Bleeding into the intracranial or spinal SUBARACHNOID SPACE, most resulting from INTRACRANIAL ANEURYSM rupture. It can occur after traumatic injuries (SUBARACHNOID HEMORRHAGE, TRAUMATIC). Clinical features include HEADACHE; NAUSEA; VOMITING, nuchal rigidity, variable neurological deficits and reduced mental status.
Constriction of arteries in the SKULL due to sudden, sharp, and often persistent smooth muscle contraction in blood vessels. Intracranial vasospasm results in reduced vessel lumen caliber, restricted blood flow to the brain, and BRAIN ISCHEMIA that may lead to hypoxic-ischemic brain injury (HYPOXIA-ISCHEMIA, BRAIN).
The space between the arachnoid membrane and PIA MATER, filled with CEREBROSPINAL FLUID. It contains large blood vessels that supply the BRAIN and SPINAL CORD.
Abnormal outpouching in the wall of intracranial blood vessels. Most common are the saccular (berry) aneurysms located at branch points in CIRCLE OF WILLIS at the base of the brain. Vessel rupture results in SUBARACHNOID HEMORRHAGE or INTRACRANIAL HEMORRHAGES. Giant aneurysms (>2.5 cm in diameter) may compress adjacent structures, including the OCULOMOTOR NERVE. (From Adams et al., Principles of Neurology, 6th ed, p841)
Bleeding into one or both CEREBRAL HEMISPHERES including the BASAL GANGLIA and the CEREBRAL CORTEX. It is often associated with HYPERTENSION and CRANIOCEREBRAL TRAUMA.
The tearing or bursting of the weakened wall of the aneurysmal sac, usually heralded by sudden worsening pain. The great danger of a ruptured aneurysm is the large amount of blood spilling into the surrounding tissues and cavities, causing HEMORRHAGIC SHOCK.
Bleeding or escape of blood from a vessel.
Radiography of the vascular system of the brain after injection of a contrast medium.
The artery formed by the union of the right and left vertebral arteries; it runs from the lower to the upper border of the pons, where it bifurcates into the two posterior cerebral arteries.
Bleeding within the SKULL, including hemorrhages in the brain and the three membranes of MENINGES. The escape of blood often leads to the formation of HEMATOMA in the cranial epidural, subdural, and subarachnoid spaces.
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
The arterial blood vessels supplying the CEREBRUM.
Tear or break of an organ, vessel or other soft part of the body, occurring in the absence of external force.
Bleeding into the SUBARACHNOID SPACE due to CRANIOCEREBRAL TRAUMA. Minor hemorrhages may be asymptomatic; moderate to severe hemorrhages may be associated with INTRACRANIAL HYPERTENSION and VASOSPASM, INTRACRANIAL.
Tapping fluid from the subarachnoid space in the lumbar region, usually between the third and fourth lumbar vertebrae.
Excessive accumulation of cerebrospinal fluid within the cranium which may be associated with dilation of cerebral ventricles, INTRACRANIAL HYPERTENSION; HEADACHE; lethargy; URINARY INCONTINENCE; and ATAXIA.
A scale that assesses the outcome of serious craniocerebral injuries, based on the level of regained social functioning.
One of three principal openings in the SUBARACHNOID SPACE. They are also known as cerebellomedullary cistern, and collectively as cisterns.
Pressure within the cranial cavity. It is influenced by brain mass, the circulatory system, CSF dynamics, and skull rigidity.
Brief reversible episodes of focal, nonconvulsive ischemic dysfunction of the brain having a duration of less than 24 hours, and usually less than one hour, caused by transient thrombotic or embolic blood vessel occlusion or stenosis. Events may be classified by arterial distribution, temporal pattern, or etiology (e.g., embolic vs. thrombotic). (From Adams et al., Principles of Neurology, 6th ed, pp814-6)
The circulation of blood through the BLOOD VESSELS of the BRAIN.
Localized reduction of blood flow to brain tissue due to arterial obstruction or systemic hypoperfusion. This frequently occurs in conjunction with brain hypoxia (HYPOXIA, BRAIN). Prolonged ischemia is associated with BRAIN INFARCTION.
Hand-held tools or implements used by health professionals for the performance of surgical tasks.
Bleeding from the vessels of the retina.
Surgical creation of an opening in a cerebral ventricle.
A calcium channel blockader with preferential cerebrovascular activity. It has marked cerebrovascular dilating effects and lowers blood pressure.
A method of delineating blood vessels by subtracting a tissue background image from an image of tissue plus intravascular contrast material that attenuates the X-ray photons. The background image is determined from a digitized image taken a few moments before injection of the contrast material. The resulting angiogram is a high-contrast image of the vessel. This subtraction technique allows extraction of a high-intensity signal from the superimposed background information. The image is thus the result of the differential absorption of X-rays by different tissues.
A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage.
Hemorrhage into the VITREOUS BODY.
Accumulation of blood in the SUBDURAL SPACE between the DURA MATER and the arachnoidal layer of the MENINGES. This condition primarily occurs over the surface of a CEREBRAL HEMISPHERE, but may develop in the spinal canal (HEMATOMA, SUBDURAL, SPINAL). Subdural hematoma can be classified as the acute or the chronic form, with immediate or delayed symptom onset, respectively. Symptoms may include loss of consciousness, severe HEADACHE, and deteriorating mental status.
A scale that assesses the response to stimuli in patients with craniocerebral injuries. The parameters are eye opening, motor response, and verbal response.
The formation of an area of NECROSIS in the CEREBRUM caused by an insufficiency of arterial or venous blood flow. Infarcts of the cerebrum are generally classified by hemisphere (i.e., left vs. right), lobe (e.g., frontal lobe infarction), arterial distribution (e.g., INFARCTION, ANTERIOR CEREBRAL ARTERY), and etiology (e.g., embolic infarction).
Surgery performed on the nervous system or its parts.
The first branch of the SUBCLAVIAN ARTERY with distribution to muscles of the NECK; VERTEBRAE; SPINAL CORD; CEREBELLUM; and interior of the CEREBRUM.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Excess blood loss from uterine bleeding associated with OBSTETRIC LABOR or CHILDBIRTH. It is defined as blood loss greater than 500 ml or of the amount that adversely affects the maternal physiology, such as BLOOD PRESSURE and HEMATOCRIT. Postpartum hemorrhage is divided into two categories, immediate (within first 24 hours after birth) or delayed (after 24 hours postpartum).
Any operation on the cranium or incision into the cranium. (Dorland, 28th ed)
Pregnane derivatives containing three double bonds in the ring structures.
A delicate membrane enveloping the brain and spinal cord. It lies between the PIA MATER and the DURA MATER. It is separated from the pia mater by the subarachnoid cavity which is filled with CEREBROSPINAL FLUID.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
The part of CENTRAL NERVOUS SYSTEM that is contained within the skull (CRANIUM). Arising from the NEURAL TUBE, the embryonic brain is comprised of three major parts including PROSENCEPHALON (the forebrain); MESENCEPHALON (the midbrain); and RHOMBENCEPHALON (the hindbrain). The developed brain consists of CEREBRUM; CEREBELLUM; and other structures in the BRAIN STEM.
Bleeding within the SKULL that is caused by systemic HYPERTENSION, usually in association with INTRACRANIAL ARTERIOSCLEROSIS. Hypertensive hemorrhages are most frequent in the BASAL GANGLIA; CEREBELLUM; PONS; and THALAMUS; but may also involve the CEREBRAL CORTEX, subcortical white matter, and other brain structures.
Bleeding in any segment of the GASTROINTESTINAL TRACT from ESOPHAGUS to RECTUM.
Splitting of the vessel wall in the VERTEBRAL ARTERY. Interstitial hemorrhage into the media of the vessel wall can lead to occlusion of the vertebral artery, aneurysm formation, or THROMBOEMBOLISM. Vertebral artery dissection is often associated with TRAUMA and injuries to the head-neck region but can occur spontaneously.
Elements of limited time intervals, contributing to particular results or situations.
The symptom of PAIN in the cranial region. It may be an isolated benign occurrence or manifestation of a wide variety of HEADACHE DISORDERS.
A spectrum of pathological conditions of impaired blood flow in the brain. They can involve vessels (ARTERIES or VEINS) in the CEREBRUM, the CEREBELLUM, and the BRAIN STEM. Major categories include INTRACRANIAL ARTERIOVENOUS MALFORMATIONS; BRAIN ISCHEMIA; CEREBRAL HEMORRHAGE; and others.
A collection of blood outside the BLOOD VESSELS. Hematoma can be localized in an organ, space, or tissue.
Intraocular hemorrhage from the vessels of various tissues of the eye.
Radiography of the ventricular system of the brain after injection of air or other contrast medium directly into the cerebral ventricles. It is used also for x-ray computed tomography of the cerebral ventricles.
Surgical creation of a communication between a cerebral ventricle and the peritoneum by means of a plastic tube to permit drainage of cerebrospinal fluid for relief of hydrocephalus. (From Dorland, 28th ed)
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Conditions in which the primary symptom is HEADACHE and the headache cannot be attributed to any known causes.
Four CSF-filled (see CEREBROSPINAL FLUID) cavities within the cerebral hemispheres (LATERAL VENTRICLES), in the midline (THIRD VENTRICLE) and within the PONS and MEDULLA OBLONGATA (FOURTH VENTRICLE).
Congenital vascular anomalies in the brain characterized by direct communication between an artery and a vein without passing through the CAPILLARIES. The locations and size of the shunts determine the symptoms including HEADACHES; SEIZURES; STROKE; INTRACRANIAL HEMORRHAGES; mass effect; and vascular steal effect.
A surgical specialty concerned with the treatment of diseases and disorders of the brain, spinal cord, and peripheral and sympathetic nervous system.
Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques.
A non-invasive technique using ultrasound for the measurement of cerebrovascular hemodynamics, particularly cerebral blood flow velocity and cerebral collateral flow. With a high-intensity, low-frequency pulse probe, the intracranial arteries may be studied transtemporally, transorbitally, or from below the foramen magnum.
Increased pressure within the cranial vault. This may result from several conditions, including HYDROCEPHALUS; BRAIN EDEMA; intracranial masses; severe systemic HYPERTENSION; PSEUDOTUMOR CEREBRI; and other disorders.
Increased intracellular or extracellular fluid in brain tissue. Cytotoxic brain edema (swelling due to increased intracellular fluid) is indicative of a disturbance in cell metabolism, and is commonly associated with hypoxic or ischemic injuries (see HYPOXIA, BRAIN). An increase in extracellular fluid may be caused by increased brain capillary permeability (vasogenic edema), an osmotic gradient, local blockages in interstitial fluid pathways, or by obstruction of CSF flow (e.g., obstructive HYDROCEPHALUS). (From Childs Nerv Syst 1992 Sep; 8(6):301-6)
A watery fluid that is continuously produced in the CHOROID PLEXUS and circulates around the surface of the BRAIN; SPINAL CORD; and in the CEREBRAL VENTRICLES.
Intracranial bleeding into the PUTAMEN, a BASAL GANGLIA nucleus. This is associated with HYPERTENSION and lipohyalinosis of small blood vessels in the putamen. Clinical manifestations vary with the size of hemorrhage, but include HEMIPARESIS; HEADACHE; and alterations of consciousness.
Organic mental disorders in which there is impairment of the ability to maintain awareness of self and environment and to respond to environmental stimuli. Dysfunction of the cerebral hemispheres or brain stem RETICULAR FORMATION may result in this condition.
The decrease in neuronal activity (related to a decrease in metabolic demand) extending from the site of cortical stimulation. It is believed to be responsible for the decrease in cerebral blood flow that accompanies the aura of MIGRAINE WITH AURA. (Campbell's Psychiatric Dictionary, 8th ed.)
Naturally occurring or experimentally induced animal diseases with pathological processes sufficiently similar to those of human diseases. They are used as study models for human diseases.
The three membranes that cover the BRAIN and the SPINAL CORD. They are the dura mater, the arachnoid, and the pia mater.
The largest of the cerebral arteries. It trifurcates into temporal, frontal, and parietal branches supplying blood to most of the parenchyma of these lobes in the CEREBRAL CORTEX. These are the areas involved in motor, sensory, and speech activities.
Artery formed by the bifurcation of the BASILAR ARTERY. Branches of the posterior cerebral artery supply portions of the OCCIPITAL LOBE; PARIETAL LOBE; inferior temporal gyrus, brainstem, and CHOROID PLEXUS.
Death resulting from the presence of a disease in an individual, as shown by a single case report or a limited number of patients. This should be differentiated from DEATH, the physiological cessation of life and from MORTALITY, an epidemiological or statistical concept.
A group of pathological conditions characterized by sudden, non-convulsive loss of neurological function due to BRAIN ISCHEMIA or INTRACRANIAL HEMORRHAGES. Stroke is classified by the type of tissue NECROSIS, such as the anatomic location, vasculature involved, etiology, age of the affected individual, and hemorrhagic vs. non-hemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
Hemosiderin is an iron-containing pigment that originates from the breakdown of hemoglobin and accumulates in tissues, primarily in macrophages, as a result of various pathological conditions such as hemorrhage, inflammation, or certain storage diseases.
Disease having a short and relatively severe course.
Acute and chronic (see also BRAIN INJURIES, CHRONIC) injuries to the brain, including the cerebral hemispheres, CEREBELLUM, and BRAIN STEM. Clinical manifestations depend on the nature of injury. Diffuse trauma to the brain is frequently associated with DIFFUSE AXONAL INJURY or COMA, POST-TRAUMATIC. Localized injuries may be associated with NEUROBEHAVIORAL MANIFESTATIONS; HEMIPARESIS, or other focal neurologic deficits.
A small colorless crystal used as an anticonvulsant, a cathartic, and an electrolyte replenisher in the treatment of pre-eclampsia and eclampsia. It causes direct inhibition of action potentials in myometrial muscle cells. Excitation and contraction are uncoupled, which decreases the frequency and force of contractions. (From AMA Drug Evaluations Annual, 1992, p1083)
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
Narrow channel in the MESENCEPHALON that connects the third and fourth CEREBRAL VENTRICLES.
The physiological narrowing of BLOOD VESSELS by contraction of the VASCULAR SMOOTH MUSCLE.
A profound state of unconsciousness associated with depressed cerebral activity from which the individual cannot be aroused. Coma generally occurs when there is dysfunction or injury involving both cerebral hemispheres or the brain stem RETICULAR FORMATION.
An alkaloid found in opium but not closely related to the other opium alkaloids in its structure or pharmacological actions. It is a direct-acting smooth muscle relaxant used in the treatment of impotence and as a vasodilator, especially for cerebral vasodilation. The mechanism of its pharmacological actions is not clear, but it apparently can inhibit phosphodiesterases and it may have direct actions on calcium channels.
The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.
The return of a sign, symptom, or disease after a remission.
Pathological outpouching or sac-like dilatation in the wall of any blood vessel (ARTERIES or VEINS) or the heart (HEART ANEURYSM). It indicates a thin and weakened area in the wall which may later rupture. Aneurysms are classified by location, etiology, or other characteristics.
Radiography of blood vessels after injection of a contrast medium.
Amino derivatives of caproic acid. Included under this heading are a broad variety of acid forms, salts, esters, and amides that contain the amino caproic acid structure.
Bleeding within the subcortical regions of cerebral hemispheres (BASAL GANGLIA). It is often associated with HYPERTENSION or ARTERIOVENOUS MALFORMATIONS. Clinical manifestations may include HEADACHE; DYSKINESIAS; and HEMIPARESIS.
Bleeding into one or both CEREBRAL HEMISPHERES due to TRAUMA. Hemorrhage may involve any part of the CEREBRAL CORTEX and the BASAL GANGLIA. Depending on the severity of bleeding, clinical features may include SEIZURES; APHASIA; VISION DISORDERS; MOVEMENT DISORDERS; PARALYSIS; and COMA.
The outermost of the three MENINGES, a fibrous membrane of connective tissue that covers the brain and the spinal cord.
Accumulation of blood in the SUBDURAL SPACE over the CEREBRAL HEMISPHERE.
Assessment of sensory and motor responses and reflexes that is used to determine impairment of the nervous system.
Antifibrinolytic hemostatic used in severe hemorrhage.
Artery formed by the bifurcation of the internal carotid artery (CAROTID ARTERY, INTERNAL). Branches of the anterior cerebral artery supply the CAUDATE NUCLEUS; INTERNAL CAPSULE; PUTAMEN; SEPTAL NUCLEI; GYRUS CINGULI; and surfaces of the FRONTAL LOBE and PARIETAL LOBE.
A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.
In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.
Branch of the common carotid artery which supplies the anterior part of the brain, the eye and its appendages, the forehead and nose.
Acute or chronic inflammation of the arachnoid membrane of the meninges most often involving the spinal cord or base of the brain. This term generally refers to a persistent inflammatory process characterized by thickening of the ARACHNOID membrane and dural adhesions. Associated conditions include prior surgery, infections, trauma, SUBARACHNOID HEMORRHAGE, and chemical irritation. Clinical features vary with the site of inflammation, but include cranial neuropathies, radiculopathies, and myelopathies. (From Joynt, Clinical Neurology, 1997, Ch48, p25)
Pathological processes involving any of the BLOOD VESSELS feeding the SPINAL CORD, such as the anterior and paired posterior spinal arteries or their many branches. Disease processes may include ATHEROSCLEROSIS; EMBOLISM; and ARTERIOVENOUS MALFORMATIONS leading to ISCHEMIA or HEMORRHAGE into the spinal cord (hematomyelia).
Agents that prevent fibrinolysis or lysis of a blood clot or thrombus. Several endogenous antiplasmins are known. The drugs are used to control massive hemorrhage and in other coagulation disorders.
The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065)
Traumatic injuries to the cranium where the integrity of the skull is not compromised and no bone fragments or other objects penetrate the skull and dura mater. This frequently results in mechanical injury being transmitted to intracranial structures which may produce traumatic brain injuries, hemorrhage, or cranial nerve injury. (From Rowland, Merritt's Textbook of Neurology, 9th ed, p417)
A form of pneumoconiosis resulting from inhalation of iron in the mining dust or welding fumes.
Specialized non-fenestrated tightly-joined ENDOTHELIAL CELLS with TIGHT JUNCTIONS that form a transport barrier for certain substances between the cerebral capillaries and the BRAIN tissue.
Non-invasive method of vascular imaging and determination of internal anatomy without injection of contrast media or radiation exposure. The technique is used especially in CEREBRAL ANGIOGRAPHY as well as for studies of other vascular structures.
An abnormally low volume of blood circulating through the body. It may result in hypovolemic shock (see SHOCK).
The innermost layer of the three meninges covering the brain and spinal cord. It is the fine vascular membrane that lies under the ARACHNOID and the DURA MATER.
An irregularly shaped cavity in the RHOMBENCEPHALON, located between the MEDULLA OBLONGATA; the PONS; and the isthmus in front, and the CEREBELLUM behind. It is continuous with the central canal of the cord below and with the CEREBRAL AQUEDUCT above, and through its lateral and median apertures it communicates with the SUBARACHNOID SPACE.
Hemorrhage following any surgical procedure. It may be immediate or delayed and is not restricted to the surgical wound.
1,4-Diethylene dioxides. Industrial solvents. According to the Fourth Annual Report on Carcinogens (NTP 85-002, 1985), dioxane itself may "reasonably be anticipated to be a carcinogen." (Merck Index, 11th ed)
The escape of diagnostic or therapeutic material from the vessel into which it is introduced into the surrounding tissue or body cavity.
Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.
Diseases of the central and peripheral nervous system. This includes disorders of the brain, spinal cord, cranial nerves, peripheral nerves, nerve roots, autonomic nervous system, neuromuscular junction, and muscle.
The infratentorial compartment that contains the CEREBELLUM and BRAIN STEM. It is formed by the posterior third of the superior surface of the body of the sphenoid (SPHENOID BONE), by the occipital, the petrous, and mastoid portions of the TEMPORAL BONE, and the posterior inferior angle of the PARIETAL BONE.
Volume of circulating BLOOD. It is the sum of the PLASMA VOLUME and ERYTHROCYTE VOLUME.
Minimally invasive procedures, diagnostic or therapeutic, performed within the BLOOD VESSELS. They may be perfomed via ANGIOSCOPY; INTERVENTIONAL MAGNETIC RESONANCE IMAGING; INTERVENTIONAL RADIOGRAPHY; or INTERVENTIONAL ULTRASONOGRAPHY.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Unequal pupil size, which may represent a benign physiologic variant or a manifestation of disease. Pathologic anisocoria reflects an abnormality in the musculature of the iris (IRIS DISEASES) or in the parasympathetic or sympathetic pathways that innervate the pupil. Physiologic anisocoria refers to an asymmetry of pupil diameter, usually less than 2mm, that is not associated with disease.
Loss of the ability to maintain awareness of self and environment combined with markedly reduced responsiveness to environmental stimuli. (From Adams et al., Principles of Neurology, 6th ed, pp344-5)
Method for determining the circulating blood volume by introducing a known quantity of foreign substance into the blood and determining its concentration some minutes later when thorough mixing has occurred. From these two values the blood volume can be calculated by dividing the quantity of injected material by its concentration in the blood at the time of uniform mixing. Generally expressed as cubic centimeters or liters per kilogram of body weight.
Veins draining the cerebrum.
The creation and display of functional images showing where the blood flow reaches by following the distribution of tracers injected into the blood stream.
Procedure in which an anesthetic is injected directly into the spinal cord.
Presence of air or gas within the intracranial cavity (e.g., epidural space, subdural space, intracerebral, etc.) which may result from traumatic injuries, fistulous tract formation, erosions of the skull from NEOPLASMS or infection, NEUROSURGICAL PROCEDURES, and other conditions.
Formation or presence of a blood clot (THROMBUS) in a blood vessel within the SKULL. Intracranial thrombosis can lead to thrombotic occlusions and BRAIN INFARCTION. The majority of the thrombotic occlusions are associated with ATHEROSCLEROSIS.

