Abstract
Subarachnoid hemorrhage (SAH) implies an immediate potential catastro-phy but also a high risk of later complications with fatal outcome or lasting morbidity. Raised intracranial pressure (ICP) after SAH has been frequently observed (2, 6, 7, 8). The cause is usually obvious in cases with intracerebral hematomas (5) and/or massive invasion of blood into the ventricular system. In some cases the high ICP is explained by ischemic lesions due to arterial spasm, causing focal cerebral edema. In the long run the development of so-called normal pressure hydrocephalus (NPH) is well known. However, except for this late manifestation of cerebrospinal fluid (CSF) absorptive difficulties, problems appertaining to the CSF dynamics in SAH have been given comparatively little consideration until recent years. It has been shown (1) that posthemorrhagic ventricular dilatation roentgenologically is a frequent finding. Apparently clinically manifest NPH is much more unusual. Several investigators (3, 8, 10) have recently published their experiences with ventricular drainage (VD) early after SAH.
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References
BERGVALL, U., GALERA, R.: Time relationship between subarachnoid haemorrhage, arterial spasm, changes in cerebral circulation and posthaemorrhagic hydrocephalus. Acta Radiol. 9, 229–237 (1969).
KLAFTA, L.A., HAMBY, W.B.: Significance of cerebrospinal fluid pressure in determining time of repair of intracranial aneurysms. J. Neurosurg. 31, 217–219 (1969).
KUSSKE, J.A., TURNER, P.T., OJEMANN, G.A., HARRIS, A.B.: Ventriculostomy for the treatment of acute hydrocephalus following subarachnoid hemorrhage. J. Neurosurg. 38, 591–595 (1973).
LUNDBERG, N.: Continuous recording and control of ventricular fluid pressure in neurosurgical practice. Acta Psych. Scand. Suppl. 149, 1–193 (1960).
MILHORAT, T.H.: Intracerebral hemorrhage, acute hydrocephalus and systemic hypertension. J.A.M.A. 218, 221–225 (1971).
NORNES, H., MAGNAES, B.: Intracranial pressure in patients with ruptured saccular aneurysms. J. Neurosurg. 36, 537–547 (1972).
NORNES, H.: The role of intracranial pressure in the arrest of hemorrhage in patients with ruptured intracranial aneurysms. J. Neurosurg. 39, 226–234 (1973).
PONTEN, U., KÅGSTRÖM, E., SUNDBÄRG, G.: Ventricular fluid drainage after subarachnoid hemorrhage. Excerpta Med. 293, 49 (1973).
STEINER, L.: Recurrent subarachnoid hemorrhage. An experimental study. Stockholm: Thesis 1975.
SUZUKI, J., YOSHIMOTO, T., HARI, S.: Continuous ventricular drainage to lessen surgical risk in ruptured intracranial aneurysm. Surg. Neurol. 2, 87–90 (1974).
WELCH, K.: The principles of physiology of the cerebrospinal fluid in relation to hydrocephalus including normal pressure hydrocephalus. In: Advances in Neurology, Vol. 13: Current Reviews (W.J. Friedlander, ed.), pp. 247–332. New York: Raven Press 1975.
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Sundbärg, G., Pontén, U. (1976). ICP and CSF Absorption Impairment After Subarachnoid Hemorrhage. In: Beks, J.W.F., Bosch, D.A., Brock, M. (eds) Intracranial Pressure III. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-66508-0_25
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DOI: https://doi.org/10.1007/978-3-642-66508-0_25
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