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Cerebral vasospasm after head injury.
Neurosurgery ; 15(6): 855-8, 1984 Dec.
Article en En | MEDLINE | ID: mdl-6514159
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.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Lesiones Encefálicas / Ataque Isquémico Transitorio Tipo de estudio: Prognostic_studies Límite: Humans / Male / Middle aged Idioma: En Revista: Neurosurgery Año: 1984 Tipo del documento: Article Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Lesiones Encefálicas / Ataque Isquémico Transitorio Tipo de estudio: Prognostic_studies Límite: Humans / Male / Middle aged Idioma: En Revista: Neurosurgery Año: 1984 Tipo del documento: Article Pais de publicación: Estados Unidos