Combination therapy of fasudil hydrochloride and ozagrel sodium for cerebral vasospasm following aneurysmal subarachnoid hemorrhage. (1/2145)

Fasudil hydrochloride is a new type of intracellular calcium antagonist, different from the calcium entry blockers that are commonly employed for clinical use. Since September 1995, the combination of fasudil hydrochloride and ozagrel sodium, an inhibitor of thromboxane A2 synthesis, has been used to treat 60 patients at risk of cerebral vasospasm after aneurysmal subarachnoid hemorrhage. The effectiveness of this combination therapy was investigated by comparison with the outcome of 57 patients previously treated with only ozagrel sodium. The combination therapy was significantly more effective (p < 0.01) in reducing the incidence of low density areas on computed tomography scans, and reduced, but not significantly, the occurrence of symptomatic vasospasm. The combination therapy of fasudil hydrochloride and ozagrel sodium has superior effectiveness over only ozagrel sodium in treating patients at risk of vasospasm after aneurysmal subarachnoid hemorrhage.  (+info)

Significance of acute cerebral swelling in patients with sylvian hematoma due to ruptured middle cerebral artery aneurysm, and its management. (2/2145)

A retrospective study of 75 patients treated surgically for ruptured middle cerebral artery (MCA) aneurysm within 48 hours evaluated clinical grade at admission, secondary development and management of cerebral swelling associated with space-occupying hematoma, cerebral infarction caused by vasospasm, development of hydrocephalus, and clinical outcome. Clinical grade at admission was significantly better in patients without than in those with hematoma (p < 0.01). Twenty-seven patients with sylvian hematoma caused by ruptured MCA aneurysm often developed ipsilateral cerebral swelling in the early period after subarachnoid hemorrhage. Seventeen of these patients developed serious cerebral swelling and received barbiturate therapy. Nine of these 17 patients had good outcome, but six patients died of cerebral swelling. The incidence of hydrocephalus was significantly higher in patients with than in those without hematoma (p < 0.01). The incidence of infarction was more pronounced in patients with sylvian hematoma. Clinical outcome was significantly better in patients without than in those with sylvian hematoma (p < 0.01). Development of cerebral swelling in patients with sylvian hematoma due to ruptured MCA aneurysm has a significant effect on outcome, and improvements in management are required.  (+info)

Diffusion- and perfusion-weighted imaging in vasospasm after subarachnoid hemorrhage. (3/2145)

BACKGROUND AND PURPOSE: Better measures of cerebral tissue perfusion and earlier detection of ischemic injury are needed to guide therapy in subarachnoid hemorrhage (SAH) patients with vasospasm. We sought to identify tissue ischemia and early ischemic injury with combined diffusion-weighted (DW) and hemodynamically weighted (HW) MRI in patients with vasospasm after SAH. METHODS: Combined DW and HW imaging was used to study 6 patients with clinical and angiographic vasospasm, 1 patient without clinical signs of vasospasm but with severe angiographic vasospasm, and 1 patient without angiographic spasm. Analysis of the passage of an intravenous contrast bolus through brain was used to construct multislice maps of relative cerebral blood volume (rCBV), relative cerebral blood flow (rCBF), and tissue mean transit time (tMTT). We hypothesize that large HW imaging (HWI) abnormalities would be present in treated patients at the time they develop neurological deficit due to vasospasm without matching DW imaging (DWI) abnormalities. RESULTS: Small, sometimes multiple, ischemic lesions on DWI were seen encircled by a large area of decreased rCBF and increased tMTT in all patients with symptomatic vasospasm. Decreases in rCBV were not prominent. MRI hemodynamic abnormalities occurred in regions supplied by vessels with angiographic vasospasm or in their watershed territories. All patients with neurological deficit showed an area of abnormal tMTT much larger than the area of DWI abnormality. MRI images were normal in the asymptomatic patient with angiographic vasospasm and the patient with normal angiogram and no clinical signs of vasospasm. CONCLUSIONS: We conclude that DW/HW MRI in symptomatic vasospasm can detect widespread changes in tissue hemodynamics that encircle early foci of ischemic injury. With additional study, the technique could become a useful tool in the clinical management of patients with SAH.  (+info)

Primary non-traumatic intracranial hemorrhage. A municipal emergency hospital viewpoint. (4/2145)

The devastating natural history of 138 consecutive admissions for non-traumatic intracranial hemorrhage to a major emergency care municipal hospital is reviewed. Sixty-four percent of the patients had demonstrable intracranial hematomas while 36% had mainly subarachnoid hemorrhage. Hypertension was a related condition in 43% of the parenchymal hematoma patients, while proved aneurysms accounted for 74% of the subarachnoid hemorrhage patients. There was only a 14% survivorship for patients requiring emergent surgery. All operated hematoma patients survived delayed surgery with improved level of responsiveness. The overall mortality was 74% for intracranial hematoma patients and 58% for aneurysm-caused subarachnoid hemorrhage patients.  (+info)

Prevention of persistent cerebral smooth muscle contraction in response to whole blood. (5/2145)

Using an in vitro system designed to measure arterial constriction, we have demonstrated the importance of platelet function in maintaining cerebral smooth muscle contraction after whole blood injection. We tested two agents, acetyl salicylic acid (ASA) and phthalazinol, both known to interfere with platelet function. In control tests normal rabbit and monkey blood produced a reliable and persistent arterial constriction. In experimental tests blood drawn from animals premedicated with ASA and phthalazinol failed to produce a persistent contraction. These results support the hypothesis that chemicals released during platelet aggregation may be important in persistent vasospasm.  (+info)

Cerebral arterial lesions resulting from inflammatory emboli. (6/2145)

In order to study the effects of septic embolism on the brain, silicone rubber emboli of various types were injected into the carotid arteries of 35 dogs. Pathologic and angiographic studies were performed to assess the resultant arterial and parenchymal lesions. Pure silicone rubber emboli (14 dogs) produced occasional intra-arterial thrombosis but no arteritis. Sterile and bacterially contaminated emboli containing a lead-chromate pigment (similar to those used in previous studies of septic embolism) (11 dogs) and pure silicone rubber emboli with transversely oriented canals (10 dogs), after brief placement in a bacterial suspension, were associated with intense inflammatory arteritis. This was accompanied by focal meningitis, subarachnoid hemorrhage, thrombosis, and cerebritis of the underlying cortex. The findings resembled those found in mycotic aneurysm. Aneurysmal dilatation was observed in one postmortem angiogram. In previous models of mycotic aneurysm, the inflammation attributed to bacterial contamination was probably due to the lead-chromate pigment used.  (+info)

Surgical treatment of internal carotid artery anterior wall aneurysm with extravasation during angiography--case report. (7/2145)

A 54-year-old female presented subarachnoid hemorrhage from an aneurysm arising from the anterior (dorsal) wall of the internal carotid artery (ICA). During four-vessel angiography, an extravasated saccular pooling of contrast medium emerged in the suprasellar area unrelated to any arterial branch. The saccular pooling was visualized in the arterial phase and cleared in the venophase during every contrast medium injection. We suspected that the extravasated pooling was surrounded by hard clot but communicated with the artery. Direct surgery was performed but major premature bleeding occurred during the microsurgical procedure. After temporary clipping, an opening of the anterior (dorsal) wall of the ICA was found without apparent aneurysm wall. The vessel wall was sutured with nylon thread. The total occlusion time of the ICA was about 50 minutes. Follow-up angiography demonstrated good patency of the ICA. About 2 years after the operation, the patient was able to walk with a stick and to communicate freely through speech, although left hemiparesis and left homonymous hemianopsia persisted. The outcome suggests our treatment strategy was not optimal, but suture of the ICA wall is one of the therapeutic choices when premature rupture occurs in the operation.  (+info)

Venous subarachnoid hemorrhage after inferior petrosal sinus sampling for adrenocorticotropic hormone. (8/2145)

Neurologic complications associated with inferior petrosal sinus sampling for adrenocorticotropic hormone in the diagnosis of Cushing syndrome are rare. Previously reported complications include brain stem infarction and pontine hemorrhage. We report a case of venous subarachnoid hemorrhage with subsequent acute obstructive hydrocephalus occurring during inferior petrosal sinus sampling for Cushing syndrome.  (+info)

A subarachnoid hemorrhage is a type of stroke that results from bleeding into the space surrounding the brain, specifically within the subarachnoid space which contains cerebrospinal fluid (CSF). This space is located between the arachnoid membrane and the pia mater, two of the three layers that make up the meninges, the protective covering of the brain and spinal cord.

The bleeding typically originates from a ruptured aneurysm, a weakened area in the wall of a cerebral artery, or less commonly from arteriovenous malformations (AVMs) or head trauma. The sudden influx of blood into the CSF-filled space can cause increased intracranial pressure, irritation to the brain, and vasospasms, leading to further ischemia and potential additional neurological damage.

Symptoms of a subarachnoid hemorrhage may include sudden onset of severe headache (often described as "the worst headache of my life"), neck stiffness, altered mental status, nausea, vomiting, photophobia, and focal neurological deficits. Rapid diagnosis and treatment are crucial to prevent further complications and improve the chances of recovery.

Intracranial vasospasm is a medical condition characterized by the narrowing or constriction of the intracranial arteries, which are the blood vessels that supply blood to the brain. This narrowing is usually caused by the contraction or spasming of the smooth muscle in the walls of the arteries, leading to reduced blood flow and oxygen delivery to the brain tissue.

Intracranial vasospasm is often associated with subarachnoid hemorrhage (SAH), a type of stroke caused by bleeding in the space surrounding the brain. SAH can cause the release of blood components, such as hemoglobin and iron, which can irritate and damage the walls of the arteries. This irritation can trigger an inflammatory response that leads to the contraction of the smooth muscle in the artery walls, causing vasospasm.

Vasospasm can cause further ischemia (reduced blood flow) or infarction (tissue death) in the brain, leading to serious neurological deficits or even death. Therefore, prompt diagnosis and treatment of intracranial vasospasm are crucial for improving patient outcomes. Treatment options may include medications to dilate the blood vessels, angioplasty (balloon dilation) or stenting procedures to mechanically open up the arteries, or surgical intervention to relieve pressure on the brain.

The subarachnoid space is the area between the arachnoid mater and pia mater, which are two of the three membranes covering the brain and spinal cord (the third one being the dura mater). This space is filled with cerebrospinal fluid (CSF), which provides protection and cushioning to the central nervous system. The subarachnoid space also contains blood vessels that supply the brain and spinal cord with oxygen and nutrients. It's important to note that subarachnoid hemorrhage, a type of stroke, can occur when there is bleeding into this space.

An intracranial aneurysm is a localized, blood-filled dilation or bulging in the wall of a cerebral artery within the skull (intracranial). These aneurysms typically occur at weak points in the arterial walls, often at branching points where the vessel divides into smaller branches. Over time, the repeated pressure from blood flow can cause the vessel wall to weaken and balloon out, forming a sac-like structure. Intracranial aneurysms can vary in size, ranging from a few millimeters to several centimeters in diameter.

There are three main types of intracranial aneurysms:

1. Saccular (berry) aneurysm: This is the most common type, characterized by a round or oval shape with a narrow neck and a bulging sac. They usually develop at branching points in the arteries due to congenital weaknesses in the vessel wall.
2. Fusiform aneurysm: These aneurysms have a dilated segment along the length of the artery, forming a cigar-shaped or spindle-like structure. They are often caused by atherosclerosis and can affect any part of the cerebral arteries.
3. Dissecting aneurysm: This type occurs when there is a tear in the inner lining (intima) of the artery, allowing blood to flow between the layers of the vessel wall. It can lead to narrowing or complete blockage of the affected artery and may cause subarachnoid hemorrhage if it ruptures.

Intracranial aneurysms can be asymptomatic and discovered incidentally during imaging studies for other conditions. However, when they grow larger or rupture, they can lead to severe complications such as subarachnoid hemorrhage, stroke, or even death. Treatment options include surgical clipping, endovascular coiling, or flow diversion techniques to prevent further growth and potential rupture of the aneurysm.

A cerebral hemorrhage, also known as an intracranial hemorrhage or intracerebral hemorrhage, is a type of stroke that results from bleeding within the brain tissue. It occurs when a weakened blood vessel bursts and causes localized bleeding in the brain. This bleeding can increase pressure in the skull, damage nearby brain cells, and release toxic substances that further harm brain tissues.

Cerebral hemorrhages are often caused by chronic conditions like hypertension (high blood pressure) or cerebral amyloid angiopathy, which weakens the walls of blood vessels over time. Other potential causes include trauma, aneurysms, arteriovenous malformations, illicit drug use, and brain tumors. Symptoms may include sudden headache, weakness, numbness, difficulty speaking or understanding speech, vision problems, loss of balance, and altered level of consciousness. Immediate medical attention is required to diagnose and manage cerebral hemorrhage through imaging techniques, supportive care, and possible surgical interventions.

