Document Detail


Transcranial Doppler ultrasound CO2 challenge complicated by subarachnoid hemorrhage in patient with moyamoya syndrome.
MedLine Citation:
PMID:  20198515     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Studies to assess the hemodynamic status of patients with moyamoya syndrome are often done to determine the need for surgical revascularization. These studies, including transcranial Doppler (TCD) ultrasonography to assess vasomotor reactivity (VMR) to CO(2), are generally considered safe.
CASE: We describe a patient with moyamoya syndrome who experienced a subarachnoid hemorrhage (SAH) following TCD with CO(2) challenge.
CONCLUSION: SAH has not previously been described as a complication of CO(2) challenge in patients with moyamoya syndrome. While such complications are rare, it is important to consider the possibility of harm related to VMR testing in patients with advanced vasculopathy.
Authors:
Megan M Donohue; Anne Moore; Dean Shibata; Stephanie Ebel-Caswell; Kyra J Becker
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurocritical care     Volume:  13     ISSN:  1556-0961     ISO Abbreviation:  Neurocrit Care     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-22     Completed Date:  2011-02-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101156086     Medline TA:  Neurocrit Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  243-6     Citation Subset:  IM    
Affiliation:
Department of Neurology, Harborview Medical Center, University of Washington School of Medicine, Seattle, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Brain / pathology
Carbon Dioxide / adverse effects
Cerebral Angiography
Female
Humans
Ischemic Attack, Transient / physiopathology
Magnetic Resonance Imaging / methods
Moyamoya Disease / complications*,  surgery,  ultrasonography
Subarachnoid Hemorrhage / etiology*,  surgery,  ultrasonography
Ultrasonography, Doppler, Transcranial
Chemical
Reg. No./Substance:
124-38-9/Carbon Dioxide

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


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