Document Detail


Cerebral vasospasm associated with intraventricular hemorrhage.
MedLine Citation:
PMID:  16174885     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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:
Christopher Dull; Michel T Torbey
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurocritical care     Volume:  3     ISSN:  1541-6933     ISO Abbreviation:  Neurocrit Care     Publication Date:  2005  
Date Detail:
Created Date:  2005-09-21     Completed Date:  2006-01-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101156086     Medline TA:  Neurocrit Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  150-2     Citation Subset:  IM    
Affiliation:
Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
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MeSH Terms
Descriptor/Qualifier:
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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