Abstract
The morbidity and mortality from subarachnoid hemorrhage are extraordinarily high. In the first 3 months following a hemorrhage the mortality exceeds 50% (Allcock and Drake 1965; Graf and Nibbelink 1974). Among those who survive, fully two-thirds never regain the quality of life that they had prior to the hemorrhage (Mullan 1975; Ropper and Zervas 1984; Sah et al. 1969). Symptomatic vasospasm occurs in one-third of those who survive the initial hemorrhage (Allcock and Drake 1965; Mullan 1975). In 1984, Zubkov et al. first reported the successful treatment of vasospasm by transluminal angioplasty. Additional reports subsequently confirmed these initial encouraging results (Eskridge 1989; Newell et al. 1989; Higashida et al. 1989).
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References
Aaslid R et al. (1982) Noninvasive transcranial Doppler ultrasound recording of flow velocity in basal cerebral arteries. J Neurosurg 57:769–774
Aaslid R et al. (1984) Evaluation of cerebrovascular spasm with transcranial Doppler ultrasound. J Neurosurg 60:37–41
Adams HP et al. (1987) Predicting cerebral ischemia after aneurysmal subarachnoid hemorrhage: influences of clinical condition, CT results, and antifibrinolytic therapy. A report of the cooperative aneurysm study. Neurology 37:1586–1591
Alksne JF (1974) Myonecrosis in chronic experimental vasospasm. Surgery 76:1–7
Alksne F, Greenhoot M (1974) Experimental cate-cholamine-induced chronic cerebral vasospasm: myonecrosis in vessel wall. J Neurosurg 41:440–445
Allcock JM, Drake CG (1965) Ruptured intracranial aneurysms — the role of arterial spasm. J Neurosurg 22:21–29
Allen GS et al. (1983) Cerebral arterial spasm — a controlled trial of nimodipine in patients with subarachnoid hemorrhage. N Engl J Med 308:619–624
Barker FG, Heros RC (1990) Clinical aspects of vasospasm. Neurosurg Clin North Am 1:277–288
Duff TA et al. (1988) Erythrocytes are essential for development of cerebral vasculopathy resulting from subarachnoid hemorrhage in cats. Stroke 1:68–72
Echlin FA (1965) Spasm of basilar and vertebral arteries caused by experimental subarachnoid hemorrhage. J Neurosurg 23:1–11
Echlin FA (1971) Experimental vasospasm, acute and chronic, due to blood in the subarachnoid space. J Neurosurg 35:646–656
Ecker A, Riemenschneider PA (1951) Arteriographic demonstration of spasm of the intercranial arteries with special reference to saccular arterial aneurysms. J Neurosurg 8:660–667
Eskridge JM (1989) Interventional neuroradiology. Radiology 172:991–1006
Eskridge JM et al. (1990) Transluminal angioplasty for treatment of vasospasm. Neurosurg Clin North Am 1:387–400
Fein JM et al. (1974) Sequential changes of vascular ultrastructure in experimental cerebral vasospasm. J Neurosurg 41:49–58
Fisher CM (1975) Clinical syndromes in cerebral thrombosis, hypertensive hemorrhage, and ruptured saccular aneurysm. Clin Neurosurg 22:117–147
Fisher CM et al. (1980) Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning. Neurosurgery 6:1–9
Folkow B (1982) Physiologic aspects of primary hypertension. Physiol Rev 62:347–503
Graf CJ, Nibbelink DW (1974) Cooperative study of intracranial aneurysms and subarachnoid hemorrhage: report on a randomized treatment study. Stroke 5: 559–601
Gull W (1859) Cases of aneurism of the cerebral vessels. Guy’s Hosp Rep 5:281–304
Harders AG, Gilsbach JM (1987) Time course of blood velocity changes related to vasospasm in the circle of Willis measured by transcranial Doppler ultrasound. J Neurosurg 66:718–728
Heros RC et al. (1983) Cerebral vasospasm after subarachnoid hemorrhage: an update. Ann Neurol 14:599–608
Higashida RT et al. (1989) Transluminal angioplasty for treatment of intracranial arterial vasospasm. J Neurosurg 71:648–653
Hughes JT, Schianchi PM (1978) Cerebral artery spasm: a histological study at necropsy of the blood vessels in cases of subarachnoid hemorrhage. J Neurosurg 48: 515–525
Hunt WE, Hess RM (1968) Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg 28:14–20
Jennett B, Bond M (1975) Assessment of outcome after severe brain damage. Lancet I:480–484
