Cerebral vasospasm after head injury
Cerebral vasospasm occurs frequently after head injury. Correlation between neurological deterioration and vasospasm has been reported previously, but delayed neurological deterioration secondary to vasospasm in head injury is a rare occurrence. We report the case of a 57-year-old man who, after a m...
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| Veröffentlicht in: | Neurosurgery 1984-12, Vol.15 (6), p.855-858 |
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| creator | PASQUALIN, A VIVENZA, C ROSTA, L LICATA, C CAVAZZANI, P DA PIAN, R |
| description | Cerebral vasospasm occurs frequently after head injury. Correlation between neurological deterioration and vasospasm has been reported previously, but delayed neurological deterioration secondary to vasospasm in head injury is a rare occurrence. We report the case of a 57-year-old man who, after a motorcycle accident, developed an acute subdural hematoma and a thick subarachnoid deposition of blood in the left sylvian-insular cistern. After surgical evacuation of the hematoma, the patient improved until the 10th postoperative day, when he developed aphasia and a right hemiparesis. Angiography demonstrated multitapering spasm, and a computed tomographic (CT) scan showed persistence of the cisternal deposition of blood. Despite therapy with hypervolemia, the patient improved only slightly. The association of head injury with substantial subarachnoid hemorrhage producing vasospasm has been considered rarely. Delayed posttraumatic vasospasm secondary to blood degradation products seems to play some role in the vasospasm after head injury. CT scanning may be useful in predicting vasospasm in such patients, and digital subtraction angiography might be useful in demonstrating it. |
| doi_str_mv | 10.1227/00006123-198412000-00015 |
| format | Article |
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Correlation between neurological deterioration and vasospasm has been reported previously, but delayed neurological deterioration secondary to vasospasm in head injury is a rare occurrence. We report the case of a 57-year-old man who, after a motorcycle accident, developed an acute subdural hematoma and a thick subarachnoid deposition of blood in the left sylvian-insular cistern. After surgical evacuation of the hematoma, the patient improved until the 10th postoperative day, when he developed aphasia and a right hemiparesis. Angiography demonstrated multitapering spasm, and a computed tomographic (CT) scan showed persistence of the cisternal deposition of blood. Despite therapy with hypervolemia, the patient improved only slightly. The association of head injury with substantial subarachnoid hemorrhage producing vasospasm has been considered rarely. Delayed posttraumatic vasospasm secondary to blood degradation products seems to play some role in the vasospasm after head injury. CT scanning may be useful in predicting vasospasm in such patients, and digital subtraction angiography might be useful in demonstrating it.</description><identifier>ISSN: 0148-396X</identifier><identifier>EISSN: 1524-4040</identifier><identifier>DOI: 10.1227/00006123-198412000-00015</identifier><identifier>PMID: 6514159</identifier><identifier>CODEN: NRSRDY</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Biological and medical sciences ; Brain Injuries - complications ; Brain Injuries - diagnostic imaging ; Hematoma, Subdural - complications ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Ischemic Attack, Transient - diagnostic imaging ; Ischemic Attack, Transient - etiology ; Male ; Medical sciences ; Middle Aged ; Prognosis ; Tomography, X-Ray Computed ; Traumas. 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Correlation between neurological deterioration and vasospasm has been reported previously, but delayed neurological deterioration secondary to vasospasm in head injury is a rare occurrence. We report the case of a 57-year-old man who, after a motorcycle accident, developed an acute subdural hematoma and a thick subarachnoid deposition of blood in the left sylvian-insular cistern. After surgical evacuation of the hematoma, the patient improved until the 10th postoperative day, when he developed aphasia and a right hemiparesis. Angiography demonstrated multitapering spasm, and a computed tomographic (CT) scan showed persistence of the cisternal deposition of blood. Despite therapy with hypervolemia, the patient improved only slightly. The association of head injury with substantial subarachnoid hemorrhage producing vasospasm has been considered rarely. Delayed posttraumatic vasospasm secondary to blood degradation products seems to play some role in the vasospasm after head injury. CT scanning may be useful in predicting vasospasm in such patients, and digital subtraction angiography might be useful in demonstrating it.