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Published in: Neurocritical Care 3/2007

01-12-2007 | Brief Communication

Vasospasm and cerebral infarction following isolated intraventricular hemorrhage

Authors: Elizabeth Gerard, Jennifer A. Frontera, Clinton B. Wright

Published in: Neurocritical Care | Issue 3/2007

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Abstract

Introduction

Cerebral arterial vasospasm following aneurysmal subarachnoid hemorrhage (SAH) is an important cause of delayed neurologic deterioration. Vasospasm following isolated intraventricular hemorrhage (IVH) is less common. Accepted predictors of vasospasm following SAH include poor Hunt-Hess grade, elevated transcranial Doppler velocities, and the thickness of cisternal blood on neuroimaging [1, 2]. The role of intraventricular hemorrhage in vasospasm is more controversial.

Methods

Case report and review of the literature.

Results

A 41-year-old woman developed symptomatic delayed vasospasm 10 days following isolated IVH due to the rupture of an arteriovenous malformation (AVM).

Conclusion

Intraventricular hemorrhage can independently cause significant delayed vasospasm. Possible mechanisms are described.
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Metadata
Title
Vasospasm and cerebral infarction following isolated intraventricular hemorrhage
Authors
Elizabeth Gerard
Jennifer A. Frontera
Clinton B. Wright
Publication date
01-12-2007
Publisher
Humana Press Inc
Published in
Neurocritical Care / Issue 3/2007
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI
https://doi.org/10.1007/s12028-007-0057-1

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