The importance of traumatic subarachnoid haemorrhage

被引：9

作者：

Abraszko, R ^{[1
]}

Zurynski, Y ^{[1
]}

Dorsch, N ^{[1
]}

机构：

[1] WESTMEAD HOSP, DEPT NEUROSURG, WESTMEAD, NSW 2145, AUSTRALIA

来源：

JOURNAL OF CLINICAL NEUROSCIENCE | 1996年 / 3卷 / 01期

关键词：

head injury; traumatic subarachnoid haemorrhage; vasospasm; hyperaemia; transcranial Doppler;

D O I：

10.1016/S0967-5868(96)90078-8

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Post-traumatic cerebral vasospasm is being increasingly recognised as a possibly significant complication after head injury. To assess the relationship between post-traumatic subarachnoid haemorrhage (tSAH) and post-traumatic vasospasm, 63 patients with severe head injury (GCS 3-8) were studied. Forty-seven patients had cerebral contusion on the initial CT scan. In 25 of these (Group I) there were only contusions, while 22 (Group II) also had tSAH. All patients had daily measurements of blood flow velocity in the basal cerebral arteries using transcranial Doppler ultrasound (TCD). The incidence of vasospasm detected by TCD was significantly higher in Group II. Furthermore there were significantly fewer good outcomes (GOS 1 and 2) in this group. These results suggest that the presence of subarachnoid blood in patients with severe head injury is associated with a risk of vasospasm, and with poorer outcome. (C) 1996 Pearson Professional Ltd

引用

页码：21 / 25

页数：5

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