A ruptured aneurysm is a serious medical condition that occurs when the wall of an artery or a blood vessel weakens and bulges out, forming an aneurysm, which then bursts, causing bleeding into the surrounding tissue. This can lead to internal hemorrhage, organ damage, and even death, depending on the location and severity of the rupture.

Ruptured aneurysms are often caused by factors such as high blood pressure, smoking, aging, and genetic predisposition. They can occur in any part of the body but are most common in the aorta (the largest artery in the body) and the cerebral arteries (in the brain).

Symptoms of a ruptured aneurysm may include sudden and severe pain, weakness or paralysis, difficulty breathing, confusion, loss of consciousness, and shock. Immediate medical attention is required to prevent further complications and increase the chances of survival. Treatment options for a ruptured aneurysm may include surgery, endovascular repair, or medication to manage symptoms and prevent further bleeding.

Hemorrhage is defined in the medical context as an excessive loss of blood from the circulatory system, which can occur due to various reasons such as injury, surgery, or underlying health conditions that affect blood clotting or the integrity of blood vessels. The bleeding may be internal, external, visible, or concealed, and it can vary in severity from minor to life-threatening, depending on the location and extent of the bleeding. Hemorrhage is a serious medical emergency that requires immediate attention and treatment to prevent further blood loss, organ damage, and potential death.

Cerebral angiography is a medical procedure that involves taking X-ray images of the blood vessels in the brain after injecting a contrast dye into them. This procedure helps doctors to diagnose and treat various conditions affecting the blood vessels in the brain, such as aneurysms, arteriovenous malformations, and stenosis (narrowing of the blood vessels).

During the procedure, a catheter is inserted into an artery in the leg and threaded through the body to the blood vessels in the neck or brain. The contrast dye is then injected through the catheter, and X-ray images are taken to visualize the blood flow through the brain's blood vessels.

Cerebral angiography provides detailed images of the blood vessels in the brain, allowing doctors to identify any abnormalities or blockages that may be causing symptoms or increasing the risk of stroke. Based on the results of the cerebral angiography, doctors can develop a treatment plan to address these issues and prevent further complications.

The basilar artery is a major blood vessel that supplies oxygenated blood to the brainstem and cerebellum. It is formed by the union of two vertebral arteries at the lower part of the brainstem, near the junction of the medulla oblongata and pons.

The basilar artery runs upward through the center of the brainstem and divides into two posterior cerebral arteries at the upper part of the brainstem, near the midbrain. The basilar artery gives off several branches that supply blood to various parts of the brainstem, including the pons, medulla oblongata, and midbrain, as well as to the cerebellum.

The basilar artery is an important part of the circle of Willis, a network of arteries at the base of the brain that ensures continuous blood flow to the brain even if one of the arteries becomes blocked or narrowed.

Intracranial hemorrhage (ICH) is a type of stroke caused by bleeding within the brain or its surrounding tissues. It's a serious medical emergency that requires immediate attention and treatment. The bleeding can occur in various locations:

1. Epidural hematoma: Bleeding between the dura mater (the outermost protective covering of the brain) and the skull. This is often caused by trauma, such as a head injury.
2. Subdural hematoma: Bleeding between the dura mater and the brain's surface, which can also be caused by trauma.
3. Subarachnoid hemorrhage: Bleeding in the subarachnoid space, which is filled with cerebrospinal fluid (CSF) and surrounds the brain. This type of ICH is commonly caused by the rupture of an intracranial aneurysm or arteriovenous malformation.
4. Intraparenchymal hemorrhage: Bleeding within the brain tissue itself, which can be caused by hypertension (high blood pressure), amyloid angiopathy, or trauma.
5. Intraventricular hemorrhage: Bleeding into the brain's ventricular system, which contains CSF and communicates with the subarachnoid space. This type of ICH is often seen in premature infants but can also be caused by head trauma or aneurysm rupture in adults.

Symptoms of intracranial hemorrhage may include sudden severe headache, vomiting, altered consciousness, confusion, seizures, weakness, numbness, or paralysis on one side of the body, vision changes, or difficulty speaking or understanding speech. Rapid diagnosis and treatment are crucial to prevent further brain damage and potential long-term disabilities or death.

X-ray computed tomography (CT or CAT scan) is a medical imaging method that uses computer-processed combinations of many X-ray images taken from different angles to produce cross-sectional (tomographic) images (virtual "slices") of the body. These cross-sectional images can then be used to display detailed internal views of organs, bones, and soft tissues in the body.

The term "computed tomography" is used instead of "CT scan" or "CAT scan" because the machines take a series of X-ray measurements from different angles around the body and then use a computer to process these data to create detailed images of internal structures within the body.

CT scanning is a noninvasive, painless medical test that helps physicians diagnose and treat medical conditions. CT imaging provides detailed information about many types of tissue including lung, bone, soft tissue and blood vessels. CT examinations can be performed on every part of the body for a variety of reasons including diagnosis, surgical planning, and monitoring of therapeutic responses.

In computed tomography (CT), an X-ray source and detector rotate around the patient, measuring the X-ray attenuation at many different angles. A computer uses this data to construct a cross-sectional image by the process of reconstruction. This technique is called "tomography". The term "computed" refers to the use of a computer to reconstruct the images.

CT has become an important tool in medical imaging and diagnosis, allowing radiologists and other physicians to view detailed internal images of the body. It can help identify many different medical conditions including cancer, heart disease, lung nodules, liver tumors, and internal injuries from trauma. CT is also commonly used for guiding biopsies and other minimally invasive procedures.

In summary, X-ray computed tomography (CT or CAT scan) is a medical imaging technique that uses computer-processed combinations of many X-ray images taken from different angles to produce cross-sectional images of the body. It provides detailed internal views of organs, bones, and soft tissues in the body, allowing physicians to diagnose and treat medical conditions.

Cerebral arteries refer to the blood vessels that supply oxygenated blood to the brain. These arteries branch off from the internal carotid arteries and the vertebral arteries, which combine to form the basilar artery. The major cerebral arteries include:

1. Anterior cerebral artery (ACA): This artery supplies blood to the frontal lobes of the brain, including the motor and sensory cortices responsible for movement and sensation in the lower limbs.
2. Middle cerebral artery (MCA): The MCA is the largest of the cerebral arteries and supplies blood to the lateral surface of the brain, including the temporal, parietal, and frontal lobes. It is responsible for providing blood to areas involved in motor function, sensory perception, speech, memory, and vision.
3. Posterior cerebral artery (PCA): The PCA supplies blood to the occipital lobe, which is responsible for visual processing, as well as parts of the temporal and parietal lobes.
4. Anterior communicating artery (ACoA) and posterior communicating arteries (PComAs): These are small arteries that connect the major cerebral arteries, forming an important circulatory network called the Circle of Willis. The ACoA connects the two ACAs, while the PComAs connect the ICA with the PCA and the basilar artery.

These cerebral arteries play a crucial role in maintaining proper brain function by delivering oxygenated blood to various regions of the brain. Any damage or obstruction to these arteries can lead to serious neurological conditions, such as strokes or transient ischemic attacks (TIAs).

Spontaneous rupture in medical terms refers to the sudden breaking or tearing of an organ, tissue, or structure within the body without any identifiable trauma or injury. This event can occur due to various reasons such as weakening of the tissue over time because of disease or degeneration, or excessive pressure on the tissue.

For instance, a spontaneous rupture of the appendix is called an "appendiceal rupture," which can lead to peritonitis, a serious inflammation of the abdominal cavity. Similarly, a spontaneous rupture of a blood vessel, like an aortic aneurysm, can result in life-threatening internal bleeding.

Spontaneous ruptures are often medical emergencies and require immediate medical attention for proper diagnosis and treatment.

A traumatic subarachnoid hemorrhage (tSAH) is a type of bleeding within the subarachnoid space – the area between the brain and the thin tissues that cover the brain – which results from a head injury. This condition is typically caused by the rupture of small blood vessels in the brain due to trauma, leading to the accumulation of blood in the cerebrospinal fluid (CSF) surrounding the brain.

The buildup of blood in the subarachnoid space can cause increased intracranial pressure, irritation of the meninges (the membranes covering the brain), and vasospasms (constriction of blood vessels), which may further compromise blood flow to the brain. Symptoms of tSAH can include sudden onset of severe headache, nausea, vomiting, altered mental status, and in severe cases, loss of consciousness or even death. Immediate medical attention is necessary for proper diagnosis and management of this condition.

A spinal puncture, also known as a lumbar puncture or a spinal tap, is a medical procedure in which a thin, hollow needle is inserted between two vertebrae in the lower back to extract cerebrospinal fluid (CSF) from the subarachnoid space. This procedure is typically performed to diagnose conditions affecting the central nervous system, such as meningitis, encephalitis, or subarachnoid hemorrhage, by analyzing the CSF for cells, chemicals, bacteria, or viruses. Additionally, spinal punctures can be used to administer medications or anesthetics directly into the CSF space, such as in the case of epidural anesthesia during childbirth.

The medical definition of a spinal puncture is: "A diagnostic and therapeutic procedure that involves introducing a thin needle into the subarachnoid space, typically at the lumbar level, to collect cerebrospinal fluid or administer medications."

Hydrocephalus is a medical condition characterized by an abnormal accumulation of cerebrospinal fluid (CSF) within the brain, leading to an increase in intracranial pressure and potentially causing damage to the brain tissues. This excessive buildup of CSF can result from either overproduction or impaired absorption of the fluid, which typically causes the ventricles (fluid-filled spaces) inside the brain to expand and put pressure on surrounding brain structures.

The condition can be congenital, present at birth due to genetic factors or abnormalities during fetal development, or acquired later in life as a result of injuries, infections, tumors, or other disorders affecting the brain's ability to regulate CSF flow and absorption. Symptoms may vary depending on age, severity, and duration but often include headaches, vomiting, balance problems, vision issues, cognitive impairment, and changes in behavior or personality.

Treatment for hydrocephalus typically involves surgically implanting a shunt system that diverts the excess CSF from the brain to another part of the body where it can be absorbed, such as the abdominal cavity. In some cases, endoscopic third ventriculostomy (ETV) might be an alternative treatment option, creating a new pathway for CSF flow within the brain. Regular follow-ups with neurosurgeons and other healthcare professionals are essential to monitor the condition and make any necessary adjustments to the treatment plan.

The Glasgow Outcome Scale (GOS) is a widely used clinical measurement for assessing the outcome and recovery of patients who have suffered a traumatic brain injury (TBI) or other neurological disorders. It was first introduced in 1975 by Graham Jennett and colleagues at the University of Glasgow.

The GOS classifies the overall functional ability and independence of a patient into one of the following five hierarchical categories:

1. **Death:** The patient has died due to the injury or its complications.
2. **Vegetative State (VS):** The patient is unaware of their surroundings, shows no meaningful response to stimuli, and has minimal or absent brainstem reflexes. They may have sleep-wake cycles but lack higher cognitive functions.
3. **Severe Disability (SD):** The patient demonstrates considerable disability in their daily life, requiring assistance with personal care and activities. They might have cognitive impairments, communication difficulties, or physical disabilities that limit their independence.
4. **Moderate Disability (MD):** The patient has some disability but can live independently, manage their own affairs, and return to work in a sheltered environment. They may exhibit minor neurological or psychological deficits.
5. **Good Recovery (GR):** The patient has resumed normal life with minimal or no residual neurological or psychological deficits. They might have some minor problems with memory, concentration, or organizational skills but can perform their daily activities without assistance.

The Glasgow Outcome Scale-Extended (GOS-E) is an updated and more detailed version of the GOS, which further breaks down the original five categories into eight subcategories for a more nuanced assessment of patient outcomes.

The term "cisterna magna" is derived from Latin, where "cisterna" means "reservoir" or "receptacle," and "magna" means "large." In medical anatomy, the cisterna magna refers to a large, sac-like space located near the lower part of the brainstem. It is a subarachnoid cistern, which means it is a space that contains cerebrospinal fluid (CSF) between the arachnoid and pia mater membranes covering the brain and spinal cord.

More specifically, the cisterna magna is situated between the cerebellum (the lower part of the brain responsible for coordinating muscle movements and maintaining balance) and the occipital bone (the bone at the back of the skull). This space contains a significant amount of CSF, which serves as a protective cushion for the brain and spinal cord, helps regulate intracranial pressure, and facilitates the circulation of nutrients and waste products.

The cisterna magna is an essential structure in neurosurgical procedures and diagnostic imaging techniques like lumbar puncture (spinal tap) or myelograms, where contrast agents are introduced into the CSF to visualize the spinal cord and surrounding structures. Additionally, it serves as a crucial landmark for various surgical approaches to the posterior fossa (the lower part of the skull that houses the cerebellum and brainstem).

Intracranial pressure (ICP) is the pressure inside the skull and is typically measured in millimeters of mercury (mmHg). It's the measurement of the pressure exerted by the cerebrospinal fluid (CSF), blood, and brain tissue within the confined space of the skull.

Normal ICP ranges from 5 to 15 mmHg in adults when lying down. Intracranial pressure may increase due to various reasons such as bleeding in the brain, swelling of the brain, increased production or decreased absorption of CSF, and brain tumors. Elevated ICP is a serious medical emergency that can lead to brain damage or even death if not promptly treated. Symptoms of high ICP may include severe headache, vomiting, altered consciousness, and visual changes.

A Transient Ischemic Attack (TIA), also known as a "mini-stroke," is a temporary period of symptoms similar to those you'd get if you were having a stroke. A TIA doesn't cause permanent damage and is often caused by a temporary decrease in blood supply to part of your brain, which may last as little as five minutes.

Like an ischemic stroke, a TIA occurs when a clot or debris blocks blood flow to part of your nervous system. However, unlike a stroke, a TIA doesn't leave lasting damage because the blockage is temporary.

Symptoms of a TIA can include sudden onset of weakness, numbness or paralysis in your face, arm or leg, typically on one side of your body. You could also experience slurred or garbled speech, or difficulty understanding others. Other symptoms can include blindness in one or both eyes, dizziness, or a severe headache with no known cause.

Even though TIAs usually last only a few minutes, they are a serious condition and should not be ignored. If you suspect you or someone else is experiencing a TIA, seek immediate medical attention. TIAs can be a warning sign that a full-blown stroke is imminent.

Cerebrovascular circulation refers to the network of blood vessels that supply oxygenated blood and nutrients to the brain tissue, and remove waste products. It includes the internal carotid arteries, vertebral arteries, circle of Willis, and the intracranial arteries that branch off from them.

The internal carotid arteries and vertebral arteries merge to form the circle of Willis, a polygonal network of vessels located at the base of the brain. The anterior cerebral artery, middle cerebral artery, posterior cerebral artery, and communicating arteries are the major vessels that branch off from the circle of Willis and supply blood to different regions of the brain.

Interruptions or abnormalities in the cerebrovascular circulation can lead to various neurological conditions such as stroke, transient ischemic attack (TIA), and vascular dementia.

Brain ischemia is the medical term used to describe a reduction or interruption of blood flow to the brain, leading to a lack of oxygen and glucose delivery to brain tissue. This can result in brain damage or death of brain cells, known as infarction. Brain ischemia can be caused by various conditions such as thrombosis (blood clot formation), embolism (obstruction of a blood vessel by a foreign material), or hypoperfusion (reduced blood flow). The severity and duration of the ischemia determine the extent of brain damage. Symptoms can range from mild, such as transient ischemic attacks (TIAs or "mini-strokes"), to severe, including paralysis, speech difficulties, loss of consciousness, and even death. Immediate medical attention is required for proper diagnosis and treatment to prevent further damage and potential long-term complications.

Surgical instruments are specialized tools or devices that are used by medical professionals during surgical procedures to assist in various tasks such as cutting, dissecting, grasping, holding, retracting, clamping, and suturing body tissues. These instruments are designed to be safe, precise, and effective, with a variety of shapes, sizes, and materials used depending on the specific surgical application. Some common examples of surgical instruments include scalpels, forceps, scissors, hemostats, retractors, and needle holders. Proper sterilization and maintenance of these instruments are crucial to ensure patient safety and prevent infection.

A retinal hemorrhage is a type of bleeding that occurs in the blood vessels of the retina, which is the light-sensitive tissue located at the back of the eye. This condition can result from various underlying causes, including diabetes, high blood pressure, age-related macular degeneration, or trauma to the eye. Retinal hemorrhages can be categorized into different types based on their location and appearance, such as dot and blot hemorrhages, flame-shaped hemorrhages, or subhyaloid hemorrhages. Depending on the severity and cause of the hemorrhage, treatment options may vary from monitoring to laser therapy, medication, or even surgery. It is essential to consult an ophthalmologist for a proper evaluation and management plan if you suspect a retinal hemorrhage.

A ventriculostomy is a medical procedure in which an opening is made into one of the cerebral ventricles, the fluid-filled spaces within the brain, to relieve pressure or to obtain cerebrospinal fluid (CSF) for diagnostic testing. This is typically performed using a catheter known as an external ventricular drain (EVD). The EVD is inserted through a burr hole in the skull and into the ventricle, allowing CSF to drain out and be measured or tested. Ventriculostomy may be necessary in the management of various conditions that can cause increased intracranial pressure, such as hydrocephalus, brain tumors, or traumatic brain injuries.