</description><subject>Biological and medical sciences</subject><subject>Brain Injuries - complications</subject><subject>Brain Injuries - diagnostic imaging</subject><subject>Hematoma, Subdural - complications</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Ischemic Attack, Transient - diagnostic imaging</subject><subject>Ischemic Attack, Transient - etiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prognosis</subject><subject>Tomography, X-Ray Computed</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0148-396X</issn><issn>1524-4040</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE9LAzEQxYMotVY_grCH4m01k2ST7FGK_6DgRcFbmGQT3LLt1qQr9Nsb7dqBYRjeezPwI6QAeguMqTuaSwLjJdRaAMtbmRuqEzKFiolSUEFPyZSC0CWv5cc5uUhplR1SKD0hE1mBgKqekvnCR28jdsU3pj5tMa0LDDsfi0-PTdFuVkPcX5KzgF3yV-OckffHh7fFc7l8fXpZ3C9Lx3m9K6VH2thaavDBC2ZBWRekZUIo2zRSoECquXOIQoXgGqEbGbSQyrvKBub4jNwc7m5j_zX4tDPrNjnfdbjx_ZCMqjTUnPJs1Aeji31K0Qezje0a494ANb-AzD8gcwRk_gDl6PX4Y7Br3xyDI5Gsz0cdk8MuRNy4Nh1tdSZKFfAfn4BtLA</recordid><startdate>198412</startdate><enddate>198412</enddate><creator>PASQUALIN, A</creator><creator>VIVENZA, C</creator><creator>ROSTA, L</creator><creator>LICATA, C</creator><creator>CAVAZZANI, P</creator><creator>DA PIAN, R</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198412</creationdate><title>Cerebral vasospasm after head injury</title><author>PASQUALIN, A ; VIVENZA, C ; ROSTA, L ; LICATA, C ; CAVAZZANI, P ; DA PIAN, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c339t-6ea0db9681efe42b17bcf6b2447bdd64a4a083ccaa47ffcd48d6f8467ec5bf2c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Biological and medical sciences</topic><topic>Brain Injuries - complications</topic><topic>Brain Injuries - diagnostic imaging</topic><topic>Hematoma, Subdural - complications</topic><topic>Humans</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Ischemic Attack, Transient - diagnostic imaging</topic><topic>Ischemic Attack, Transient - etiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prognosis</topic><topic>Tomography, X-Ray Computed</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>PASQUALIN, A</creatorcontrib><creatorcontrib>VIVENZA, C</creatorcontrib><creatorcontrib>ROSTA, L</creatorcontrib><creatorcontrib>LICATA, C</creatorcontrib><creatorcontrib>CAVAZZANI, P</creatorcontrib><creatorcontrib>DA PIAN, R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>PASQUALIN, A</au><au>VIVENZA, C</au><au>ROSTA, L</au><au>LICATA, C</au><au>CAVAZZANI, P</au><au>DA PIAN, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cerebral vasospasm after head injury</atitle><jtitle>Neurosurgery</jtitle><addtitle>Neurosurgery</addtitle><date>1984-12</date><risdate>1984</risdate><volume>15</volume><issue>6</issue><spage>855</spage><epage>858</epage><pages>855-858</pages><issn>0148-396X</issn><eissn>1524-4040</eissn><coden>NRSRDY</coden><abstract>Cerebral vasospasm occurs frequently after head injury. Correlation between neurological deterioration and vasospasm has been reported previously, but delayed neurological deterioration secondary to vasospasm in head injury is a rare occurrence. We report the case of a 57-year-old man who, after a motorcycle accident, developed an acute subdural hematoma and a thick subarachnoid deposition of blood in the left sylvian-insular cistern. After surgical evacuation of the hematoma, the patient improved until the 10th postoperative day, when he developed aphasia and a right hemiparesis. Angiography demonstrated multitapering spasm, and a computed tomographic (CT) scan showed persistence of the cisternal deposition of blood. Despite therapy with hypervolemia, the patient improved only slightly. The association of head injury with substantial subarachnoid hemorrhage producing vasospasm has been considered rarely. Delayed posttraumatic vasospasm secondary to blood degradation products seems to play some role in the vasospasm after head injury. CT scanning may be useful in predicting vasospasm in such patients, and digital subtraction angiography might be useful in demonstrating it.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>6514159</pmid><doi>10.1227/00006123-198412000-00015</doi><tpages>4</tpages></addata></record> |
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| ispartof | Neurosurgery, 1984-12, Vol.15 (6), p.855-858 |
| issn | 0148-396X 1524-4040 |
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| source | Journals@Ovid Ovid Autoload; MEDLINE |
| subjects | Biological and medical sciences Brain Injuries - complications Brain Injuries - diagnostic imaging Hematoma, Subdural - complications Humans Injuries of the nervous system and the skull. Diseases due to physical agents Ischemic Attack, Transient - diagnostic imaging Ischemic Attack, Transient - etiology Male Medical sciences Middle Aged Prognosis Tomography, X-Ray Computed Traumas. Diseases due to physical agents |
| title | Cerebral vasospasm after head injury |
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