Zusammenfassung
Nach Verklippung intrakranieller Aneurysmen kann es postoperativ infolge arterieller Spasmen zu tödlich verlaufender Infarzierung kommen, die nicht im Versorgungsbereich der geklippten Arterie liegt. Es werden zwei derartige Fälle mitgeteilt unter Würdigung klinischer, neuroradiologischer und neuroanatomischer Befunde.
Summary
After clipping of intracranial aneurysms, postoperative vasospasm may occur remote from the distribution area of the artery and may cause death. The authors report two cases and give the clinical, neuroradiological, and neuroanatomical findings.
Literatur
Allcock, J. M., Drake, C. G., Ruptured intracranial aneurysms. The role of arterial spasm. Neurosurg.22 (1965), 21–29.
Bayliss, W. M., On the local reactions of the arterial wall to changes of internal pressure. J. Physiol.28 (1902), 220–231.
Beck, O. J., Wieser, H. V., Die Prognose des Vasospasmus nach Aneurysmablutung. Zbl. Neurochir.35 (1974), 21–34.
Byrom, F. B., The pathogenesis of hypertensive encephalopathie and its relation to the malignant phase of hypertension. Lancet2 (1954), 201–211.
Bergval, U., Galera, R., Time relationship between subarachnoid hemorrhage, arterial spasm, changes in arterial circulation and posthemorrhagic hydrocephalus. Acta radiol., Diagnosis9 (1969), 229–237.
Brawley, B. W., Strandness, D. E., Kelly, W., The biphasic response of cerebral vasospasm in angiography for intracranial aneurysms. J. Neurosurg.28 (1968), 1–8.
Echlin, F. A., Current concepts in the etiology and treatment of vasospasm in experimental subarachnoid hemorrhage. J. Neurosurg.28 (1968), 133–160.
Fletscher, T. M., Taveras, J. M., Pool, J. L., Cerebral vasospasm in angiography for intracranial aneurysms. Arch. Neurol. (Chicago)1 (1959), 38–47.
Brice, J., An observation on post-operative spasm and its possible significance: 718. In: Proceedings of the Society of British Neurological Surgeons. J. Neurol. Neurosurg. Psychiat.33 (1970), 714–718.
McKissock, W., Richardson, A., Walsh, L., Anterior communicating aneurysms: a trial of conservative and surgical treatment. Lancet1 (1965), 874–876.
Röttgen, P., Discussion on aneurysms.—Cerebral circulation. Progress in Brain Research30 (1968), 451–452.
Rodda, R., Denny-Brown, D., The cerebral arterioles in experimental hypertension. Amer. J. Pathol.49 (1966), 53–76.
Suzuki, J., Takaku, A., Suzuki, S., Kodama, N., Prognostic correlation of cerebral vasospasm and direct attack on intracranial aneurysms. In: Excerpta medica 1969 (Drake, C. C., Duvoisin, R., eds.). Abstracts of papers (presented of the Ninth World Congress of Neurology and the Fourth International Congress of Neurological Surgery). New York 1969.
Weber, E., Psychische Alteration nach Ausschaltung von Aneurysma der A. communicans anterior. Neurochirurgie (Paris)6 (1960), 72–74.
Hunt, W. E.et al., Intracranial aneurysm. A nine-year study. Ohio Medical Journal62 (1966), 1168–1171.
Arutinov, A. L.et al., Autoregulation of the cerebral circulation and its derangement after neurosurgical operations. Voprosy Neirokhirurgii (Moskau)36 (1972), 3–6.
Ferguson, G. G.et al., Europ. J. Neurol.8 (1972), 15–22.
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Kirchner, M. Die Rolle des postoperativen Hirngefäßspasmus nach Verklippung intrakranieller Aneurysmen. Acta neurochir 40, 55–60 (1978). https://doi.org/10.1007/BF01773115
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DOI: https://doi.org/10.1007/BF01773115