Nimodipine is an antihypertensive and calcium channel blocker drug, which is primarily used in the prevention and treatment of neurological deficits following subarachnoid hemorrhage (SAH), a type of stroke caused by bleeding in the space surrounding the brain. It works by relaxing and dilating blood vessels in the brain, improving blood flow, and preventing spasms in cerebral arteries, which can help reduce the risk of further damage to brain tissues.

Nimodipine is available in the form of capsules or an injectable solution for medical use. It is crucial to follow a healthcare professional's instructions carefully when using this medication, as improper usage may lead to unwanted side effects or reduced effectiveness. Common side effects include headache, dizziness, nausea, and flushing.

It is essential to consult with a healthcare provider for personalized medical advice regarding the use of Nimodipine or any other medications.

Digital subtraction angiography (DSA) is a medical imaging technique used to visualize the blood vessels and blood flow within the body. It combines the use of X-ray technology with digital image processing to produce detailed images of the vascular system.

In DSA, a contrast agent is injected into the patient's bloodstream through a catheter, which is typically inserted into an artery in the leg and guided to the area of interest using fluoroscopy. As the contrast agent flows through the blood vessels, X-ray images are taken at multiple time points.

The digital subtraction process involves taking a baseline image without contrast and then subtracting it from subsequent images taken with contrast. This allows for the removal of background structures and noise, resulting in clearer images of the blood vessels. DSA can be used to diagnose and evaluate various vascular conditions, such as aneurysms, stenosis, and tumors, and can also guide interventional procedures such as angioplasty and stenting.

Therapeutic embolization is a medical procedure that involves intentionally blocking or obstructing blood vessels to stop excessive bleeding or block the flow of blood to a tumor or abnormal tissue. This is typically accomplished by injecting small particles, such as microspheres or coils, into the targeted blood vessel through a catheter, which is inserted into a larger blood vessel and guided to the desired location using imaging techniques like X-ray or CT scanning. The goal of therapeutic embolization is to reduce the size of a tumor, control bleeding, or block off abnormal blood vessels that are causing problems.

A Vitreous Hemorrhage is a medical condition where there is bleeding into the vitreous cavity of the eye. The vitreous cavity is the space in the eye that is filled with a clear, gel-like substance called the vitreous humor. This substance helps to maintain the shape of the eye and transmit light to the retina.

When a vitreous hemorrhage occurs, blood cells from the bleeding mix with the vitreous humor, causing it to become cloudy or hazy. As a result, vision can become significantly impaired, ranging from mildly blurry to complete loss of vision depending on the severity of the bleed.

Vitreous hemorrhages can occur due to various reasons such as trauma, retinal tears or detachments, diabetic retinopathy, age-related macular degeneration, and other eye conditions that affect the blood vessels in the eye. Treatment for vitreous hemorrhage depends on the underlying cause and may include observation, laser surgery, or vitrectomy (a surgical procedure to remove the vitreous humor and stop the bleeding).

A subdural hematoma is a type of hematoma (a collection of blood) that occurs between the dura mater, which is the outermost protective covering of the brain, and the brain itself. It is usually caused by bleeding from the veins located in this potential space, often as a result of a head injury or trauma.

Subdural hematomas can be classified as acute, subacute, or chronic based on their rate of symptom progression and the time course of their appearance on imaging studies. Acute subdural hematomas typically develop and cause symptoms rapidly, often within hours of the head injury. Subacute subdural hematomas have a more gradual onset of symptoms, which can occur over several days to a week after the trauma. Chronic subdural hematomas may take weeks to months to develop and are often seen in older adults or individuals with chronic alcohol abuse, even after minor head injuries.

Symptoms of a subdural hematoma can vary widely depending on the size and location of the hematoma, as well as the patient's age and overall health. Common symptoms include headache, altered mental status, confusion, memory loss, weakness or numbness, seizures, and in severe cases, coma or even death. Treatment typically involves surgical evacuation of the hematoma, along with management of any underlying conditions that may have contributed to its development.

The Glasgow Coma Scale (GCS) is a standardized tool used by healthcare professionals to assess the level of consciousness and neurological response in a person who has suffered a brain injury or illness. It evaluates three aspects of a patient's responsiveness: eye opening, verbal response, and motor response. The scores from these three categories are then added together to provide an overall GCS score, which can range from 3 (indicating deep unconsciousness) to 15 (indicating a normal level of consciousness). This scale helps medical professionals to quickly and consistently communicate the severity of a patient's condition and monitor their progress over time.

Cerebral infarction, also known as a "stroke" or "brain attack," is the sudden death of brain cells caused by the interruption of their blood supply. It is most commonly caused by a blockage in one of the blood vessels supplying the brain (an ischemic stroke), but can also result from a hemorrhage in or around the brain (a hemorrhagic stroke).

Ischemic strokes occur when a blood clot or other particle blocks a cerebral artery, cutting off blood flow to a part of the brain. The lack of oxygen and nutrients causes nearby brain cells to die. Hemorrhagic strokes occur when a weakened blood vessel ruptures, causing bleeding within or around the brain. This bleeding can put pressure on surrounding brain tissues, leading to cell death.

Symptoms of cerebral infarction depend on the location and extent of the affected brain tissue but may include sudden weakness or numbness in the face, arm, or leg; difficulty speaking or understanding speech; vision problems; loss of balance or coordination; and severe headache with no known cause. Immediate medical attention is crucial for proper diagnosis and treatment to minimize potential long-term damage or disability.

Neurosurgical procedures are operations that are performed on the brain, spinal cord, and peripheral nerves. These procedures are typically carried out by neurosurgeons, who are medical doctors with specialized training in the diagnosis and treatment of disorders of the nervous system. Neurosurgical procedures can be used to treat a wide range of conditions, including traumatic injuries, tumors, aneurysms, vascular malformations, infections, degenerative diseases, and congenital abnormalities.

Some common types of neurosurgical procedures include:

* Craniotomy: A procedure in which a bone flap is temporarily removed from the skull to gain access to the brain. This type of procedure may be performed to remove a tumor, repair a blood vessel, or relieve pressure on the brain.
* Spinal fusion: A procedure in which two or more vertebrae in the spine are fused together using bone grafts and metal hardware. This is often done to stabilize the spine and alleviate pain caused by degenerative conditions or spinal deformities.
* Microvascular decompression: A procedure in which a blood vessel that is causing pressure on a nerve is repositioned or removed. This type of procedure is often used to treat trigeminal neuralgia, a condition that causes severe facial pain.
* Deep brain stimulation: A procedure in which electrodes are implanted in specific areas of the brain and connected to a battery-operated device called a neurostimulator. The neurostimulator sends electrical impulses to the brain to help alleviate symptoms of movement disorders such as Parkinson's disease or dystonia.
* Stereotactic radiosurgery: A non-invasive procedure that uses focused beams of radiation to treat tumors, vascular malformations, and other abnormalities in the brain or spine. This type of procedure is often used for patients who are not good candidates for traditional surgery due to age, health status, or location of the lesion.

Neurosurgical procedures can be complex and require a high degree of skill and expertise. Patients considering neurosurgical treatment should consult with a qualified neurosurgeon to discuss their options and determine the best course of action for their individual situation.

The vertebral artery is a major blood vessel that supplies oxygenated blood to the brain and upper spinal cord. It arises from the subclavian artery, then ascends through the transverse processes of several cervical vertebrae before entering the skull through the foramen magnum. Inside the skull, it joins with the opposite vertebral artery to form the basilar artery, which supplies blood to the brainstem and cerebellum. The vertebral artery also gives off several important branches that supply blood to various regions of the brainstem and upper spinal cord.

Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.

Postpartum hemorrhage (PPH) is a significant obstetrical complication defined as the loss of more than 500 milliliters of blood within the first 24 hours after childbirth, whether it occurs vaginally or through cesarean section. It can also be defined as a blood loss of more than 1000 mL in relation to the amount of blood lost during the procedure and the patient's baseline hematocrit level.

Postpartum hemorrhage is classified into two types: primary (early) PPH, which occurs within the first 24 hours after delivery, and secondary (late) PPH, which happens between 24 hours and 12 weeks postpartum. The most common causes of PPH are uterine atony, trauma to the genital tract, retained placental tissue, and coagulopathy.

Uterine atony is the inability of the uterus to contract effectively after delivery, leading to excessive bleeding. Trauma to the genital tract can occur during childbirth, causing lacerations or tears that may result in bleeding. Retained placental tissue refers to the remnants of the placenta left inside the uterus, which can cause infection and heavy bleeding. Coagulopathy is a condition where the blood has difficulty clotting, leading to uncontrolled bleeding.

Symptoms of PPH include excessive vaginal bleeding, low blood pressure, increased heart rate, decreased urine output, and signs of shock such as confusion, rapid breathing, and pale skin. Treatment for PPH includes uterotonics, manual removal of retained placental tissue, repair of genital tract lacerations, blood transfusions, and surgery if necessary.

Preventing PPH involves proper antenatal care, monitoring high-risk pregnancies, active management of the third stage of labor, and prompt recognition and treatment of any bleeding complications during or after delivery.

A craniotomy is a surgical procedure where a bone flap is temporarily removed from the skull to access the brain. This procedure is typically performed to treat various neurological conditions, such as brain tumors, aneurysms, arteriovenous malformations, or traumatic brain injuries. After the underlying brain condition is addressed, the bone flap is usually replaced and secured back in place with plates and screws. The purpose of a craniotomy is to provide access to the brain for diagnostic or therapeutic interventions while minimizing potential damage to surrounding tissues.

Pregn-4-en-3-ones, or pregnatrienes, are a group of steroid hormones that contain a pregnane skeleton and three carbon-carbon double bonds. They are unsaturated steroids that have a structural backbone consisting of four fused rings, including three six-membered rings and one five-membered ring.

Pregnatrienes are important intermediates in the biosynthesis of various steroid hormones, such as progesterone, testosterone, and estrogens. They can be synthesized from cholesterol through a series of enzymatic reactions involving cytochrome P450 enzymes.

Pregn-4-en-3-one, also known as 5β-pregnan-3,20-dione or 5β-pregnadien-3,20-dione, is a specific example of a pregnatriene. It is a metabolic intermediate in the biosynthesis of progesterone and other steroid hormones.

It's important to note that while pregnatrienes are involved in various physiological processes, they are not typically used as medical terminology or diagnostic criteria. Instead, specific steroid hormones derived from pregnatrienes, such as progesterone or testosterone, are more commonly referenced in medical contexts.

The arachnoid is one of the three membranes that cover the brain and the spinal cord, known as the meninges. It is located between the dura mater (the outermost layer) and the pia mater (the innermost layer). The arachnoid is a thin, delicate membrane that is filled with cerebrospinal fluid, which provides protection and nutrition to the central nervous system.

The arachnoid has a spider-web like appearance, hence its name, and it is composed of several layers of collagen fibers and elastic tissue. It is highly vascularized, meaning that it contains many blood vessels, and it plays an important role in regulating the flow of cerebrospinal fluid around the brain and spinal cord.

In some cases, the arachnoid can become inflamed or irritated, leading to a condition called arachnoiditis. This can cause a range of symptoms, including pain, muscle weakness, and sensory changes, and it may require medical treatment to manage.

Prospective studies, also known as longitudinal studies, are a type of cohort study in which data is collected forward in time, following a group of individuals who share a common characteristic or exposure over a period of time. The researchers clearly define the study population and exposure of interest at the beginning of the study and follow up with the participants to determine the outcomes that develop over time. This type of study design allows for the investigation of causal relationships between exposures and outcomes, as well as the identification of risk factors and the estimation of disease incidence rates. Prospective studies are particularly useful in epidemiology and medical research when studying diseases with long latency periods or rare outcomes.

The brain is the central organ of the nervous system, responsible for receiving and processing sensory information, regulating vital functions, and controlling behavior, movement, and cognition. It is divided into several distinct regions, each with specific functions:

1. Cerebrum: The largest part of the brain, responsible for higher cognitive functions such as thinking, learning, memory, language, and perception. It is divided into two hemispheres, each controlling the opposite side of the body.
2. Cerebellum: Located at the back of the brain, it is responsible for coordinating muscle movements, maintaining balance, and fine-tuning motor skills.
3. Brainstem: Connects the cerebrum and cerebellum to the spinal cord, controlling vital functions such as breathing, heart rate, and blood pressure. It also serves as a relay center for sensory information and motor commands between the brain and the rest of the body.
4. Diencephalon: A region that includes the thalamus (a major sensory relay station) and hypothalamus (regulates hormones, temperature, hunger, thirst, and sleep).
5. Limbic system: A group of structures involved in emotional processing, memory formation, and motivation, including the hippocampus, amygdala, and cingulate gyrus.

The brain is composed of billions of interconnected neurons that communicate through electrical and chemical signals. It is protected by the skull and surrounded by three layers of membranes called meninges, as well as cerebrospinal fluid that provides cushioning and nutrients.

Intracranial hemorrhage, hypertensive is a type of intracranial hemorrhage that occurs due to the rupture of blood vessels in the brain as a result of chronic high blood pressure (hypertension). It is also known as hypertensive intracerebral hemorrhage.

Hypertension can weaken and damage the walls of the small arteries and arterioles in the brain over time, making them more susceptible to rupture. When these blood vessels burst, they cause bleeding into the surrounding brain tissue, forming a hematoma that can compress and damage brain cells.

Intracranial hemorrhage, hypertensive is a medical emergency that requires immediate treatment. Symptoms may include sudden severe headache, weakness or numbness in the face or limbs, difficulty speaking or understanding speech, vision changes, loss of balance or coordination, and altered level of consciousness.

The diagnosis of intracranial hemorrhage, hypertensive is typically made through imaging tests such as computed tomography (CT) or magnetic resonance imaging (MRI) scans. Treatment may involve medications to reduce blood pressure, surgery to remove the hematoma, and supportive care to manage complications such as brain swelling or seizures.

Gastrointestinal (GI) hemorrhage is a term used to describe any bleeding that occurs in the gastrointestinal tract, which includes the esophagus, stomach, small intestine, large intestine, and rectum. The bleeding can range from mild to severe and can produce symptoms such as vomiting blood, passing black or tarry stools, or having low blood pressure.

GI hemorrhage can be classified as either upper or lower, depending on the location of the bleed. Upper GI hemorrhage refers to bleeding that occurs above the ligament of Treitz, which is a point in the small intestine where it becomes narrower and turns a corner. Common causes of upper GI hemorrhage include gastritis, ulcers, esophageal varices, and Mallory-Weiss tears.

Lower GI hemorrhage refers to bleeding that occurs below the ligament of Treitz. Common causes of lower GI hemorrhage include diverticulosis, colitis, inflammatory bowel disease, and vascular abnormalities such as angiodysplasia.

The diagnosis of GI hemorrhage is often made based on the patient's symptoms, medical history, physical examination, and diagnostic tests such as endoscopy, CT scan, or radionuclide scanning. Treatment depends on the severity and cause of the bleeding and may include medications, endoscopic procedures, surgery, or a combination of these approaches.

Vertebral artery dissection is a medical condition that involves a tear in the inner lining (the tunica intima) of the vertebral artery, one of the major blood vessels supplying oxygenated blood to the brain. This tear allows blood to enter the vessel wall, creating a false lumen and leading to narrowing or blockage of the true lumen. The dissection can occur spontaneously or following trauma to the neck, and it can result in decreased blood flow to the brainstem and cerebellum, potentially causing symptoms such as headache, neck pain, dizziness, vertigo, double vision, difficulty swallowing, slurred speech, and weakness or numbness on one side of the body. Vertebral artery dissection is a serious condition that requires prompt medical attention and management to prevent potential complications such as stroke.

In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.

For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.

Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.

Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.

A headache is defined as pain or discomfort in the head, scalp, or neck. It can be a symptom of various underlying conditions such as stress, sinus congestion, migraine, or more serious issues like meningitis or concussion. Headaches can vary in intensity, ranging from mild to severe, and may be accompanied by other symptoms such as nausea, vomiting, or sensitivity to light and sound. There are over 150 different types of headaches, including tension headaches, cluster headaches, and sinus headaches, each with their own specific characteristics and causes.

Cerebrovascular disorders are a group of medical conditions that affect the blood vessels of the brain. These disorders can be caused by narrowing, blockage, or rupture of the blood vessels, leading to decreased blood flow and oxygen supply to the brain. The most common types of cerebrovascular disorders include:

1. Stroke: A stroke occurs when a blood vessel in the brain becomes blocked or bursts, causing a lack of oxygen and nutrients to reach brain cells. This can lead to permanent damage or death of brain tissue.
2. Transient ischemic attack (TIA): Also known as a "mini-stroke," a TIA occurs when blood flow to the brain is temporarily blocked, often by a blood clot. Symptoms may last only a few minutes to a few hours and typically resolve on their own. However, a TIA is a serious warning sign that a full-blown stroke may occur in the future.
3. Aneurysm: An aneurysm is a weakened or bulging area in the wall of a blood vessel. If left untreated, an aneurysm can rupture and cause bleeding in the brain.
4. Arteriovenous malformation (AVM): An AVM is a tangled mass of abnormal blood vessels that connect arteries and veins. This can lead to bleeding in the brain or stroke.
5. Carotid stenosis: Carotid stenosis occurs when the carotid arteries, which supply blood to the brain, become narrowed or blocked due to plaque buildup. This can increase the risk of stroke.
6. Vertebrobasilar insufficiency: This condition occurs when the vertebral and basilar arteries, which supply blood to the back of the brain, become narrowed or blocked. This can lead to symptoms such as dizziness, vertigo, and difficulty swallowing.

