Prevention and Treatment of Delayed Ischaemic Dysfunction in Patients with Subarachnoid Haemorrhage: An Update

ISBN-13: 9783211820964 / Angielski / Miękka / 1988 / 55 str.

Hans-Ja1/4rgen Reulen; Jacques Philippon

Opis

The papers presented in this supplement volume of "Acta " "Neurochirugica" cover a broad spectrum from basic data on the pathophysiology of Subarachnoid Haemorrhage (SAH) and delayed ischaemic dysfunction to the clinical use of Nimodipine which has been largely documented among calcium inhibitors for its cerebro-vascular properties. The first two presentations deal with the pathophysiological events following SAH and discuss a variety of mechanisms which may be responsible for the neurological dysfunction. The second part discusses the cerebro-vascular and direct cerebral effects of Nimodipine and its evaluation by transcranial Doppler sonography and the interactions of this drug with general anaesthesia. Therapeutic aspects constitute the third part of this volume. On the basis of present knowledge and experience it seems that early surgery combined with prophylactic treatment represents the best option for patients after aneurysmal rupture.

Spis treści

Pathophysiology of Subarachnoid Haemorrhage. Experimental and Clinical Data.- Pathophysiology of Delayed Ischaemic Dysfunction After Subarachnoid Haemorrhage: Experimental and Clinical Data.- Cerebrovascular and Cerebral Effects of Nimodipine — an Update.- Haemodynamic Effectiveness of Nimodipine on Spastic Brain Vessels After Subarachnoid Haemorrhage Evaluated by the Transcranial Doppler Method. A Review of Clinical Studies.- Interactions Between Nimodipine and General Anaesthesia — Clinical Investigations in 124 Patients During Neurosurgical Operations.- Attempts at Prevention and Treatment of Delayed Ischaemic Dysfunction in Patients with Subarachnoid Haemorrhage.- Nimodipine in the Prevention of Ischaemic Deficits After Aneurysmal Subarachnoid Haemorrhage. An Analysis of Recent Clinical Studies.- Review of Treatment of Symptomatic Cerebral Vasospasm with Nimodipine.