| Cerebral vasospasm associated with intraventricular hemorrhage. | |
MedLine Citation:
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PMID: 16174885 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND PURPOSE: Cerebral vasospasm remains a major complication associated with aneurysmal subarachnoid hemorrhage. Although several case reports have demonstrated that intraventricular hemorrhage (IVH) related to a ruptured arteriovenous malformation can result in vasospasm in the absence of subarachnoid hemorrhage, to our knowledge, this is the first case report of cerebral vasospasm associated with primary IVH. CASE REPORT: A 44-year-old female was admitted with cerebellar infarction secondary to left posteroinferior cerebellar artery occlusion. Her hospital stay was complicated by primary IVH. Three days after her IVH, she became disoriented and developed a peculiar interest in counting numbers. This behavioral change was associated with an increase in cerebral blood flow velocity in the anterior circulation. Middle cerebral artery M1 velocity almost doubled from 65 to 130 cm/second. Her symptoms resolved with initiation of hypervolemia, hypertension, and hemodilution (triple H) therapy. CONCLUSIONS: Cerebral vasospasm may contribute to the comorbidities of IVH. Routine transcranial Doppler may be warranted for screening of cerebral vasospasm in IVH patients. |
Authors:
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Christopher Dull; Michel T Torbey |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Neurocritical care Volume: 3 ISSN: 1541-6933 ISO Abbreviation: Neurocrit Care Publication Date: 2005 |
Date Detail:
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Created Date: 2005-09-21 Completed Date: 2006-01-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101156086 Medline TA: Neurocrit Care Country: United States |
Other Details:
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Languages: eng Pagination: 150-2 Citation Subset: IM |
Affiliation:
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Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Blood Flow Velocity Cerebral Hemorrhage / complications*, radiography, therapy, ultrasonography Cerebral Ventricles* / ultrasonography Cerebral Ventriculography Cerebrovascular Circulation Female Hemodilution Humans Tomography, X-Ray Computed Treatment Outcome Ultrasonography, Doppler, Transcranial Vasospasm, Intracranial / etiology*, radiography, therapy, ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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