Cerebrovascular disorders are a leading cause of disability and death worldwide. Risk factors for these conditions include age, high blood pressure, smoking, diabetes, high cholesterol, and family history. Treatment may involve medications, surgery, or lifestyle changes to reduce the risk of further complications.

A hematoma is defined as a localized accumulation of blood in a tissue, organ, or body space caused by a break in the wall of a blood vessel. This can result from various causes such as trauma, surgery, or certain medical conditions that affect coagulation. The severity and size of a hematoma may vary depending on the location and extent of the bleeding. Symptoms can include swelling, pain, bruising, and decreased mobility in the affected area. Treatment options depend on the size and location of the hematoma but may include observation, compression, ice, elevation, or in some cases, surgical intervention.

An eye hemorrhage, also known as subconjunctival hemorrhage, is a condition where there is bleeding in the eye, specifically under the conjunctiva which is the clear membrane that covers the white part of the eye (sclera). This membrane has tiny blood vessels that can rupture and cause blood to accumulate, leading to a visible red patch on the surface of the eye.

Eye hemorrhages are usually painless and harmless, and they often resolve on their own within 1-2 weeks without any treatment. However, if they occur frequently or are accompanied by other symptoms such as vision changes, pain, or sensitivity to light, it is important to seek medical attention as they could indicate a more serious underlying condition. Common causes of eye hemorrhages include trauma, high blood pressure, blood thinners, and aging.

Cerebral ventriculography is a medical imaging technique that involves the injection of a contrast material into the cerebral ventricles, which are fluid-filled spaces within the brain. The purpose of this procedure is to produce detailed images of the ventricular system and the surrounding structures in order to diagnose and evaluate various neurological conditions, such as hydrocephalus (excessive accumulation of cerebrospinal fluid in the ventricles), tumors, or other abnormalities that may be causing obstruction or compression of the ventricular system.

The procedure typically involves inserting a thin, flexible tube called a catheter into the lateral ventricle of the brain through a small hole drilled in the skull. The contrast material is then injected through the catheter and X-ray images are taken as the contrast material flows through the ventricular system. These images can help to identify any abnormalities or blockages that may be present.

Cerebral ventriculography has largely been replaced by non-invasive imaging techniques, such as computed tomography (CT) and magnetic resonance imaging (MRI), which provide similar information without the need for invasive procedures. However, cerebral ventriculography may still be used in certain cases where these other methods are not sufficient to make a definitive diagnosis.

A Ventriculoperitoneal (VP) shunt is a surgical procedure that involves the insertion of a long, flexible tube (shunt) into the cerebral ventricles of the brain to drain excess cerebrospinal fluid (CSF). The other end of the shunt is directed into the peritoneal cavity, where the CSF can be absorbed.

The VP shunt is typically used to treat hydrocephalus, a condition characterized by an abnormal accumulation of CSF within the ventricles of the brain, which can cause increased intracranial pressure and damage to the brain. By diverting the excess CSF from the ventricles into the peritoneal cavity, the VP shunt helps to relieve the symptoms of hydrocephalus and prevent further neurological damage.

The shunt system consists of several components, including a ventricular catheter that is placed in the ventricle, a one-way valve that regulates the flow of CSF, and a distal catheter that is directed into the peritoneal cavity. The valve helps to prevent backflow of CSF into the brain and ensures that the fluid flows in only one direction, from the ventricles to the peritoneal cavity.

VP shunts are generally safe and effective, but they can be associated with complications such as infection, obstruction, or malfunction of the shunt system. Regular follow-up with a healthcare provider is necessary to monitor the function of the shunt and ensure that any potential issues are addressed promptly.

Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.

Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.

Primary headache disorders are a group of headaches that are not caused by an underlying medical condition or structural problem. They are considered to be separate medical entities and include:

1. Migraine: A recurring headache that typically causes moderate to severe throbbing pain, often on one side of the head. It is commonly accompanied by nausea, vomiting, and sensitivity to light and sound.
2. Tension-type headache (TTH): The most common type of headache, characterized by a pressing or tightening sensation around the forehead or back of the head and neck. It is usually not aggravated by physical activity and does not cause nausea or vomiting.
3. Cluster headache: A rare but extremely painful type of headache that occurs in clusters, meaning they happen several times a day for weeks or months, followed by periods of remission. The pain is usually one-sided, centered around the eye and often accompanied by redness, tearing, and nasal congestion.
4. New daily persistent headache (NDPH): A type of headache that starts suddenly and persists every day for weeks or months. It can be similar to tension-type headaches or migraines but is not caused by an underlying medical condition.
5. Trigeminal autonomic cephalalgias (TACs): A group of primary headache disorders characterized by severe pain on one side of the head, often accompanied by symptoms such as redness, tearing, and nasal congestion. Cluster headaches are a type of TAC.
6. Other primary headache disorders: These include rare conditions such as hemicrania continua, paroxysmal hemicrania, and short-lasting unilateral neuralgiform headache attacks.

Primary headache disorders can significantly impact a person's quality of life and ability to function. Treatment typically involves medication, lifestyle changes, and behavioral therapies.

The cerebral ventricles are a system of interconnected fluid-filled cavities within the brain. They are located in the center of the brain and are filled with cerebrospinal fluid (CSF), which provides protection to the brain by cushioning it from impacts and helping to maintain its stability within the skull.

There are four ventricles in total: two lateral ventricles, one third ventricle, and one fourth ventricle. The lateral ventricles are located in each cerebral hemisphere, while the third ventricle is located between the thalami of the two hemispheres. The fourth ventricle is located at the base of the brain, above the spinal cord.

CSF flows from the lateral ventricles into the third ventricle through narrow passageways called the interventricular foramen. From there, it flows into the fourth ventricle through another narrow passageway called the cerebral aqueduct. CSF then leaves the fourth ventricle and enters the subarachnoid space surrounding the brain and spinal cord, where it can be absorbed into the bloodstream.

Abnormalities in the size or shape of the cerebral ventricles can indicate underlying neurological conditions, such as hydrocephalus (excessive accumulation of CSF) or atrophy (shrinkage) of brain tissue. Imaging techniques, such as computed tomography (CT) or magnetic resonance imaging (MRI), are often used to assess the size and shape of the cerebral ventricles in clinical settings.

Intracranial arteriovenous malformations (AVMs) are abnormal, tangled connections between the arteries and veins in the brain. These connections bypass the capillary system, which can lead to high-flow shunting and potential complications such as hemorrhage, stroke, or neurological deficits. AVMs are congenital conditions, meaning they are present at birth, although symptoms may not appear until later in life. They are relatively rare, affecting approximately 0.1% of the population. Treatment options for AVMs include surgery, radiation therapy, and endovascular embolization, depending on the size, location, and specific characteristics of the malformation.

Neurosurgery, also known as neurological surgery, is a medical specialty that involves the diagnosis, surgical treatment, and rehabilitation of disorders of the nervous system. This includes the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system. Neurosurgeons use both traditional open and minimally invasive techniques to treat various conditions such as tumors, trauma, vascular disorders, infections, stroke, epilepsy, pain, and congenital anomalies. They work closely with other healthcare professionals including neurologists, radiologists, oncologists, and critical care specialists to provide comprehensive patient care.

Medical Definition:

Magnetic Resonance Imaging (MRI) is a non-invasive diagnostic imaging technique that uses a strong magnetic field and radio waves to create detailed cross-sectional or three-dimensional images of the internal structures of the body. The patient lies within a large, cylindrical magnet, and the scanner detects changes in the direction of the magnetic field caused by protons in the body. These changes are then converted into detailed images that help medical professionals to diagnose and monitor various medical conditions, such as tumors, injuries, or diseases affecting the brain, spinal cord, heart, blood vessels, joints, and other internal organs. MRI does not use radiation like computed tomography (CT) scans.

Transcranial Doppler ultrasonography is a non-invasive diagnostic technique that uses high-frequency sound waves to visualize and measure the velocity of blood flow in the cerebral arteries located in the skull. This imaging modality employs the Doppler effect, which describes the change in frequency of sound waves as they reflect off moving red blood cells. By measuring the frequency shift of the reflected ultrasound waves, the velocity and direction of blood flow can be determined.

Transcranial Doppler ultrasonography is primarily used to assess cerebrovascular circulation and detect abnormalities such as stenosis (narrowing), occlusion (blockage), or embolism (obstruction) in the intracranial arteries. It can also help monitor patients with conditions like sickle cell disease, vasospasm following subarachnoid hemorrhage, and evaluate the effectiveness of treatments such as thrombolysis or angioplasty. The procedure is typically performed by placing a transducer on the patient's skull after applying a coupling gel, and it does not involve radiation exposure or contrast agents.

Intracranial hypertension is a medical condition characterized by an increased pressure within the skull (intracranial space) that contains the brain, cerebrospinal fluid (CSF), and blood. Normally, the pressure inside the skull is carefully regulated to maintain a balance between the formation and absorption of CSF. However, when the production of CSF exceeds its absorption or when there is an obstruction in the flow of CSF, the pressure inside the skull can rise, leading to intracranial hypertension.

The symptoms of intracranial hypertension may include severe headaches, nausea, vomiting, visual disturbances such as blurred vision or double vision, and papilledema (swelling of the optic nerve disc). In some cases, intracranial hypertension can lead to serious complications such as vision loss, brain herniation, and even death if left untreated.

Intracranial hypertension can be idiopathic, meaning that there is no identifiable cause, or secondary to other underlying medical conditions such as brain tumors, meningitis, hydrocephalus, or certain medications. The diagnosis of intracranial hypertension typically involves a combination of clinical evaluation, imaging studies (such as MRI or CT scans), and lumbar puncture to measure the pressure inside the skull and assess the CSF composition. Treatment options may include medications to reduce CSF production, surgery to relieve pressure on the brain, or shunting procedures to drain excess CSF from the intracranial space.

Brain edema is a medical condition characterized by the abnormal accumulation of fluid in the brain, leading to an increase in intracranial pressure. This can result from various causes, such as traumatic brain injury, stroke, infection, brain tumors, or inflammation. The swelling of the brain can compress vital structures, impair blood flow, and cause neurological symptoms, which may range from mild headaches to severe cognitive impairment, seizures, coma, or even death if not treated promptly and effectively.

Cerebrospinal fluid (CSF) is a clear, colorless fluid that surrounds and protects the brain and spinal cord. It acts as a shock absorber for the central nervous system and provides nutrients to the brain while removing waste products. CSF is produced by specialized cells called ependymal cells in the choroid plexus of the ventricles (fluid-filled spaces) inside the brain. From there, it circulates through the ventricular system and around the outside of the brain and spinal cord before being absorbed back into the bloodstream. CSF analysis is an important diagnostic tool for various neurological conditions, including infections, inflammation, and cancer.

A putaminal hemorrhage is a type of intracranial hemorrhage, which is defined as bleeding within the brain. Specifically, it refers to bleeding that occurs in the putamen, which is a region located deep within the forebrain and is part of the basal ganglia.

Putaminal hemorrhages are often caused by hypertension (high blood pressure) or rupture of small aneurysms (weakened areas in the walls of blood vessels). Symptoms can vary depending on the severity and location of the bleed, but may include sudden onset of headache, altered consciousness, weakness or paralysis on one side of the body, difficulty speaking or understanding speech, and visual disturbances.

Diagnosis is typically made using imaging studies such as computed tomography (CT) or magnetic resonance imaging (MRI). Treatment may involve supportive care, medications to control blood pressure and prevent seizures, and surgical intervention in some cases. The prognosis for putaminal hemorrhage depends on various factors, including the patient's age, overall health status, and the severity of the bleed.

Consciousness disorders, also known as altered consciousness, refer to conditions that affect a person's awareness or perception of their surroundings, themselves, or their current state. These disorders can range from mild to severe and can be caused by various factors such as brain injury, illness, or the use of certain medications.

There are several types of consciousness disorders, including:

1. Coma: A state of deep unconsciousness in which a person is unable to respond to stimuli or communicate.
2. Vegetative State: A condition in which a person may have sleep-wake cycles and some automatic responses, but lacks awareness or the ability to interact with their environment.
3. Minimally Conscious State: A condition in which a person has some degree of awareness and may be able to respond to stimuli, but is unable to communicate or consistently interact with their environment.
4. Delirium: A state of confusion and altered consciousness that can occur suddenly and fluctuate over time. It is often caused by an underlying medical condition or the use of certain medications.
5. Locked-in Syndrome: A rare condition in which a person is fully conscious but unable to move or communicate due to complete paralysis of all voluntary muscles except for those that control eye movement.

Treatment for consciousness disorders depends on the underlying cause and may include medication, therapy, or surgery. In some cases, recovery may be possible with appropriate treatment and rehabilitation. However, in other cases, the disorder may be permanent or result in long-term disability.

Cortical Spreading Depression (CSD) is a wave of neuronal and glial depolarization that spreads across the cerebral cortex, characterized by the near-complete suppression of neural activity, followed by a period of depressed excitability. It is often accompanied by profound changes in blood flow and metabolism.

CSD is associated with several neurological conditions, including migraine with aura, traumatic brain injury, and subarachnoid hemorrhage. In migraine, it is believed to underlie the visual aura that precedes the headache phase of the attack. CSD can also have harmful effects on the brain, contributing to the development of secondary injuries after trauma or stroke.

The underlying mechanisms of CSD involve the activation of various ion channels and neurotransmitter receptors, leading to a massive efflux of potassium ions (K+) from neurons and glial cells. This K+ efflux triggers a cascade of events that result in the depolarization of surrounding neurons and glia, ultimately leading to the suppression of neural activity and the characteristic hemodynamic and metabolic changes associated with CSD.

Animal disease models are specialized animals, typically rodents such as mice or rats, that have been genetically engineered or exposed to certain conditions to develop symptoms and physiological changes similar to those seen in human diseases. These models are used in medical research to study the pathophysiology of diseases, identify potential therapeutic targets, test drug efficacy and safety, and understand disease mechanisms.

The genetic modifications can include knockout or knock-in mutations, transgenic expression of specific genes, or RNA interference techniques. The animals may also be exposed to environmental factors such as chemicals, radiation, or infectious agents to induce the disease state.

Examples of animal disease models include:

1. Mouse models of cancer: Genetically engineered mice that develop various types of tumors, allowing researchers to study cancer initiation, progression, and metastasis.
2. Alzheimer's disease models: Transgenic mice expressing mutant human genes associated with Alzheimer's disease, which exhibit amyloid plaque formation and cognitive decline.
3. Diabetes models: Obese and diabetic mouse strains like the NOD (non-obese diabetic) or db/db mice, used to study the development of type 1 and type 2 diabetes, respectively.
4. Cardiovascular disease models: Atherosclerosis-prone mice, such as ApoE-deficient or LDLR-deficient mice, that develop plaque buildup in their arteries when fed a high-fat diet.
5. Inflammatory bowel disease models: Mice with genetic mutations affecting intestinal barrier function and immune response, such as IL-10 knockout or SAMP1/YitFc mice, which develop colitis.

Animal disease models are essential tools in preclinical research, but it is important to recognize their limitations. Differences between species can affect the translatability of results from animal studies to human patients. Therefore, researchers must carefully consider the choice of model and interpret findings cautiously when applying them to human diseases.

The meninges are the protective membranes that cover the brain and spinal cord. They consist of three layers: the dura mater (the outermost, toughest layer), the arachnoid mater (middle layer), and the pia mater (the innermost, delicate layer). These membranes provide protection and support to the central nervous system, and contain blood vessels that supply nutrients and remove waste products. Inflammation or infection of the meninges is called meningitis, which can be a serious medical condition requiring prompt treatment.

The Middle Cerebral Artery (MCA) is one of the main blood vessels that supplies oxygenated blood to the brain. It arises from the internal carotid artery and divides into several branches, which supply the lateral surface of the cerebral hemisphere, including the frontal, parietal, and temporal lobes.

The MCA is responsible for providing blood flow to critical areas of the brain, such as the primary motor and sensory cortices, Broca's area (associated with speech production), Wernicke's area (associated with language comprehension), and the visual association cortex.

Damage to the MCA or its branches can result in a variety of neurological deficits, depending on the specific location and extent of the injury. These may include weakness or paralysis on one side of the body, sensory loss, language impairment, and visual field cuts.

The Posterior Cerebral Artery (PCA) is one of the major arteries that supplies blood to the brain. It is a branch of the basilar artery, which is formed by the union of the two vertebral arteries. The PCA supplies oxygenated blood to the occipital lobe (responsible for visual processing), the temporal lobe (involved in auditory and memory functions), and the thalamus and midbrain (relay station for sensory and motor signals).

The PCA has two segments: the precommunicating segment (P1) and the postcommunicating segment (P2). The P1 segment runs posteriorly along the cerebral peduncle, while the P2 segment courses around the midbrain to reach the occipital lobe.

Atherosclerosis, embolism, or other vascular conditions can affect the PCA and lead to a variety of neurological symptoms, including visual loss, memory impairment, and difficulty with language processing.

