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Multimodal Monitoring of Evoked Potentials in Subarachnoid Hemorrhage Following a Ruptured Aneurysm

  • P. Christophis
  • K. Roosen
  • A. Hüfner
  • J. Dings
Conference paper
Part of the Advances in Neurosurgery book series (NEURO, volume 20)

Abstract

The most frequent causes of mortality and morbidity after aneurysmal subarachnoid hemorrhage (SAH) are, on the one hand, cerebral ischemia caused by a posthemorrhage vasopathy [3] and, on the other hand, the primary acute increase in intracranial pressure (ICP) due to the rupture [19, 20] and secondary posthemorrhage increase due to swelling or, most frequently, the disresorptive increase in ICP [3, 20].

Keywords

Subarachnoid Hemorrhage Brain Death Blood Flow Velocity Intracranial Aneurysm Glasgow Coma Score 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Adelt A, Bühl G (1989) On the prognosis of severe head injury using multimodal evoked potentials. In: Frowein RA, Brock M, Klinger M (eds) Advances in neurosurgery, vol 17. Springer, Berlin Heidelberg New York Tokyo, pp 107–111Google Scholar
  2. 2.
    Ahmed I (1980) Brainstem auditory evoked potentials in transtentorial herniation. Clinical Electroencephalography 11 (1):34–37PubMedGoogle Scholar
  3. 3.
    Arnold H, Nowak G, Schwachenwald R (1990) Subarachnoidalblutung: Verbesserte Prognose dank Frühoperation, Kalzium-Antagonisten, Vermehrung des zirkulierenden Blutvolumens und Senkung der Blutviskosität. Jahrbuch der Neurochirurgie. Biermann, ZülpichGoogle Scholar
  4. 4.
    Christophis P, Csécsei G, Klug N (1989) Prognostic significance of somatosensory evoked potentials in traumatic brain stem lesions. In: Frowein RA, Brock M, Klinger M (eds) Advances in neurosurgery, vol 17. Springer, Berlin Heidelberg New York Tokyo, pp 102–106Google Scholar
  5. 5.
    Despland PA, Regli F (1985) Somatosensory evoked response changes in patients with unilateral vascular lesions. In: Morocutti C, Rizzo PA (eds) Evoked potentials, neurophysiological and clinical aspects. Elsevier, Amsterdam, pp 57–66Google Scholar
  6. 6.
    Harders A (1986) Vasospasm and aneurysm surgery. In: Harders A (ed) Neurosurgical applications of transcranial Doppler sonography. Springer, Wien New York, pp 40–64Google Scholar
  7. 7.
    Hunt WE, Hess RM (1968) Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg 28:14–20PubMedCrossRefGoogle Scholar
  8. 8.
    Jarratt JA, Jakubowski J, Blaszczyk B (1985) The value of somatosensory evoked potentials in the preoperative assessment of patients with subarachnoid hemorrhage. In: Morocutti C, Rizzo PA (eds) Evoked potentials, neurophysiological and clinical aspects. Elsevier, Amsterdam, pp 69–76Google Scholar
  9. 9.
    Laumer R. Steinmeier R, Gönner F, Fahlbusch R, Schramm J, Mück M, Hinkelmann B, Purracker M (1991) Perioperative monitoring of subarachnoid hemorrhage: transcranial Doppler sonography and somatosensory evoked potentials. In: Bock WJ, Lumenta Ch, Brock M, Klinger M (eds) Advances in neurosurgery, vol 19: Springer, Berlin Heidelberg New York Tokyo, pp 17–19Google Scholar
  10. 10.
    Nagao S, Sunami N, Tsutsui T, Honma Y, Monma F, Nishimura T, Nishimoto A (1984) Diagnosis of uncal herniation by auditory brain-stem response. Neurologia Medico-Chirurgica 24:396–400PubMedCrossRefGoogle Scholar
  11. 11.
    Nagata K, Tazawa T, Mizukami M, Araki G (1984) Application of brainstem auditory evoked potentials to evaluation of cerebral herniation. In: Nodar RH, Barber C (eds) Evoked potentials II. The second International Evoked Potentials Symposium. Butterworths, Boston London Sydney, pp 183–193Google Scholar
  12. 12.
    Papanicolaou AC, Loring DW, Eisenberg HM (1986) Auditory brain stem evoked responses in comatose head-injured patients. Neurosurgery 18 (2):172–175Google Scholar
  13. 13.
    Rosenstein J, Wang AD, Symon L, Suzuki M (1985) Relationship between hemispheric cerebral blood flow central conduction time, and clinical grade in aneurysmal subarachnoid hemorrhage. J Neurosurg 62 (l):25–30PubMedGoogle Scholar
  14. 14.
    Stöhr M, Dichganz J, Diemer HC, Büttner VW (1989) Evozierte Potentiale, 2. Überarb erw Aufl. Springer, Berlin Heidelberg New York TokyoGoogle Scholar
  15. 15.
    Symon L, Momma F (1987) Relationships between cerebral perfusion and electrical activity in man. In: Wüllenweber R, Klinger M, Brock M (eds) Advances in neurosurgery, vol 15. Springer, Berlin Heidelberg New York, pp 32–34CrossRefGoogle Scholar
  16. 16.
    Symon L, Wang AD, Costa e Silva I, Gentili F (1984) Perioperative use of somatosensory evoked responses in aneurysm surgery. J Neurosurg 60:269–275PubMedCrossRefGoogle Scholar
  17. 17.
    Symon L, Compton J, Redmond S et al. (1986) Bedside monitoring in subarachnoid hemorrhage: evoked responses, hemispheral blood flow, and flow velocity measurements. In: Wilkins RH (ed) Cerebral vasospasm. Raven, New York, pp 73–78Google Scholar
  18. 18.
    Tsutsui T, Avila A, Symon L, Ono M, Wang A, Kalmanchey R (1986) The effects of a supratentorial mass lesion on brain stem auditory evoked potentials and short latency somatosensory evoked potentials. Neurol Res 8 (1):7–13Google Scholar
  19. 19.
    Volby B (1986) Cerebral vasospasm and ICP, cerebral vascular surgery. In: Organizing committee (eds) Proceedings of the EANS course in Neurosurgery, Porto Sept. 6–12. Bial, PortoGoogle Scholar
  20. 20.
    Voldby B, Enevoldsen EM, Jensen FT (1985) Regional cerebral blood flow, intraventricular pressure, and cerebral metabolism in patients with ruptured intracranial aneurysms. J Neurosurg 62:8–58Google Scholar
  21. 21.
    Wranze-Bielefeld E, Dauch WA, Bauer BL (1990) Discrepancy between the results of TCD and the clinical status of patients after SAH. In: Bushe KA, Brock M, Klinger M (eds) Advances in neurosurgery, vol 18. Springer, Berlin Heidelberg New York Tokyo, pp 276–280Google Scholar
  22. 22.
    York DH, Pulliam MW, Rosenfeld JG, Watts C. Relationship between visual evoked potentials and intracranial presure. J Neurosurg 55:909–916Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1992

Authors and Affiliations

  • P. Christophis
  • K. Roosen
  • A. Hüfner
  • J. Dings
    • 1
  1. 1.Neurochirurgische KlinikJustus-Liebig-Universität GießenGießenGermany

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