Document Detail


The importance of traumatic subarachnoid haemorrhage.
MedLine Citation:
PMID:  18644259     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Post-traumatic cerebral vasospasm is being increasingly recognised as a possibly significant complication after head injury. To assess the relationship between post-traumatic subarachnoid haemorrhage (tSAH) and post-traumatic vasospasm, 63 patients with severe head injury (GCS 3-8) were studied. Forty-seven patients had cerebral contusion on the initial CT scan. In 25 of these (Group I) there were only contusions, while 22 (Group II) also had tSAH. All patients had daily measurements of blood flow velocity in the basal cerebral arteries using transcranial Doppler ultrasound (TCD). The incidence of vasospasm detected by TCD was significantly higher in Group II. Furthermore there were significantly fewer good outcomes (GOS 1 and 2) in this group. These results suggest that the presence of subarachnoid blood in patients with severe head injury is associated with a risk of vasospasm, and with poorer outcome.
Authors:
R Abraszko; Y Zurynski; N Dorsch
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  3     ISSN:  0967-5868     ISO Abbreviation:  J Clin Neurosci     Publication Date:  1996 Jan 
Date Detail:
Created Date:  2008-07-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  21-5     Citation Subset:  -    
Affiliation:
Department of Neurosurgery, Westmead Hospital, Hawkesbury Road, Westmead NSW 2145, Australia.
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