Summary
The distribution of localised cerebral arterial spasm in 173 cases of single leaking aneurysms has been plotted with respect to the site of the aneurysm, and significant correlations found for anterior communicating and middle cerebral aneurysms, but not for posterior communicating aneurysms. The presence of hydrocephalus and spasm were found to be associated with the clinical grading of severity, but not with each other. Spasm was seen with statistical significance more often in later arteriograms, but hydrocephalus was seen in the earlier arteriograms as frequently as in the later ones.
Résumé
Compte tenu de la situation de l’anévrysme, les auteurs étudient 173 cas de spasme artériel cérébral avec rupture anévrysmale unique. Par rapport à la situation de l’anévrysme, le spasme se trouvait davantage dans le domaine de l’artère communicante antérieure ou de l’artère cérébrale moyenne mais ceci n’était pas le cas pour les anévrysmes de l’artère communicante postérieure. L’association d’hydrocéphalie et de spasme a été trouvée dans des cas cliniques sévères. Statistiquement, le spasme était plus visible sur les artériogrammes tardifs tandis que l’hydrocéphalie était visible aussi bien sur les artériogrammes précoces que sur ceux plus tardifs.
Zusammenfassung
Beschreibung von Untersuchungsergebnissen von 173 Patienten, bei denen eine Aneurysma-Blutung nachgewiesen wurde. Der Spasmus wurde mit der Lokalisation des Aneurysmas verglichen, er fand sich besonders bei Aneurysmen im Bereich der A. communicans anterior und der A. cerebri media, nicht jedoch bei Aneurysmen der A. communicans posterior. Die Kombination des Spasmus mit einem Hydrocephalus fand sich bei schweren klinischen Krankheits-Syndromen.
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References
du Boulay, G.: Distribution of spasm in the intracranial arteries after subarachnoid haemorrhage. Acta. Radiol. Diag.1, 257–266 (1963).
Cummins, B. H., Griffith, H. B.: Intracarotid Phynoxybenzamine for Cerebral Arterial. B.M.J.1, 382–383 (1971).
Ecker, A., Riemenschneider, P. A.: Arteriographic demonstration of spasm of the intracranial arteries with special reference to saccular intracranial aneurysms. J. Neurosurg.8, 660–667 (1951).
Fletcher, T. M., Taveras, J. M., Pool, J. L.: Cerebral vasospasm in angiography for intracranial aneurysms; incidence and significance of one hundred consecutive angiograms. Arch. Neurol. A.M.A.1, 38–47 (1959).
Galera, R. G., Greitz, T.: Hydrocephalus in the adult secondary to the rupture of intracranial arterial aneurysms. J. Neurosurg.32, 634–641 (1970).
Hunt, W. E., Hess, R. M.: Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J. Neurosurg.28, 14–20 (1968).
James, I. M.: Changes in cerebral blood flow and in systemic arterial pressure following spontaneous subarachnoid haemorrhage. Clin. Science35, 11–22 (1968).
Kagstrom, E., Greitz, T., Hanson, J., Galera, R.: Changes in cerebral blood flow after subarachnoid haemorrhage. Proceedings of Third International Congress of Neurological Surgery. Amsterdam-Excerpta Medica: 1965.
Robertson, E. G.: Cerebral lesions due to intracranial aneurysms. Brain72, 150–185 (1949).
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Griffith, H.B., Cummins, B.H. & Thomson, J.L.G. Cerebral arterial spasm and hydrocephalus in leaking arterial aneurysms. Neuroradiology 4, 212–214 (1972). https://doi.org/10.1007/BF02469132
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DOI: https://doi.org/10.1007/BF02469132