Skip to main content

Advertisement

SpringerLink
Log in

Relation of cerebral vasospasm to operative findings of subarachnoid blood around ruptured aneurysms

  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

An investigation was carried out in 28 patients in order to evaluate the relationship between angiographically documented vasospasm, amount of subarachnoid blood found at surgery around ruptured intracranial aneurysms, and delayed ischaemic deficits. Angiography was performed at time intervals ranging between 5 and 17 days, and surgery not later than 21 days following subarachnoid haemorrhage. The absence of subarachnoid clots was associated in ten patients, with no or minor vasospasm and no or mild neurological deficits. Thin clots were found in eight patients; one of them had no vasospasm, six had minor vasospasm, and one showed severe vessel narrowing. Major clinical signs were absent in these cases. All ten patients with thick clots developed severe vasospasm, and eight of them severe neurological signs.

The important aetiological role of local subarachnoid clots in determining vasospasm is emphasized in view of surgical timing.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Allcock, J. M., Drake, C. G., Ruptured intracranial aneurysms. The role of arterial spasm. J. Neurosurg.22 (1965), 21–29.

    PubMed  Google Scholar 

  2. Endo, S., Suzuki, J., Experimental cerebral vasospasm after subarachnoid haemorrhage. Development and degree of vasospasm. Stroke8 (1977), 702–707.

    PubMed  Google Scholar 

  3. Fisher, C. M., Kistler, J. P., Davis, J. M., Relation of cerebral vasospasm to subarachnoid haemorrhage visualized by computerized tomographic scanning. Neurosurgery6 (1980), 1–9.

    PubMed  Google Scholar 

  4. Fraser, J., Johnson, S., Ray, M., Robertson, J. T., Prediction of cerebral vasospasm with subarachnoid haemorrhage due to ruptured intracranial aneurysm by computed axial tomography. Neurosurgery6 (1980), 686–687 (abstr.).

    Google Scholar 

  5. Kwak, R., Niizuma, H., Ohi, T., Suzuki, J., Angiographic study of cerebral vasospasm following rupture of intracranial aneurysms: Part I. Time of the appearance. Surg. Neurol.11 (1979), 257–262.

    PubMed  Google Scholar 

  6. Mizukami, M., Takemae, T., Tazawa, T., Kawase, T., Matsuzaki, T., Value of computed tomography in the prediction of cerebral vasospasm after aneurysm rupture. Neurosurgery7 (1980), 583–586.

    PubMed  Google Scholar 

  7. Nibbelink, D. W., Torner, J. C., Henderson, W. G., Intracranial aneurysms and subarachnoid haemorrhage. Report on a randomized treatment study. Regulated bed rest. Stroke8 (1977), 202–218.

    PubMed  Google Scholar 

  8. Ohta, T., Kajikawa, H., Yoshikawa, Y., Shimizu, K., Funatsu, N., Yamamoto, M., Toda, N., Cerebral vasospasm and hemoglobins: Clinical and experimental studies. In: Cerebral arterial spasm (Wilkins, R. H., ed.), pp. 166–172. Baltimore-London: Williams and Wilkins. 1980.

    Google Scholar 

  9. Osaka, K., Prolonged vasospasm produced by the breakdown products of erythrocytes. J. Neurosurg.47 (1977), 403–411.

    PubMed  Google Scholar 

  10. Sano, K., Saito, I., Early operation and washout of blood clots for prevention of cerebral vasospasm. In: Cerebral arterial spasm (Wilkins, R. H., ed.), pp. 510–513. Baltimore-London: Williams and Wilkins. 1980.

    Google Scholar 

  11. Sonobe, M., Suzuki, J., Vasospasmogenic substance produced following subarachnoid haemorrhage, and its fate. Acta neurochir. (Wien)44 (1978), 97–106.

    Google Scholar 

  12. Suzuki, J., Onuma, T., Yoshimoto, T., Results of early operations on cerebral aneurysms. Surg. Neurol.11 (1979), 407–412.

    PubMed  Google Scholar 

  13. Suzuki, J., Komatsu, S., Sato, T., Sakurai, Y., Correlation between CT findings and subsequent development of cerebral infarction due to vasospasm in subarachnoid haemorrhage. Acta neurochir. (Wien)55 (1980), 63–70.

    Google Scholar 

  14. Symon, L., Bell, B. A., Kendall, B., Relationship between effused blood and clinical course and prognosis in aneurysmal subarachnoid haemorrhage: A preliminary computerized tomographic scan study. In: Cerebral arterial spasm (Wilkins, R. H., ed.), pp. 409–411. Baltimore-London: Williams and Wilkins. 1980.

    Google Scholar 

Download references

Author information

Author notes

  1. F. Tomasello

    Present address: Institute of Neurosurgery, First Faculty of Medicine, University of Naples, Italy

Authors and Affiliations

  1. Institute of Neurosurgery, First Faculty of Medicine, University of Naples, Italy

    V. Albanese, P. Picozzi, A. Spadaro & P. Conforti

Authors
  1. F. Tomasello
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. V. Albanese
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. P. Picozzi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. A. Spadaro
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. P. Conforti
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tomasello, F., Albanese, V., Picozzi, P. et al. Relation of cerebral vasospasm to operative findings of subarachnoid blood around ruptured aneurysms. Acta neurochir 60, 55–62 (1982). https://doi.org/10.1007/BF01401750

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01401750

Keywords

Search

Navigation