| Risk factors and medical management of vasospasm after subarachnoid hemorrhage. | |
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MedLine Citation:
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PMID: 20380975 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Vasospasm is a major cause of morbidity and mortality following aneurysmal subarachnoid hemorrhage. This article reviews the risk factors for vasospasm; the various methods for diagnosing vasospasm including the conventional 4-vessel angiography, computed tomographic angiography, and computed tomographic perfusion; the methods to detect vasospasm before clinical onset (including transcranial Doppler ultrasonography); and the recent emergence of multimodality monitoring. A discussion of medical treatment options in the setting of vasospasm is also included; the prophylactic use of "neuroprotectants" such as nimodipine, statins, and magnesium and the role of hemodynamic augmentation in vasospasm amelioration, including the use of inotropic support in addition to traditional triple-H therapy, are discussed. |
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Authors:
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Christos Lazaridis; Neeraj Naval |
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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: 353-64 Citation Subset: IM |
Copyright Information:
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Copyright 2010 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Neurology, Neurosciences Intensive Care Unit, Medical University of South Carolina, 96 Jonathan Lucas Street, Suite 428, Charleston, SC 29425, USA. lazaridi@musc.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cerebral Angiography
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methods,
trends Cerebral Arteries / pathology, radiography*, ultrasonography Cerebrovascular Circulation / physiology Diagnostic Imaging / methods*, trends Humans Neuroprotective Agents / pharmacology, therapeutic use Risk Factors Subarachnoid Hemorrhage / complications* Tomography, X-Ray Computed / methods, trends Ultrasonography, Doppler, Transcranial Vasospasm, Intracranial / diagnosis*, physiopathology*, therapy |
| Chemical | |
Reg. No./Substance:
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0/Neuroprotective Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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