Document Detail


Deformation of the ventrolateral medulla oblongata by subarachnoid hemorrhage from ruptured vertebral artery aneurysms causes neurogenic pulmonary edema.
MedLine Citation:
PMID:  11758704     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The occurrence of neurogenic pulmonary edema (NPE) associated with subarachnoid hemorrhage (SAH) due to ruptured aneurysm was analyzed in 48 consecutive patients. Correlations of the location of the aneurysm, clinical grade, amount of subarachnoid clot, and severity of NPE were examined. NPE was observed in 29.4% of all SAH cases, but the incidence was significantly higher in cases of ruptured vertebral artery (VA) aneurysm. Clinical grade, severity of NPE, and deformation of the medulla oblongata were studied in the five cases of ruptured VA aneurysm. Deformation of the ventrolateral medulla oblongata was observed in all patients. Asymmetry index of the medulla oblongata measured on the axial computed tomography scan was correlated with the severity of NPE. Severity of NPE tended to correlate with deformation of the medulla oblongata. NPE associated with ruptured VA aneurysm is caused by deformation of the ventrolateral site of the medulla oblongata by the localized hemorrhage.
Authors:
H Ochiai; Y Yamakawa; E Kubota
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  41     ISSN:  0470-8105     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  2001 Nov 
Date Detail:
Created Date:  2001-12-07     Completed Date:  2002-01-22     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  529-34; discussion 534-5     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Miyazaki Prefectural Hospital, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Aneurysm, Ruptured / complications*
Blood Glucose / analysis
Catecholamines / blood,  secretion
Female
Humans
Hypothalamus / physiopathology
Incidence
Intracranial Aneurysm / complications*
Male
Medulla Oblongata / blood supply*,  pathology,  physiopathology
Middle Aged
Pulmonary Edema / epidemiology,  etiology*,  physiopathology
Rupture, Spontaneous
Subarachnoid Hemorrhage / etiology*
Chemical
Reg. No./Substance:
0/Blood Glucose; 0/Catecholamines

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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