A fatal outcome is a term used in medical context to describe a situation where a disease, injury, or illness results in the death of an individual. It is the most severe and unfortunate possible outcome of any medical condition, and is often used as a measure of the severity and prognosis of various diseases and injuries. In clinical trials and research, fatal outcome may be used as an endpoint to evaluate the effectiveness and safety of different treatments or interventions.

A stroke, also known as cerebrovascular accident (CVA), is a serious medical condition that occurs when the blood supply to part of the brain is interrupted or reduced, leading to deprivation of oxygen and nutrients to brain cells. This can result in the death of brain tissue and cause permanent damage or temporary impairment to cognitive functions, speech, memory, movement, and other body functions controlled by the affected area of the brain.

Strokes can be caused by either a blockage in an artery that supplies blood to the brain (ischemic stroke) or the rupture of a blood vessel in the brain (hemorrhagic stroke). A transient ischemic attack (TIA), also known as a "mini-stroke," is a temporary disruption of blood flow to the brain that lasts only a few minutes and does not cause permanent damage.

Symptoms of a stroke may include sudden weakness or numbness in the face, arm, or leg; difficulty speaking or understanding speech; vision problems; loss of balance or coordination; severe headache with no known cause; and confusion or disorientation. Immediate medical attention is crucial for stroke patients to receive appropriate treatment and prevent long-term complications.

Medical Definition:

"Risk factors" are any attribute, characteristic or exposure of an individual that increases the likelihood of developing a disease or injury. They can be divided into modifiable and non-modifiable risk factors. Modifiable risk factors are those that can be changed through lifestyle choices or medical treatment, while non-modifiable risk factors are inherent traits such as age, gender, or genetic predisposition. Examples of modifiable risk factors include smoking, alcohol consumption, physical inactivity, and unhealthy diet, while non-modifiable risk factors include age, sex, and family history. It is important to note that having a risk factor does not guarantee that a person will develop the disease, but rather indicates an increased susceptibility.

Hemosiderin is a golden-brown pigment that consists of iron-containing protein complexes called ferritin and ferrikinase. It is insoluble in water and forms as a result of the breakdown of hemoglobin in the reticuloendothelial system, primarily in macrophages. Hemosiderin deposits can be found in various tissues and organs, such as the spleen, liver, and brain, under conditions of increased red blood cell destruction or impaired iron metabolism. These deposits are often associated with diseases such as hemochromatosis, thalassemia, and chronic inflammation.

An acute disease is a medical condition that has a rapid onset, develops quickly, and tends to be short in duration. Acute diseases can range from minor illnesses such as a common cold or flu, to more severe conditions such as pneumonia, meningitis, or a heart attack. These types of diseases often have clear symptoms that are easy to identify, and they may require immediate medical attention or treatment.

Acute diseases are typically caused by an external agent or factor, such as a bacterial or viral infection, a toxin, or an injury. They can also be the result of a sudden worsening of an existing chronic condition. In general, acute diseases are distinct from chronic diseases, which are long-term medical conditions that develop slowly over time and may require ongoing management and treatment.

Examples of acute diseases include:

* Acute bronchitis: a sudden inflammation of the airways in the lungs, often caused by a viral infection.
* Appendicitis: an inflammation of the appendix that can cause severe pain and requires surgical removal.
* Gastroenteritis: an inflammation of the stomach and intestines, often caused by a viral or bacterial infection.
* Migraine headaches: intense headaches that can last for hours or days, and are often accompanied by nausea, vomiting, and sensitivity to light and sound.
* Myocardial infarction (heart attack): a sudden blockage of blood flow to the heart muscle, often caused by a buildup of plaque in the coronary arteries.
* Pneumonia: an infection of the lungs that can cause coughing, chest pain, and difficulty breathing.
* Sinusitis: an inflammation of the sinuses, often caused by a viral or bacterial infection.

It's important to note that while some acute diseases may resolve on their own with rest and supportive care, others may require medical intervention or treatment to prevent complications and promote recovery. If you are experiencing symptoms of an acute disease, it is always best to seek medical attention to ensure proper diagnosis and treatment.

A brain injury is defined as damage to the brain that occurs following an external force or trauma, such as a blow to the head, a fall, or a motor vehicle accident. Brain injuries can also result from internal conditions, such as lack of oxygen or a stroke. There are two main types of brain injuries: traumatic and acquired.

Traumatic brain injury (TBI) is caused by an external force that results in the brain moving within the skull or the skull being fractured. Mild TBIs may result in temporary symptoms such as headaches, confusion, and memory loss, while severe TBIs can cause long-term complications, including physical, cognitive, and emotional impairments.

Acquired brain injury (ABI) is any injury to the brain that occurs after birth and is not hereditary, congenital, or degenerative. ABIs are often caused by medical conditions such as strokes, tumors, anoxia (lack of oxygen), or infections.

Both TBIs and ABIs can range from mild to severe and may result in a variety of physical, cognitive, and emotional symptoms that can impact a person's ability to perform daily activities and function independently. Treatment for brain injuries typically involves a multidisciplinary approach, including medical management, rehabilitation, and supportive care.

Magnesium Sulfate is an inorganic salt with the chemical formula MgSO4. It is often encountered as the heptahydrate sulfate mineral epsomite (MgSO4·7H2O), commonly called Epsom salts. Magnesium sulfate is used medically as a vasodilator, to treat constipation, and as an antidote for magnesium overdose or poisoning. It is also used in the preparation of skin for esthetic procedures and in the treatment of eclampsia, a serious complication of pregnancy characterized by seizures.

Follow-up studies are a type of longitudinal research that involve repeated observations or measurements of the same variables over a period of time, in order to understand their long-term effects or outcomes. In medical context, follow-up studies are often used to evaluate the safety and efficacy of medical treatments, interventions, or procedures.

In a typical follow-up study, a group of individuals (called a cohort) who have received a particular treatment or intervention are identified and then followed over time through periodic assessments or data collection. The data collected may include information on clinical outcomes, adverse events, changes in symptoms or functional status, and other relevant measures.

The results of follow-up studies can provide important insights into the long-term benefits and risks of medical interventions, as well as help to identify factors that may influence treatment effectiveness or patient outcomes. However, it is important to note that follow-up studies can be subject to various biases and limitations, such as loss to follow-up, recall bias, and changes in clinical practice over time, which must be carefully considered when interpreting the results.

The cerebral aqueduct, also known as the aqueduct of Sylvius, is a narrow canal that connects the third and fourth ventricles (cavities) of the brain. It allows for the flow of cerebrospinal fluid (CSF) from the third ventricle to the fourth ventricle. The cerebral aqueduct is a critical component of the ventricular system of the brain, and any obstruction or abnormality in this region can result in an accumulation of CSF and increased pressure within the brain, which can lead to serious neurological symptoms and conditions such as hydrocephalus.

Vasoconstriction is a medical term that refers to the narrowing of blood vessels due to the contraction of the smooth muscle in their walls. This process decreases the diameter of the lumen (the inner space of the blood vessel) and reduces blood flow through the affected vessels. Vasoconstriction can occur throughout the body, but it is most noticeable in the arterioles and precapillary sphincters, which control the amount of blood that flows into the capillary network.

The autonomic nervous system, specifically the sympathetic division, plays a significant role in regulating vasoconstriction through the release of neurotransmitters like norepinephrine (noradrenaline). Various hormones and chemical mediators, such as angiotensin II, endothelin-1, and serotonin, can also induce vasoconstriction.

Vasoconstriction is a vital physiological response that helps maintain blood pressure and regulate blood flow distribution in the body. However, excessive or prolonged vasoconstriction may contribute to several pathological conditions, including hypertension, stroke, and peripheral vascular diseases.

A coma is a deep state of unconsciousness in which an individual cannot be awakened, cannot respond to stimuli, and does not exhibit any sleep-wake cycles. It is typically caused by severe brain injury, illness, or toxic exposure that impairs the function of the brainstem and cerebral cortex.

In a coma, the person may appear to be asleep, but they are not aware of their surroundings or able to communicate or respond to stimuli. Comas can last for varying lengths of time, from days to weeks or even months, and some people may emerge from a coma with varying degrees of brain function and disability.

Medical professionals use various diagnostic tools and assessments to evaluate the level of consciousness and brain function in individuals who are in a coma, including the Glasgow Coma Scale (GCS), which measures eye opening, verbal response, and motor response. Treatment for coma typically involves supportive care to maintain vital functions, manage any underlying medical conditions, and prevent further complications.

Papaverine is defined as a smooth muscle relaxant and a non-narcotic alkaloid derived from the opium poppy. It works by blocking the phosphodiesterase enzyme, leading to an increase in cyclic adenosine monophosphate (cAMP) levels within the cells, which in turn results in muscle relaxation.

It is used medically for its vasodilatory effects to treat conditions such as cerebral or peripheral vascular spasms and occlusive diseases, Raynaud's phenomenon, and priapism. Papaverine can also be used as an anti-arrhythmic agent in the management of certain types of cardiac arrhythmias.

It is important to note that papaverine has a narrow therapeutic index, and its use should be closely monitored due to the potential for adverse effects such as hypotension, reflex tachycardia, and gastrointestinal disturbances.

In epidemiology, the incidence of a disease is defined as the number of new cases of that disease within a specific population over a certain period of time. It is typically expressed as a rate, with the number of new cases in the numerator and the size of the population at risk in the denominator. Incidence provides information about the risk of developing a disease during a given time period and can be used to compare disease rates between different populations or to monitor trends in disease occurrence over time.

Recurrence, in a medical context, refers to the return of symptoms or signs of a disease after a period of improvement or remission. It indicates that the condition has not been fully eradicated and may require further treatment. Recurrence is often used to describe situations where a disease such as cancer comes back after initial treatment, but it can also apply to other medical conditions. The likelihood of recurrence varies depending on the type of disease and individual patient factors.

An aneurysm is a localized, balloon-like bulge in the wall of a blood vessel. It occurs when the pressure inside the vessel causes a weakened area to swell and become enlarged. Aneurysms can develop in any blood vessel, but they are most common in arteries at the base of the brain (cerebral aneurysm) and the main artery carrying blood from the heart to the rest of the body (aortic aneurysm).

Aneurysms can be classified as saccular or fusiform, depending on their shape. A saccular aneurysm is a round or oval bulge that projects from the side of a blood vessel, while a fusiform aneurysm is a dilated segment of a blood vessel that is uniform in width and involves all three layers of the arterial wall.

The size and location of an aneurysm can affect its risk of rupture. Generally, larger aneurysms are more likely to rupture than smaller ones. Aneurysms located in areas with high blood pressure or where the vessel branches are also at higher risk of rupture.

Ruptured aneurysms can cause life-threatening bleeding and require immediate medical attention. Symptoms of a ruptured aneurysm may include sudden severe headache, neck stiffness, nausea, vomiting, blurred vision, or loss of consciousness. Unruptured aneurysms may not cause any symptoms and are often discovered during routine imaging tests for other conditions.

Treatment options for aneurysms depend on their size, location, and risk of rupture. Small, unruptured aneurysms may be monitored with regular imaging tests to check for growth or changes. Larger or symptomatic aneurysms may require surgical intervention, such as clipping or coiling, to prevent rupture and reduce the risk of complications.

Angiography is a medical procedure in which an x-ray image is taken to visualize the internal structure of blood vessels, arteries, or veins. This is done by injecting a radiopaque contrast agent (dye) into the blood vessel using a thin, flexible catheter. The dye makes the blood vessels visible on an x-ray image, allowing doctors to diagnose and treat various medical conditions such as blockages, narrowing, or malformations of the blood vessels.

There are several types of angiography, including:

* Cardiac angiography (also called coronary angiography) - used to examine the blood vessels of the heart
* Cerebral angiography - used to examine the blood vessels of the brain
* Peripheral angiography - used to examine the blood vessels in the limbs or other parts of the body.

Angiography is typically performed by a radiologist, cardiologist, or vascular surgeon in a hospital setting. It can help diagnose conditions such as coronary artery disease, aneurysms, and peripheral arterial disease, among others.

Aminocaproates are a group of chemical compounds that contain an amino group and a carboxylic acid group, as well as a straight or branched alkyl chain with 6-10 carbon atoms. They are often used in medical settings as anti-fibrinolytic agents, which means they help to prevent the breakdown of blood clots.

One example of an aminocaproate is epsilon-aminocaproic acid (EACA), which is a synthetic analogue of the amino acid lysine. EACA works by inhibiting the activation of plasminogen to plasmin, which is an enzyme that breaks down blood clots. By doing so, EACA can help to reduce bleeding and improve clot stability in certain medical conditions, such as hemophilia or following surgery.

Other aminocaproates include tranexamic acid (TXA) and 4-aminoethylbenzoic acid (AEBA), which also have anti-fibrinolytic properties and are used in similar clinical settings. However, it's important to note that these medications can increase the risk of thrombosis (blood clots) if not used properly, so they should only be administered under the close supervision of a healthcare provider.

A basal ganglia hemorrhage is a type of intracranial hemorrhage, which is defined as bleeding within the skull or brain. Specifically, a basal ganglia hemorrhage involves bleeding into the basal ganglia, which are clusters of neurons located deep within the forebrain and are involved in regulating movement, cognition, and emotion.

Basal ganglia hemorrhages can result from various factors, including hypertension (high blood pressure), cerebral amyloid angiopathy, illicit drug use (such as cocaine or amphetamines), and head trauma. Symptoms of a basal ganglia hemorrhage may include sudden onset of severe headache, altered consciousness, weakness or paralysis on one side of the body, difficulty speaking or understanding speech, and visual disturbances.

Diagnosis of a basal ganglia hemorrhage typically involves imaging studies such as computed tomography (CT) or magnetic resonance imaging (MRI). Treatment may include supportive care, medications to control symptoms, and surgical intervention in some cases. The prognosis for individuals with a basal ganglia hemorrhage varies depending on the severity of the bleed, the presence of underlying medical conditions, and the timeliness and effectiveness of treatment.

A traumatic cerebral hemorrhage is a type of brain injury that results from a trauma or external force to the head, which causes bleeding in the brain. This condition is also known as an intracranial hemorrhage or epidural or subdural hematoma, depending on the location and extent of the bleeding.

The trauma can cause blood vessels in the brain to rupture, leading to the accumulation of blood in the skull and increased pressure on the brain. This can result in various symptoms such as headache, confusion, seizures, vomiting, weakness or numbness in the limbs, loss of consciousness, and even death if not treated promptly.

Traumatic cerebral hemorrhage is a medical emergency that requires immediate attention and treatment. Treatment options may include surgery to relieve pressure on the brain, medication to control seizures and reduce swelling, and rehabilitation to help with recovery. The prognosis for traumatic cerebral hemorrhage depends on various factors such as the severity of the injury, location of the bleeding, age and overall health of the patient, and timeliness of treatment.

Dura Mater is the thickest and outermost of the three membranes (meninges) that cover the brain and spinal cord. It provides protection and support to these delicate structures. The other two layers are called the Arachnoid Mater and the Pia Mater, which are thinner and more delicate than the Dura Mater. Together, these three layers form a protective barrier around the central nervous system.

A subdural hematoma is a type of intracranial hemorrhage, which means it involves bleeding within the skull. More specifically, a subdural hematoma occurs between the dura mater (the outermost layer of the meninges that covers the brain) and the brain itself. This condition is usually caused by trauma or injury to the head, which results in the rupture of blood vessels in the brain. The bleeding then forms a collection of blood in the subdural space, which can compress the brain and lead to various neurological symptoms.

Subdural hematomas can be acute, subacute, or chronic, depending on the time course of symptom onset and the rate of blood accumulation. Acute subdural hematomas typically result from severe head trauma and require immediate medical attention due to their rapid progression and potential for causing significant brain damage or even death. Chronic subdural hematomas, on the other hand, may develop more slowly over time and can sometimes be asymptomatic, although they still have the potential to cause long-term neurological problems if left untreated.

Treatment options for subdural hematomas depend on various factors, including the patient's age, overall health status, the severity of symptoms, and the size and location of the hematoma. In some cases, conservative management with close monitoring may be appropriate, while in other situations, surgical intervention may be necessary to alleviate pressure on the brain and prevent further damage.

A neurological examination is a series of tests used to evaluate the functioning of the nervous system, including both the central nervous system (the brain and spinal cord) and peripheral nervous system (the nerves that extend from the brain and spinal cord to the rest of the body). It is typically performed by a healthcare professional such as a neurologist or a primary care physician with specialized training in neurology.

During a neurological examination, the healthcare provider will assess various aspects of neurological function, including:

1. Mental status: This involves evaluating a person's level of consciousness, orientation, memory, and cognitive abilities.
2. Cranial nerves: There are 12 cranial nerves that control functions such as vision, hearing, smell, taste, and movement of the face and neck. The healthcare provider will test each of these nerves to ensure they are functioning properly.
3. Motor function: This involves assessing muscle strength, tone, coordination, and reflexes. The healthcare provider may ask the person to perform certain movements or tasks to evaluate these functions.
4. Sensory function: The healthcare provider will test a person's ability to feel different types of sensations, such as touch, pain, temperature, vibration, and proprioception (the sense of where your body is in space).
5. Coordination and balance: The healthcare provider may assess a person's ability to perform coordinated movements, such as touching their finger to their nose or walking heel-to-toe.
6. Reflexes: The healthcare provider will test various reflexes throughout the body using a reflex hammer.

The results of a neurological examination can help healthcare providers diagnose and monitor conditions that affect the nervous system, such as stroke, multiple sclerosis, Parkinson's disease, or peripheral neuropathy.

