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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1994-1-5
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pubmed:abstractText |
We studied the incidence and time course of flow velocity changes suggesting a vasospasm following post-traumatic subarachnoid hemorrhage (SAH) considering the intracranial pressure (ICP) in 38 SAH patients as compared to 30 patients with spontaneous SAH. The first investigation was done within 24 h after onset of hemorrhage and regularly followed up during the clinical course. Additionally, the index of cerebral circulatory resistance was calculated and the ICP was measured using an epidural transducer. A significant correlation between middle cerebral artery maximum mean flow velocity and the quantity of blood seen on a computed tomographic scan in patients with post-traumatic SAH indicates a similar pathogenetic mechanism of the development of vasospasm to that after spontaneous SAH. In contrast, there was a significantly earlier occurrence of mean flow velocities over 120 cm/s following post-traumatic SAH irrespective of the ICP. Therefore, additional factors must be considered in the evaluation of these pathologically raised flow velocities after posttraumatic SAH. In both SAH groups there was a highly significant correlation between clinical outcome and clinical grade on admission, ICP and resistance index. The weak correlation between maximum mean flow velocity and clinical outcome following post-traumatic SAH supports the notion that final clinical outcome of these patients is of multifactorial origin.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0022-510X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
119
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1-7
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:7902422-Adolescent,
pubmed-meshheading:7902422-Adult,
pubmed-meshheading:7902422-Aged,
pubmed-meshheading:7902422-Craniocerebral Trauma,
pubmed-meshheading:7902422-Female,
pubmed-meshheading:7902422-Humans,
pubmed-meshheading:7902422-Intracranial Pressure,
pubmed-meshheading:7902422-Ischemic Attack, Transient,
pubmed-meshheading:7902422-Male,
pubmed-meshheading:7902422-Middle Aged,
pubmed-meshheading:7902422-Subarachnoid Hemorrhage,
pubmed-meshheading:7902422-Treatment Outcome,
pubmed-meshheading:7902422-Ultrasonography, Doppler, Transcranial
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pubmed:year |
1993
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pubmed:articleTitle |
Cerebral vasospasm following post-traumatic subarachnoid hemorrhage evaluated by transcranial Doppler ultrasonography.
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pubmed:affiliation |
Department of Neurology, Technical University of Munich, Germany.
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pubmed:publicationType |
Journal Article,
Comparative Study
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