Multimodality Monitoring, Inflammation, and Neuroregeneration in Subarachnoid Hemorrhage

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Multimodality Monitoring, Inflammation, and Neuroregeneration in Subarachnoid Hemorrhage

BACKGROUND Stroke, including subarachnoid hemorrhage (SAH), is one of the leading causes of morbidity and mortality worldwide. The mortality rate of poor-grade SAH ranges from 34% to 52%. In an attempt to improve SAH outcomes, clinical research on multimodality monitoring has been performed, as has basic science research on inflammation and neuroregeneration (which can occur due to injury-induc...

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Detection of cerebral compromise with multimodality monitoring in patients with subarachnoid hemorrhage.

BACKGROUND Studies in traumatic brain injury suggest that monitoring techniques such as brain tissue oxygen (P(BTO₂)) and cerebral microdialysis may complement conventional intracranial pressure (ICP) and cerebral perfusion pressure (CPP) measurements. OBJECTIVE In this study of poor-grade (Hunt and Hess grade IV and V) subarachnoid hemorrhage (SAH) patients, we examined the prevalence of bra...

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Multimodality neuromonitoring and decompressive hemicraniectomy after subarachnoid hemorrhage.

BACKGROUND AND METHODS We report the case of a young woman with delayed cerebral infarction and intracranial hypertension following subarachnoid hemorrhage requiring hemicraniectomy, who underwent multimodality neuromonitoring of the contralateral hemisphere before and after craniectomy. RESULTS Intracranial hypertension was preceded by signs of ischemia and impaired brain metabolism diagnose...

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Topical Review Multimodal Monitoring in Subarachnoid Hemorrhage

In severely injured patients, the immediate goal of resuscitation is restoration and maintenance of adequate tissue metabolism by ensuring sufficient delivery of fuel, typically oxygen and glucose, to meet cellular metabolic demands. In neurocritical care, traditional goals of resuscitation—intracranial pressure (ICP), cerebral perfusion pressure (CPP), and the clinical examination—have been ex...

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Cardiac Complication Following Subarachnoid Hemorrhage

Besides its severe neurological injuries, spontaneous subarachnoid hemorrhage (SAH) commonly causes cardiac complications. These complications could include three different aspects of cardiac diseases, that is, electrocardiographic abnormalities, myocardial injuries, and left ventricular dysfunction. These complications not only may lead to misdiagnosis of SAH as myocardial infarction, but also...

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ژورنال

عنوان ژورنال: Neurosurgery

سال: 2014

ISSN: 0148-396X,1524-4040

DOI: 10.1227/neu.0000000000000512