kwon BJ,Kwon OK,Kim SH

    更新日期:2006-01-01 00:00:00

  • The effect of graded spinal cord injury on the extrapyramidal and pyramidal motor evoked potentials of the rat.

    abstract::This study investigated the differential effects of graded spinal cord injury on the rat extrapyramidal motor evoked potential (exp-MEP) and pyramidal motor evoked potential (pyr-MEP) and the prognostic value of these effects in predicting postinjury motor performance in the rat model. In 20 rats subjected to graded s...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199201000-00014

    authors: Shiau JS,Zappulla RA,Nieves J

    更新日期:1992-01-01 00:00:00

  • Effect of trapidil in ischemia/reperfusion injury of peripheral nerves.

    abstract:OBJECTIVE:Ischemia plays an important role in the development of pathological changes in nerve tissue, and restoration of blood flow results in injury (ischemia/reperfusion [I/R] injury) mediated by toxic oxygen free radicals. Trapidil is currently used as a coronary artery vasodilating agent and is also used for the p...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200207000-00031

    authors: Bagdatoglu C,Saray A,Surucu HS,Ozturk H,Tamer L

    更新日期:2002-07-01 00:00:00

  • Preliminary personal experiences with the application of near-infrared indocyanine green videoangiography in extracranial vertebral artery surgery.

    abstract:INTRODUCTION:We evaluated the feasibility, usefulness, and limitations of near-infrared indocyanine green (ICG) videoangiography during procedures involving the extracranial vertebral artery (VA). METHODS:Nine patients (2 women, 7 men; mean age, 55 years) were evaluated at 2 neurosurgical centers. Near-infrared ICG vi...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/01.NEU.0000363596.52283.65

    authors: Bruneau M,Sauvageau E,Nakaji P,Vandesteene A,Lubicz B,Chang SW,Balériaux D,Brotchi J,De Witte O,Spetzler RF

    更新日期:2010-02-01 00:00:00

  • Late magnetic resonance imaging related to neurobehavioral functioning after aneurysmal subarachnoid hemorrhage.

    abstract::Twenty patients who underwent early aneurysm surgery--that is, surgery within 72 hours after rupture--underwent further follow-up examination including magnetic resonance imaging (MRI) of the brain and a comprehensive neuropsychological assessment. Significant statistical correlation between tissue loss as seen on a l...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-198909000-00012

    authors: Romner B,Sonesson B,Ljunggren B,Brandt L,Säveland H,Holtås S

    更新日期:1989-09-01 00:00:00

  • Costanzo Varolio (Constantius Varolius 1543-1575) and the Pons Varolli.

    abstract::COSTANZO VAROLIO (CONSTANTIUS Varolius) (1543-1575) was born in Bologna and died in Rome. This professor of anatomy and papal physician was the first to examine the brain from its base up, in contrast with previous dissections of this organ performed from the top down. Varolio was the first to describe many structures...

    journal_title:Neurosurgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1227/01.neu.0000317323.63859.2a

    authors: Tubbs RS,Loukas M,Shoja MM,Apaydin N,Ardalan MR,Shokouhi G,Oakes WJ

    更新日期:2008-03-01 00:00:00

  • A novel single twist-drill access device for multimodal intracranial monitoring: a 5-year single-institution experience.

    abstract:BACKGROUND:Multimodal intracranial monitoring in the neurosurgical patient requires insertion of probes through multiple craniostomies. OBJECTIVE:To report our 5-year experience with a novel device allowing multimodal monitoring though a single twist-drill hole. METHODS:All devices (Hummingbird Synergy, Innerspace) w...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000451

    authors: Chohan MO,Akbik OS,Ramos-Canseco J,Ramirez PM,Murray-Krezan C,Berlin T,Olin K,Taylor CL,Yonas H

    更新日期:2014-09-01 00:00:00

  • Significance of infundibular dilatation in unexplained subarachnoid hemorrhage.

    abstract::Angiographically equivocal aneurysmal dilatation at the junction of the internal carotid and the posterior communicating arteries was noted in a patient with documented subarachnoid hemorrhage. This was initially thought to be infundibular dilatation. A craniotomy revealed an actual aneurysm, which was obliterated suc...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198112000-00018

    authors: Yoshida M,Anegawa S,Moritaka K

    更新日期:1981-12-01 00:00:00

  • The Impact of Intracranial Tumor Proximity to White Matter Tracts on Morbidity and Mortality: A Retrospective Diffusion Tensor Imaging Study.

    abstract:Background:Using diffusion tensor imaging (DTI) in neurosurgical planning allows identification of white matter tracts and has been associated with a reduction in postoperative functional deficits. Objective:This study explores the relationship between the lesion-to-tract distance (LTD) and postoperative morbidity and...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyw040

    authors: Meyer EJ,Gaggl W,Gilloon B,Swan B,Greenstein M,Voss J,Hussain N,Holdsworth RL,Nair VA,Meyerand ME,Kuo JS,Baskaya MK,Field AS,Prabhakaran V

    更新日期:2017-02-01 00:00:00

  • Nimodipine-induced acute hypoxemia: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Nimodipine is commonly used to improve neurological outcomes after subarachnoid hemorrhage. Although nimodipine reportedly has high specificity for the cerebral vasculature, adverse systemic effects such as hypotension have been described. This case report describes a patient with traumatic sub...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200011000-00048

    authors: Devlin JW,Coplin WM,Murry KR,Rengachary SS,Wilson RF

    更新日期:2000-11-01 00:00:00

  • Contralateral pterional approach to a giant internal carotid-ophthalmic artery aneruysm: technical case report.

    abstract:OBJECTIVE AND IMPORTANCE:The contralateral approach to internal carotid-ophthalmic artery aneurysms has been used in selected cases but has rarely been described for a giant internal carotid artery aneurysm. We report a case of giant aneurysm that was successfully clipped via the contralateral pterional approach. CLIN...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200104000-00059

    authors: Hongo K,Watanabe N,Matsushima N,Kobayashi S

    更新日期:2001-04-01 00:00:00