Online citations, reference lists, and bibliographies.
← Back to Search

RUPTURED INTRACRANIAL ANEURYSMS--THE ROLE OF ARTERIAL SPASM.

J. M. Allcock, C. Drake
Published 1965 · Medicine

Save to my Library
Download PDF
Analyze on Scholarcy
Share
I N A RECENT PAPER t h e a u t h o r s L d i s cussed the findings of pos topera t ive angiography carried out rout inely on pat ients with ruptured intracranial aneurysms. I t was felt t ha t arterial spasm was one of the chief reasons for pos topera t ive morb id i ty and mortal i ty , and in this paper the problem is considered fur ther wi th regard to cause and effect. Attent ion is given also to earlier manifestations of arterial spasm, whether operation was under taken or not. I t has been suggested t ha t vasospasm is an optical illusion. However , when a vessel, previously shown to be of normal calibre, la ter appears thread-l ike in two or more projections (Figs. 1 and ~), it is ha rd to accept t ha t this could be a t t r ibu ted to a physical phenomenon such as l aminar flow of contrast mater ia l in the ar tery . Taveras 1~ accepted the occurrence of spasm but considered it to be the result of the introduction of rad iopaque cont ras t material into an a r te ry a l ready i r r i ta ted by some other cause. There are several points against this theory. (1) This effect is seldom seen in postoperat ive angiograms of pa t ients who have had tumours removed. I n such pat ients the arteries m a y have been injured and blood will be present in the subarachnoid space. In cases of rup tured aneurysms these are two of the conditions t ha t migh t predispose arteries to spasm. (2) T h e subst i tut ion of Thoro t ras t , which is general ly accepted as being nonirr i ta t ing to vessels, for contrast media containing iodine, does not alter the appearances. In a series of radiographs showing spasm the cont ras t mate r ia l appears to be d a m m e d back so t h a t any par t icular ar tery
This paper references



This paper is referenced by
10.1007/BF03026209
Anaesthesia for intracranial aneurysms with hypotension and spontaneous respiration
G. R. Sellery (1973)
10.1007/978-3-7091-4431-2_4
Somatosensory Evoked Potential Monitoring During Intracranial Aneurysm Surgery
R. Villani (1988)
Vasospasm secondary to ruptured aneurysm: assessment by digital intravenous angiography.
R. Pinto (1983)
10.1089/neu.2013.3306
A Review of the Effectiveness of Neuroimaging Modalities for the Detection of Traumatic Brain Injury.
F. Amyot (2015)
10.1161/01.STR.8.6.707
Blood Recirculation and Pharmacological Responsiveness of the Cerebral Vasculature Following Prolonged Ischemia of Cat Brain
S. Takagi (1977)
Advances in the Management and Surgical Treatment of Intracranial Aneurysms
Sundt (1974)
10.3171/JNS.1978.49.6.0805
An investigation with serial angiography into the evolution of cerebral arterial spasm following aneurysm surgery.
C. B. Adams (1978)
10.1007/978-1-4471-1383-6
Subarachnoid Haemorrhage
F. F. R. P. Sengupta MSc (1986)
10.1016/S0025-7125(16)31669-8
Management of intracranial aneurysm.
R. Crowell (1979)
ROLE OF CYTOCHROME P450 FATTY ACID METABOLISM IN THE PATHOPHYSIOLOGY OF SUBARACHNOID HEMORRHAGE
Mark K. Donnelly (2014)
10.3171/JNS.1972.37.4.0398
Role of prostaglandin F2a in the genesis of experimental cerebral vasospasm
M. Pennink (1972)
10.3171/JNS.1978.48.2.0173
Time course of vasospasm in man.
B. Weir (1978)
10.1016/0090-3019(84)90438-5
Aneurysmal subarachnoid hemorrhage--historical background from a Scandinavian horizon.
B. Ljunggren (1984)
10.3171/FOC.2006.20.6.4
Evolution of the treatment of cerebral vasospasm.
Scott Y. Rahimi (2006)
10.1017/cjn.2017.276
Cerebrovascular Neurosurgery in Canada: An Historical Review.
S. Ramnath (2018)
10.1016/J.EJRNM.2014.12.002
Outcome of aneurismal subarachnoid hemorrhage: How far is vasospasm involved? – Retrospective study
A. H. Said (2015)
10.1161/01.STR.3.4.449
Cerebral Vasospasm With Infarction
F. Simeone (1972)
10.1161/01.STR.14.2.240
The angiopathy of subarachnoid hemorrhage: angiographic and morphologic correlates.
R. Smith (1983)
10.1016/S1042-3680(18)30490-X
Transcranial Doppler ultrasonography.
D. Newell (1994)
10.2176/NMC.16PT2.103
Etiology and Treatment of Prolonged Vasospasm
M. Miyaoka (1976)
10.3171/JNS.1971.35.6.0664
Effects of subarachnoid hemorrhage from puncture of the middle cerebral artery on blood flow and vasculature of the cerebral cortex in the cat.
T. Yamaguchi (1971)
10.1007/978-1-4612-5581-9_2
Preoperative and Medical Therapy
J. Fox (1983)
10.1161/01.STR.32.3.620
Effects of Aging on Cerebral Vasospasm After Subarachnoid Hemorrhage in Rabbits
M. Nakajima (2001)
10.1007/BF01410066
Subarachnoid haemorrhage of unknown aetiology
P. Gómez (2005)
10.1111/j.1600-0404.1975.tb05824.x
LETHAL MECHANISM IN REPEATED SUBARACHNOID HEMORRHAGE IN DOGS
L. Steiner (1975)
10.3171/JNS.1979.51.4.0466
Vasospasm assessed by angiography and computerized tomography.
I. Saito (1979)
Current Concepts of Cerebrovascular Disease and Stroke Management of Aneurysmal Subarachnoid Hemorrhage
J. Biller (2005)
Perioperative Management of Aneurysmal Subarachnoid Hemorrhage: Part 1. Operative Management
J. Guy (1995)
Rupture During Surgery Lowest Blood Pressure at Surgery Lowest Temperature at Surgery Time of Temporary Clips Number of Units Blood at Surgery Use of Osmotic Agent at Surgery Size of Aneurysm Not Significant
B. Weir (2014)
10.3171/JNS.1968.29.4.0372
Further experience with surgical treatment of aneurysm of the basilar artery.
C. Drake (1968)
10.3171/JNS.1967.26.3.0299
Factors influencing the autoregulation of the cerebral blood flow during hypotension and hypertension.
G. Kindt (1967)
10.3389/fneur.2014.00072
Treatment of Intracranial Vasospasm Following Subarachnoid Hemorrhage
A. Bauer (2014)
See more
Semantic Scholar Logo Some data provided by SemanticScholar