| Inflammation and cerebral vasospasm after subarachnoid hemorrhage. | |
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MedLine Citation:
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PMID: 20380976 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Morbidity and mortality of patients with aneurysmal subarachnoid hemorrhage (aSAH) is significantly related to the development of chronic cerebral vasospasm. Despite extensive clinical and experimental research, the pathophysiology of the events that result in delayed arterial spasm is not fully understood. A review of the published literature on cerebral vasospasm that included but was not limited to all PubMed citations from 1951 to the present was performed. The findings suggest that leukocyte-endothelial cell interactions play a significant role in the pathophysiology of cerebral vasospasm and explain the clinical variability and time course of the disease. Experimental therapeutic targeting of the inflammatory response when timed correctly can prevent vasospasm, and supplementation of endothelial relaxation by nitric oxide-related therapies and other approaches could result in reversal of the arterial narrowing and improved outcomes in patients with aSAH. |
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Authors:
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Gustavo Pradilla; Kaisorn L Chaichana; Stanley Hoang; Judy Huang; Rafael J Tamargo |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Neurosurgery clinics of North America Volume: 21 ISSN: 1558-1349 ISO Abbreviation: Neurosurg. Clin. N. Am. Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-04-12 Completed Date: 2010-07-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9008004 Medline TA: Neurosurg Clin N Am Country: United States |
Other Details:
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Languages: eng Pagination: 365-79 Citation Subset: IM |
Copyright Information:
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Copyright 2010 Elsevier Inc. All rights reserved. |
Affiliation:
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Division of Cerebrovascular Neurosurgery, Department of Neurosurgery, The Johns Hopkins University School of Medicine, Meyer Building 8-181, 600 North Wolfe Street, Baltimore, MD 21287, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Inflammatory Agents
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pharmacology,
therapeutic use Cerebral Arteries / pathology, physiopathology* Endothelial Cells / drug effects, physiology Humans Leukocytes / physiology Subarachnoid Hemorrhage / complications* Vasculitis, Central Nervous System / drug therapy, etiology, physiopathology* Vasodilator Agents / pharmacology, therapeutic use Vasospasm, Intracranial / drug therapy, etiology, physiopathology* |
| Chemical | |
Reg. No./Substance:
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0/Anti-Inflammatory Agents; 0/Vasodilator Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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