Tranexamic acid is an antifibrinolytic medication that is used to reduce or prevent bleeding. It works by inhibiting the activation of plasminogen to plasmin, which is a protease that degrades fibrin clots. By preventing the breakdown of blood clots, tranexamic acid helps to reduce bleeding and promote clot formation.

Tranexamic acid is available in various forms, including tablets, capsules, and injectable solutions. It is used in a variety of clinical settings, such as surgery, trauma, and heavy menstrual bleeding. The medication can be taken orally or administered intravenously, depending on the severity of the bleeding and the patient's medical condition.

Common side effects of tranexamic acid include nausea, vomiting, diarrhea, and headache. Less commonly, the medication may cause allergic reactions, visual disturbances, or seizures. It is important to follow the prescribing physician's instructions carefully when taking tranexamic acid to minimize the risk of side effects and ensure its safe and effective use.

The Anterior Cerebral Artery (ACA) is a paired set of arteries that originate from the internal carotid artery or its branch, the posterior communicating artery. They supply oxygenated blood to the frontal lobes and parts of the parietal lobes of the brain.

The ACA runs along the medial side of each hemisphere, anterior to the corpus callosum, which is the largest bundle of nerve fibers connecting the two hemispheres of the brain. It gives off branches that supply the motor and sensory areas of the lower extremities, as well as the areas responsible for higher cognitive functions such as language, memory, and emotion.

The ACA is divided into several segments: A1, A2, A3, and A4. The A1 segment runs from its origin at the internal carotid artery to the anterior communicating artery, which connects the two ACAs. The A2 segment extends from the anterior communicating artery to the bifurcation of the ACA into its terminal branches. The A3 and A4 segments are the distal branches that supply the frontal and parietal lobes.

Interruptions or blockages in the flow of blood through the ACA can lead to various neurological deficits, including weakness or paralysis of the lower extremities, language impairment, and changes in cognitive function.

Prognosis is a medical term that refers to the prediction of the likely outcome or course of a disease, including the chances of recovery or recurrence, based on the patient's symptoms, medical history, physical examination, and diagnostic tests. It is an important aspect of clinical decision-making and patient communication, as it helps doctors and patients make informed decisions about treatment options, set realistic expectations, and plan for future care.

Prognosis can be expressed in various ways, such as percentages, categories (e.g., good, fair, poor), or survival rates, depending on the nature of the disease and the available evidence. However, it is important to note that prognosis is not an exact science and may vary depending on individual factors, such as age, overall health status, and response to treatment. Therefore, it should be used as a guide rather than a definitive forecast.

The Predictive Value of Tests, specifically the Positive Predictive Value (PPV) and Negative Predictive Value (NPV), are measures used in diagnostic tests to determine the probability that a positive or negative test result is correct.

Positive Predictive Value (PPV) is the proportion of patients with a positive test result who actually have the disease. It is calculated as the number of true positives divided by the total number of positive results (true positives + false positives). A higher PPV indicates that a positive test result is more likely to be a true positive, and therefore the disease is more likely to be present.

Negative Predictive Value (NPV) is the proportion of patients with a negative test result who do not have the disease. It is calculated as the number of true negatives divided by the total number of negative results (true negatives + false negatives). A higher NPV indicates that a negative test result is more likely to be a true negative, and therefore the disease is less likely to be present.

The predictive value of tests depends on the prevalence of the disease in the population being tested, as well as the sensitivity and specificity of the test. A test with high sensitivity and specificity will generally have higher predictive values than a test with low sensitivity and specificity. However, even a highly sensitive and specific test can have low predictive values if the prevalence of the disease is low in the population being tested.

The internal carotid artery is a major blood vessel that supplies oxygenated blood to the brain. It originates from the common carotid artery and passes through the neck, entering the skull via the carotid canal in the temporal bone. Once inside the skull, it branches into several smaller vessels that supply different parts of the brain with blood.

The internal carotid artery is divided into several segments: cervical, petrous, cavernous, clinoid, and supraclinoid. Each segment has distinct clinical significance in terms of potential injury or disease. The most common conditions affecting the internal carotid artery include atherosclerosis, which can lead to stroke or transient ischemic attack (TIA), and dissection, which can cause severe headache, neck pain, and neurological symptoms.

It's important to note that any blockage or damage to the internal carotid artery can have serious consequences, as it can significantly reduce blood flow to the brain and lead to permanent neurological damage or even death. Therefore, regular check-ups and screening tests are recommended for individuals at high risk of developing vascular diseases.

Arachnoiditis is a medical condition that affects the arachnoid, one of the membranes that surround and protect the nerves of the central nervous system (the brain and spinal cord). The arachnoid becomes inflamed, often as a result of infection, direct injury, or complications from spinal surgery or chronic exposure to irritants such as steroids or contrast dyes.

The inflammation can cause the formation of scar tissue, which can lead to a variety of symptoms including:

1. Chronic pain in the back, legs, or arms
2. Numbness, tingling, or weakness in the limbs
3. Muscle cramps and spasms
4. Bladder and bowel dysfunction
5. Sexual dysfunction

In severe cases, arachnoiditis can cause permanent nerve damage and disability. Treatment typically focuses on managing symptoms and improving quality of life, as there is no cure for the condition.

Spinal cord vascular diseases refer to a group of disorders that affect the blood vessels of the spinal cord. These conditions can result in insufficient blood supply to the spinal cord tissue, leading to ischemia (lack of oxygen) and infarction (tissue death). There are several types of spinal cord vascular diseases, including:

1. Spinal Cord Infarction: This is a rare condition that occurs due to the blockage or narrowing of the arteries supplying blood to the spinal cord. It can result in sudden onset of weakness, numbness, or paralysis in parts of the body served by the affected spinal cord region.
2. Spinal Cord Aneurysm: This is a localized dilation or bulging of a weakened area in the wall of a blood vessel that supplies the spinal cord. If an aneurysm ruptures, it can cause bleeding into the spinal cord tissue, leading to neurological deficits.
3. Spinal Cord Arteriovenous Malformations (AVMs): These are abnormal connections between the arteries and veins in the spinal cord. AVMs can lead to bleeding, ischemia, or both, resulting in various neurological symptoms.
4. Spinal Cord Dural Arteriovenous Fistulas (dAVFs): These are abnormal communications between the spinal artery and a vein located outside the dura mater (the protective covering of the spinal cord). dAVFs can cause venous congestion, leading to ischemia and neurological dysfunction.
5. Spinal Cord Vasculitis: This is an inflammation of the blood vessels in the spinal cord, which can lead to narrowing or blockage of the affected vessels. It can result in various neurological symptoms, such as weakness, numbness, or pain.

Treatment for spinal cord vascular diseases depends on the specific condition and its severity. Treatment options may include medications, surgery, endovascular procedures, or a combination of these approaches.

Antifibrinolytic agents are a class of medications that inhibit the breakdown of blood clots. They work by blocking the action of enzymes called plasminogen activators, which convert plasminogen to plasmin, the main enzyme responsible for breaking down fibrin, a protein that forms the framework of a blood clot.

By preventing the conversion of plasminogen to plasmin, antifibrinolytic agents help to stabilize existing blood clots and prevent their premature dissolution. These medications are often used in clinical settings where excessive bleeding is a concern, such as during or after surgery, childbirth, or trauma.

Examples of antifibrinolytic agents include tranexamic acid, aminocaproic acid, and epsilon-aminocaproic acid. While these medications can be effective in reducing bleeding, they also carry the risk of thromboembolic events, such as deep vein thrombosis or pulmonary embolism, due to their pro-coagulant effects. Therefore, they should be used with caution and only under the close supervision of a healthcare provider.

I believe there might be a misunderstanding in your question. "Dogs" is not a medical term or condition. It is the common name for a domesticated carnivore of the family Canidae, specifically the genus Canis, which includes wolves, foxes, and other extant and extinct species of mammals. Dogs are often kept as pets and companions, and they have been bred in a wide variety of forms and sizes for different purposes, such as hunting, herding, guarding, assisting police and military forces, and providing companionship and emotional support.

If you meant to ask about a specific medical condition or term related to dogs, please provide more context so I can give you an accurate answer.

A closed head injury is a type of traumatic brain injury (TBI) that occurs when there is no penetration or breakage of the skull. The brain is encased in the skull and protected by cerebrospinal fluid, but when the head experiences a sudden impact or jolt, the brain can move back and forth within the skull, causing it to bruise, tear blood vessels, or even cause nerve damage. This type of injury can result from various incidents such as car accidents, sports injuries, falls, or any other event that causes the head to suddenly stop or change direction quickly.

Closed head injuries can range from mild (concussion) to severe (diffuse axonal injury, epidural hematoma, subdural hematoma), and symptoms may not always be immediately apparent. They can include headache, dizziness, nausea, vomiting, confusion, memory loss, difficulty concentrating, mood changes, sleep disturbances, and in severe cases, loss of consciousness, seizures, or even coma. It is essential to seek medical attention immediately if you suspect a closed head injury, as prompt diagnosis and treatment can significantly improve the outcome.

Siderosis is a medical condition characterized by the abnormal accumulation of iron in various tissues and organs, most commonly in the lungs. This occurs due to the repeated inhalation of iron-containing dusts or fumes, which can result from certain industrial processes such as welding, mining, or smelting.

In the lungs, this iron deposit can lead to inflammation and fibrosis, potentially causing symptoms like coughing, shortness of breath, and decreased lung function. It is important to note that siderosis itself is not contagious or cancerous, but there may be an increased risk for lung cancer in individuals with severe and prolonged exposure to iron-containing particles.

While siderosis is generally non-reversible, the progression of symptoms can often be managed through medical interventions and environmental modifications to reduce further exposure to iron-containing dusts or fumes.

The Blood-Brain Barrier (BBB) is a highly specialized, selective interface between the central nervous system (CNS) and the circulating blood. It is formed by unique endothelial cells that line the brain's capillaries, along with tight junctions, astrocytic foot processes, and pericytes, which together restrict the passage of substances from the bloodstream into the CNS. This barrier serves to protect the brain from harmful agents and maintain a stable environment for proper neural function. However, it also poses a challenge in delivering therapeutics to the CNS, as most large and hydrophilic molecules cannot cross the BBB.

Magnetic Resonance Angiography (MRA) is a non-invasive medical imaging technique that uses magnetic fields and radio waves to create detailed images of the blood vessels or arteries within the body. It is a type of Magnetic Resonance Imaging (MRI) that focuses specifically on the circulatory system.

MRA can be used to diagnose and evaluate various conditions related to the blood vessels, such as aneurysms, stenosis (narrowing of the vessel), or the presence of plaques or tumors. It can also be used to plan for surgeries or other treatments related to the vascular system. The procedure does not use radiation and is generally considered safe, although people with certain implants like pacemakers may not be able to have an MRA due to safety concerns.

Hypovolemia is a medical condition characterized by a decreased volume of circulating blood in the body, leading to inadequate tissue perfusion and oxygenation. This can occur due to various reasons such as bleeding, dehydration, vomiting, diarrhea, or excessive sweating, which result in a reduced amount of fluid in the intravascular space.

The severity of hypovolemia depends on the extent of fluid loss and can range from mild to severe. Symptoms may include thirst, dry mouth, weakness, dizziness, lightheadedness, confusion, rapid heartbeat, low blood pressure, and decreased urine output. Severe hypovolemia can lead to shock, organ failure, and even death if not treated promptly and effectively.

Pia Mater is the inner-most layer of the meninges, which are the protective coverings of the brain and spinal cord. It is a very thin and highly vascularized (rich in blood vessels) membrane that closely adheres to the surface of the brain. The name "Pia Mater" comes from Latin, meaning "tender mother." This layer provides nutrition and protection to the brain, and it also allows for the movement and flexibility of the brain within the skull.

The fourth ventricle is a part of the cerebrospinal fluid-filled system in the brain, located in the posterior cranial fossa and continuous with the central canal of the medulla oblongata and the cerebral aqueduct. It is shaped like a cavity with a roof, floor, and lateral walls, and it communicates rostrally with the third ventricle through the cerebral aqueduct and caudally with the subarachnoid space through the median and lateral apertures (foramina of Luschka and Magendie). The fourth ventricle contains choroid plexus tissue, which produces cerebrospinal fluid. Its roof is formed by the cerebellar vermis and the superior medullary velum, while its floor is composed of the rhomboid fossa, which includes several important structures such as the vagal trigone, hypoglossal trigone, and striae medullares.

Postoperative hemorrhage is a medical term that refers to bleeding that occurs after a surgical procedure. This condition can range from minor oozing to severe, life-threatening bleeding. Postoperative hemorrhage can occur soon after surgery or even several days later, as the surgical site begins to heal.

The causes of postoperative hemorrhage can vary, but some common factors include:

1. Inadequate hemostasis during surgery: This means that all bleeding was not properly controlled during the procedure, leading to bleeding after surgery.
2. Blood vessel injury: During surgery, blood vessels may be accidentally cut or damaged, causing bleeding after the procedure.
3. Coagulopathy: This is a condition in which the body has difficulty forming blood clots, increasing the risk of postoperative hemorrhage.
4. Use of anticoagulant medications: Medications that prevent blood clots can increase the risk of bleeding after surgery.
5. Infection: An infection at the surgical site can cause inflammation and bleeding.

Symptoms of postoperative hemorrhage may include swelling, pain, warmth, or discoloration around the surgical site, as well as signs of shock such as rapid heartbeat, low blood pressure, and confusion. Treatment for postoperative hemorrhage depends on the severity of the bleeding and may include medications to control bleeding, transfusions of blood products, or additional surgery to stop the bleeding.

Dioxanes are a group of chemical compounds that contain two oxygen atoms and four carbon atoms, linked together in a cyclic structure. The most common dioxane is called 1,4-dioxane, which is often used as a solvent or as a stabilizer in various industrial and consumer products, such as cosmetics, cleaning agents, and paint strippers.

In the medical field, 1,4-dioxane has been classified as a likely human carcinogen by the U.S. Environmental Protection Agency (EPA) and as a possible human carcinogen by the International Agency for Research on Cancer (IARC). Exposure to high levels of 1,4-dioxane has been linked to an increased risk of cancer in laboratory animals, and there is some evidence to suggest that it may also pose a cancer risk to humans.

It's worth noting that the use of 1,4-dioxane in cosmetics and other personal care products has been controversial, as some studies have found detectable levels of this chemical in these products. However, the levels of exposure from these sources are generally low, and it is unclear whether they pose a significant cancer risk to humans. Nonetheless, some organizations and experts have called for stricter regulations on the use of 1,4-dioxane in consumer products to minimize potential health risks.

Extravasation of diagnostic and therapeutic materials refers to the unintended leakage or escape of these substances from the intended vasculature into the surrounding tissues. This can occur during the administration of various medical treatments, such as chemotherapy, contrast agents for imaging studies, or other injectable medications.

The extravasation can result in a range of complications, depending on the type and volume of the material that has leaked, as well as the location and sensitivity of the surrounding tissues. Possible consequences include local tissue damage, inflammation, pain, and potential long-term effects such as fibrosis or necrosis.

Prompt recognition and management of extravasation are essential to minimize these complications. Treatment may involve local cooling or heating, the use of hyaluronidase or other agents to facilitate dispersion of the extravasated material, or surgical intervention in severe cases.

A Severity of Illness Index is a measurement tool used in healthcare to assess the severity of a patient's condition and the risk of mortality or other adverse outcomes. These indices typically take into account various physiological and clinical variables, such as vital signs, laboratory values, and co-morbidities, to generate a score that reflects the patient's overall illness severity.

Examples of Severity of Illness Indices include the Acute Physiology and Chronic Health Evaluation (APACHE) system, the Simplified Acute Physiology Score (SAPS), and the Mortality Probability Model (MPM). These indices are often used in critical care settings to guide clinical decision-making, inform prognosis, and compare outcomes across different patient populations.

It is important to note that while these indices can provide valuable information about a patient's condition, they should not be used as the sole basis for clinical decision-making. Rather, they should be considered in conjunction with other factors, such as the patient's overall clinical presentation, treatment preferences, and goals of care.

Nervous system diseases, also known as neurological disorders, refer to a group of conditions that affect the nervous system, which includes the brain, spinal cord, nerves, and muscles. These diseases can affect various functions of the body, such as movement, sensation, cognition, and behavior. They can be caused by genetics, infections, injuries, degeneration, or tumors. Examples of nervous system diseases include Alzheimer's disease, Parkinson's disease, multiple sclerosis, epilepsy, migraine, stroke, and neuroinfections like meningitis and encephalitis. The symptoms and severity of these disorders can vary widely, ranging from mild to severe and debilitating.

The posterior cranial fossa is a term used in anatomy to refer to the portion of the skull that forms the lower, back part of the cranial cavity. It is located between the occipital bone and the temporal bones, and it contains several important structures including the cerebellum, pons, medulla oblongata, and the lower cranial nerves (IX-XII). The posterior fossa also contains the foramen magnum, which is a large opening through which the spinal cord connects to the brainstem. This region of the skull is protected by the occipital bone, which forms the base of the skull and provides attachment for several neck muscles.

Blood volume refers to the total amount of blood present in an individual's circulatory system at any given time. It is the combined volume of both the plasma (the liquid component of blood) and the formed elements (such as red and white blood cells and platelets) in the blood. In a healthy adult human, the average blood volume is approximately 5 liters (or about 1 gallon). However, blood volume can vary depending on several factors, including age, sex, body weight, and overall health status.