Kistler JP et al. (1983) The relation of cerebral vasospasm to the extent and location of subarachnoid blood visualized by CT scan: a prospective study. Neurology 33:424–436
Kwak R et al. (1979) Angiographic study of cerebral vasospasm following rupture of intracranial aneurysms: part I. Time of the appearance. Surg Neurol 11:257–262
Liszczak TM et al. (1983) Cerebral arterial constriction after experimental subarachnoid hemorrhage is associated with blood components within the arterial wall. J Neurosurg 58:18–26
Mayberg MR et al. (1978) Ultrastructural changes in feline arterial endothelium following subarachnoid hemorrhage. J Neurosurg 48:49–57
Mizukami M et al. (1982) Prevention of vasospasm by early operation with removal of subarachnoid blood. Neurosurgery 10:301–307
Morawetz RB et al. (1979) Regional cerebral blood flow thresholds during cerebral ischemia. Fed Proc 38: 2493–2494
Mullan S (1975) Conservative management of the recently ruptured aneurysm. Surg Neurol 3:27–32
Newell DW et al. (1989) Angioplasty for the treatment of symptomatic vasospasm following subarachnoid hemorrhage. J Neurosurg 71:654–660
Owada K et al. (1977) Cervical sympathectomy for cerebral ischemic lesions; a follow-up study. Tohoku Med J (Sendai) 90:183
Owada K, Hori S, Suzuki J (1979) Results of cervical sympathectomy for cerebral vasospasm following aneurysmal rupture. In: Suzuki J (ed) Cerebral aneurysms. Neuron, Sendai, p 435
Philippon J et al. (1986) Prevention of vasospasm in subarachnoid haemorrhage. A controlled study with nimodipine. Acta Neurochir (Wien) 82:110–114
Plum F, Posner J (1980) Diagnosis of stupor and coma 3rd edn. FA Davis, Philadelphia
Robertson E (1949) Cerebral lesions due to intracranial aneurysms. Brain 72:150–185
Ropper AH, Zervas NT (1984) Outcome 1 year after SAH from cerebral aneurysm. J Neurosurg 60:909–915
Sah A et al. (1969) Intracranial aneurysms and subarachnoid hemorrhage. Philadelphia, JB Lippincott
Saito I, Sano K (1980) Vasospasm after aneurysm rupture: incidence, onset, and course. In: Wilkins RH (ed) Cerebral arterial spasm: proceedings of the Second International Workshop, Amsterdam, the Netherlands 1979. Williams & Wilkins 1980, pp 294–301
Simeone FA, Trepper P (1972) Cerebral vasospasm with infarction. Stroke 3:449–455
Stornelli SA, French JD (1964) Subarachnoid hemorrhage — factors in prognosis and management. J Neurosurg 21:769–780
Sundt TM Jr (1975) Chemical management of cerebral vasospasm. In: Whisnant JP, Sandoc BA (eds) Cerebral vascular disease, proceedings of the 9th Princeton Conference, 1974. Grune & Stratton, New York, p 77
Tanabe Y et al. (1978) Cerebral vasospasm and ultra-structural changes in cerebral arterial wall. J Neurosurg 49:229–238
Tanishima T (1980) Cerebral vasospasm: contractile activity of hemoglobin in isolated canine basilar arteries. J Neurosurg 53:787–793
Varsos VG et al. (1983) Delayed cerebral vasospasm is not reversible by aminophylline, nifedipine or papavarine in a “two-hemorrhage” canine model. J Neurosurg 58:11–17
Wilkins RH (1979) Attempted prevention or treatment of intracranial arterial spasm: a survey. In: Wilkins RH (ed) Cerebral arterial spasm. Williams and Wilkins, Baltimore, p 542
Zervas NT et al. (1982) Cerebrospinal fluid may nourish cerebral vessels through pathways in the adventitia that may be analogous to systemic vasa vasorum. J Neurosurg 56:475–481
Zubkov YN et al. (1984) Balloon catheter technique for dilatation of constricted cerebral arteries after aneurysmal SAH. Acta Neurochir (Wien) 70:65–79
Zucker MB (1944) A study of the substances in blood serum and platelets which stimulate smooth muscle. Am J Physiol 142:12–26
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© 1993 Springer-Verlag Berlin Heidelberg
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Eskridge, J.M. (1993). Angioplasty of Vasospasm. In: Valavanis, A. (eds) Interventional Neuroradiology. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84434-8_8
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DOI: https://doi.org/10.1007/978-3-642-84434-8_8
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