Blood volume plays a critical role in maintaining proper cardiovascular function, as it affects blood pressure, heart rate, and the delivery of oxygen and nutrients to tissues throughout the body. Changes in blood volume can have significant impacts on an individual's health and may be associated with various medical conditions, such as dehydration, hemorrhage, heart failure, and liver disease. Accurate measurement of blood volume is essential for diagnosing and managing these conditions, as well as for guiding treatment decisions in clinical settings.

Endovascular procedures are minimally invasive medical treatments that involve accessing and repairing blood vessels or other interior parts of the body through small incisions or punctures. These procedures typically use specialized catheters, wires, and other tools that are inserted into the body through an artery or vein, usually in the leg or arm.

Endovascular procedures can be used to treat a wide range of conditions, including aneurysms, atherosclerosis, peripheral artery disease, carotid artery stenosis, and other vascular disorders. Some common endovascular procedures include angioplasty, stenting, embolization, and thrombectomy.

The benefits of endovascular procedures over traditional open surgery include smaller incisions, reduced trauma to surrounding tissues, faster recovery times, and lower risks of complications such as infection and bleeding. However, endovascular procedures may not be appropriate for all patients or conditions, and careful evaluation and consideration are necessary to determine the best treatment approach.

Postoperative complications refer to any unfavorable condition or event that occurs during the recovery period after a surgical procedure. These complications can vary in severity and may include, but are not limited to:

1. Infection: This can occur at the site of the incision or inside the body, such as pneumonia or urinary tract infection.
2. Bleeding: Excessive bleeding (hemorrhage) can lead to a drop in blood pressure and may require further surgical intervention.
3. Blood clots: These can form in the deep veins of the legs (deep vein thrombosis) and can potentially travel to the lungs (pulmonary embolism).
4. Wound dehiscence: This is when the surgical wound opens up, which can lead to infection and further complications.
5. Pulmonary issues: These include atelectasis (collapsed lung), pneumonia, or respiratory failure.
6. Cardiovascular problems: These include abnormal heart rhythms (arrhythmias), heart attack, or stroke.
7. Renal failure: This can occur due to various reasons such as dehydration, blood loss, or the use of certain medications.
8. Pain management issues: Inadequate pain control can lead to increased stress, anxiety, and decreased mobility.
9. Nausea and vomiting: These can be caused by anesthesia, opioid pain medication, or other factors.
10. Delirium: This is a state of confusion and disorientation that can occur in the elderly or those with certain medical conditions.

Prompt identification and management of these complications are crucial to ensure the best possible outcome for the patient.

Anisocoria is a medical term that refers to an inequality in the size of the pupils in each eye. The pupil is the black, circular opening in the center of the iris (the colored part of the eye) that allows light to enter and strike the retina. Normally, the pupils are equal in size and react similarly when exposed to light or darkness. However, in anisocoria, one pupil is larger or smaller than the other.

Anisocoria can be caused by various factors, including neurological conditions, trauma, eye diseases, or medications that affect the pupillary reflex. In some cases, anisocoria may be a normal variant and not indicative of any underlying medical condition. However, if it is a new finding or associated with other symptoms such as pain, headache, vision changes, or decreased level of consciousness, it should be evaluated by a healthcare professional to determine the cause and appropriate treatment.

Unconsciousness is a state of complete awareness where a person is not responsive to stimuli and cannot be awakened. It is often caused by severe trauma, illness, or lack of oxygen supply to the brain. In medical terms, it is defined as a lack of response to verbal commands, pain, or other stimuli, indicating that the person's brain is not functioning at a level necessary to maintain wakefulness and awareness.

Unconsciousness can be described as having different levels, ranging from drowsiness to deep coma. The causes of unconsciousness can vary widely, including head injury, seizure, stroke, infection, drug overdose, or lack of oxygen supply to the brain. Depending on the cause and severity, unconsciousness may last for a few seconds or continue for an extended period, requiring medical intervention and treatment.

Blood volume determination is a medical procedure that involves measuring the total amount of blood present in an individual's circulatory system. This measurement is typically expressed in milliliters (mL) or liters (L) and provides important information about the person's overall cardiovascular health and fluid status.

There are several methods for determining blood volume, including:

1. Direct measurement: This involves withdrawing a known volume of blood from the body, labeling the red blood cells with a radioactive or dye marker, reinfusing the cells back into the body, and then measuring the amount of marked cells that appear in subsequent blood samples over time.
2. Indirect measurement: This method uses formulas based on the person's height, weight, sex, and other factors to estimate their blood volume. One common indirect method is the "hemodynamic" calculation, which takes into account the individual's heart rate, stroke volume (the amount of blood pumped by the heart with each beat), and the concentration of hemoglobin in their red blood cells.
3. Bioimpedance analysis: This non-invasive technique uses electrical signals to measure the body's fluid volumes, including blood volume. By analyzing changes in the body's electrical conductivity in response to a small current, bioimpedance analysis can provide an estimate of blood volume.

Accurate determination of blood volume is important for assessing various medical conditions, such as heart failure, shock, anemia, and dehydration. It can also help guide treatment decisions, including the need for fluid replacement or blood transfusions.

Cerebral veins are the blood vessels that carry deoxygenated blood from the brain to the dural venous sinuses, which are located between the layers of tissue covering the brain. The largest cerebral vein is the superior sagittal sinus, which runs along the top of the brain. Other major cerebral veins include the straight sinus, transverse sinus, sigmoid sinus, and cavernous sinus. These veins receive blood from smaller veins called venules that drain the surface and deep structures of the brain. The cerebral veins play an important role in maintaining normal circulation and pressure within the brain.

Perfusion imaging is a medical imaging technique used to evaluate the blood flow or perfusion in various organs and tissues of the body. It is often utilized in conjunction with computed tomography (CT), magnetic resonance imaging (MRI), or single-photon emission computed tomography (SPECT) scans.

During a perfusion imaging procedure, a contrast agent is introduced into the patient's bloodstream, and a series of images are captured to track the flow and distribution of the contrast agent over time. This information helps medical professionals assess tissue viability, identify areas of reduced or blocked blood flow, and detect various pathological conditions such as stroke, heart attack, pulmonary embolism, and tumors.

In summary, perfusion imaging is a valuable diagnostic tool for evaluating the circulatory function of different organs and tissues in the body.

Spinal anesthesia is a type of regional anesthesia that involves injecting local anesthetic medication into the cerebrospinal fluid in the subarachnoid space, which is the space surrounding the spinal cord. This procedure is typically performed by introducing a needle into the lower back, between the vertebrae, to reach the subarachnoid space.

Once the local anesthetic is introduced into this space, it spreads to block nerve impulses from the corresponding levels of the spine, resulting in numbness and loss of sensation in specific areas of the body below the injection site. The extent and level of anesthesia depend on the amount and type of medication used, as well as the patient's individual response.

Spinal anesthesia is often used for surgeries involving the lower abdomen, pelvis, or lower extremities, such as cesarean sections, hernia repairs, hip replacements, and knee arthroscopies. It can also be utilized for procedures like epidural steroid injections to manage chronic pain conditions affecting the spine and lower limbs.

While spinal anesthesia provides effective pain relief during and after surgery, it may cause side effects such as low blood pressure, headache, or difficulty urinating. These potential complications should be discussed with the healthcare provider before deciding on this type of anesthesia.

Pneumocephalus is a medical condition characterized by the presence of air or gas within the intracranial cavity, specifically within the cranial vault (the space enclosed by the skull and containing the brain). This can occur due to various reasons such as trauma, neurosurgical procedures, tumors, or infection. The accumulation of air in the cranium can lead to symptoms like headache, altered mental status, nausea, vomiting, and neurological deficits. It is essential to diagnose and treat pneumocephalus promptly to prevent further complications, such as meningitis or brain abscess. Treatment options may include surgery, bed rest with head elevation, or administration of oxygen to facilitate the reabsorption of air.

Intracranial thrombosis refers to the formation of a blood clot (thrombus) within the intracranial vessels, which supply blood to the brain. This condition can occur in any of the cerebral arteries or veins and can lead to serious complications such as ischemic stroke, transient ischemic attack (TIA), or venous sinus thrombosis.

The formation of an intracranial thrombus can be caused by various factors, including atherosclerosis, cardiac embolism, vasculitis, sickle cell disease, hypercoagulable states, and head trauma. Symptoms may vary depending on the location and extent of the thrombosis but often include sudden onset of headache, weakness or numbness in the face or limbs, difficulty speaking or understanding speech, vision changes, and loss of balance or coordination.

Diagnosis of intracranial thrombosis typically involves imaging studies such as computed tomography (CT) angiography, magnetic resonance angiography (MRA), or digital subtraction angiography (DSA). Treatment options may include anticoagulation therapy, thrombolysis, endovascular intervention, or surgical intervention, depending on the underlying cause and severity of the condition.

... (SAH) is bleeding into the subarachnoid space-the area between the arachnoid membrane and the pia mater ... A true subarachnoid hemorrhage may be confused with a Pseudosubarachnoid hemorrhage, an apparent increased attenuation on CT ... gave a complete account of all major symptoms of subarachnoid hemorrhage, and he coined the term "spontaneous subarachnoid ... Subarachnoid hemorrhage may also occur in people who have had a head injury. Symptoms may include headache, decreased level of ...
It can cause epidural hemorrhage, subdural hemorrhage, and subarachnoid hemorrhage. Other condition such as hemorrhagic ... However, MRI has higher sensitivity than CT scan for the detection of epidural hemorrhage, subdural hemorrhage, subarachnoid ... A subarachnoid hemorrhage (SAH) is bleeding into the subarachnoid space-the area between the arachnoid membrane and the pia ... van Gijn J, Kerr RS, Rinkel GJ (January 2007). "Subarachnoid haemorrhage". Lancet. 369 (9558): 306-318. doi:10.1016/S0140-6736( ...
Symptoms of a subarachnoid hemorrhage differ depending on the site and size of the aneurysm. Symptoms of a ruptured aneurysm ... This leads to hemorrhage in the subarachnoid space and sometimes in brain parenchyma. Minor leakage from aneurysm may precede ... These cells initially invade the subarachnoid space from the circulation in order to phagocytose the hemorrhaged red blood ... Lumbar puncture (LP) is the gold standard technique for determining aneurysm rupture (subarachnoid hemorrhage). Once an LP is ...
... subarachnoid hemorrhage, subdural hemorrhage and epidural hemorrhage. There is a correlation between anticoagulating drugs and ... Lawton, Michael T.; Vates, G. Edward (2017-07-20). Solomon, Caren G. (ed.). "Subarachnoid Hemorrhage". New England Journal of ... Complete spinal MRI with MR angiography is used when patients with subarachnoid hemorrhage without the intracranial etiology. ... Abrupt onset of pain at the back or neck marks the location of ischaemia or hemorrhage at the beginning, which radiates as the ...
In subarachnoid hemorrhage, there may be syncope (transient loss of consciousness), seizures, meningism (neck pain and ... The importance of severe headaches in the diagnosis of subarachnoid hemorrhage has been known since the 1920s, when London ... The remainder are secondary to a number of conditions, including: Subarachnoid hemorrhage (10-25% of all cases of thunderclap ... Longstreth WT, Koepsell TD, Yerby MS, van Belle G (1985). "Risk factors for subarachnoid hemorrhage" (PDF). Stroke. 16 (3): 377 ...
Sir Frederick Taylor). In Boston, he described subarachnoid haemorrhage in 1924, in which year he was elected a Fellow of the ... Symonds CP (1924). "Spontaneous subarachnoid hemorrhage". Q J Med. 18 (69): 93-122. doi:10.1093/qjmed/os-118.69.93. Symonds CP ... Contributions to neurology by Symonds include a highly accurate description of subarachnoid haemorrhage in 1924, and idiopathic ... "Spontaneous Sub-arachnoid Hæmorrhage". Proceedings of the Royal Society of Medicine. 17 (Neurol Sect): 39-52. doi:10.1177/ ...
Subarachnoid hemorrhage Purves, Dale (2011). Neuroscience (5th ed.). Sunderland, Mass.: Sinauer. p. 742. ISBN 978-087893-695-3 ... The subarachnoid cisterns are spaces formed by openings in the subarachnoid space, an anatomic space in the meninges of the ... Some major subarachnoid cisterns: Cisterna magna also called cerebellomedullary cistern - the largest of the subarachnoid ... Rather, these subarachnoid cisterns are separated from each other by a trabeculated porous wall with various-sized openings. ...
Neurovascular Events After Subarachnoid Hemorrhage. pp. 141-145. doi:10.1007/978-3-319-04981-6_24. ISBN 978-3-319-04980-9. PMID ...
Extra-axial lesions include epidural hematoma, subdural hematoma, subarachnoid hemorrhage, and intraventricular hemorrhage. ... Subarachnoid hemorrhage involves bleeding into the space between the arachnoid membrane and the pia mater. Intraventricular ... Subarachnoid hemorrhage approximately doubles mortality. Subdural hematoma is associated with worse outcome and increased ... Armin SS, Colohan AR, Zhang JH (June 2006). "Traumatic subarachnoid hemorrhage: our current understanding and its evolution ...
"Mechanisms of Acute Brain Injury after Subarachnoid Hemorrhage." In: Bederson JB (ed), Subarachnoid Hemorrhage: Pathophysiology ... "Management of Severe Subarachnoid Hemorrhage." In: Fisher WS (ed), Perspectives in Neurological Surgery. (9):111-128, 1998. ... "Acute cerebral vascular injury after subarachnoid hemorrhage and its prevention by administration of a nitric oxide donor." J ... "Adenosine A(2A) receptors in early ischemic vascular injury after subarachnoid hemorrhage." J Neurosurg. 6 November 2009. PMID ...
The most common cause for bleeding into the subarachnoid space is a subarachnoid hemorrhage from a ruptured cerebral aneurysm. ... van der Wee, N.; Rinkel, G.J.; Hasan, D.; van Gijn J., J. (March 1995). "Detection of Subarachnoid Haemorrhage on Early CT: Is ... The most frequently employed initial test for subarachnoid hemorrhage is a computed tomography scan of the head, but it detects ... van Gijn, J.; Kerr, R.S.; Rinkel, G.J. (2007). "Subarachnoid Haemorrhage". Lancet. 369 (9558): 306-318. doi:10.1016/S0140-6736( ...
Injuries involving the meninges, can result in a hemorrhage and two types of hematoma. A subarachnoid hemorrhage is acute ... van Gijn J, Kerr RS, Rinkel GJ (2007). "Subarachnoid haemorrhage". Lancet. 369 (9558): 306-18. doi:10.1016/S0140-6736(07)60153- ... Spaces are formed from openings at different points along the subarachnoid space; these are the subarachnoid cisterns, which ... The subarachnoid space is the space that normally exists between the arachnoid and the pia mater. It is filled with ...
Subarachnoid hemorrhage may result in syncope. Often this is in combination with sudden, severe headache. It may occur as a ...
This may indicate subarachnoid hemorrhage or meningitis. Patients may also show opisthotonus-spasm of the whole body that leads ... including meningitis and some types of intracranial hemorrhage. Related clinical signs include Kernig's sign and three signs ...
Toshihito Ito, 40, Japanese actor, Subarachnoid hemorrhage. Euphemia McNaught, 100, Canadian impressionist painter. Antonia ...
Kong (2021). He died of subarachnoid hemorrhage in 2017. King of the Monsters was dedicated to his memory along with Haruo ...
Cerebral aneurysm Subarachnoid hemorrhage AJNR Am J Neuroradiol. 2005 Feb;26(2):367-72. Michael Forsting, Isabel Wanke, ... The randomized patient population in the ISAT was younger on average than the population of subarachnoid hemorrhage patients in ... The International Subarachnoid Aneurysm Trial (ISAT) was a large multicentre, prospective randomised clinical medical trial, ... J Mocco, L. Nelson Hopkins, "International Subarachnoid Aneurysm Trial analysis", Journal of Neurosurgery, March 2008 / Vol. ...
Ginzō Matsuo, 50, Japanese voice actor, subarachnoid hemorrhage. John L. Nelson, 85, American jazz musician, songwriter and ... Serhiy Perkhun, 23, Ukrainian footballer, cerebral hemorrhage. Remy Presas, 64, Filipino martial artist and founder of Modern ...
He died in 1985 of a subarachnoid hemorrhage. After his death, Banjō Ginga replaced him as Ramenman. Years later, Ryūzaburō ...
She died of subarachnoid hemorrhage at age 59. Wikimedia Commons has media related to Michiko Kihara. Michiko Kihara. sports- ...
Yō Yoshimura, 37, Japanese voice actor, subarachnoid hemorrhage. Mel Dinelli, 79, American writer for theatre, film and ...
His cause of death was a subarachnoid hemorrhage. He is buried at Botany Cemetery. He never married or had children. A ...
In one study, it was confirmed that raised ICP due to subarachnoid hemorrhaging causes mechanical distortion of the brainstem, ... A case report of a patient who underwent a spontaneous subarachnoid hemorrhage demonstrated that the Cushing reflex played a ... Elevated intracranial pressure can result from numerous pathways of brain impairment, including: subarachnoid hemorrhages, ... 1986). "Activity of peripheral sympathetic efferent nerves in experimental subarachnoid haemorrhage. Part 1: Observations at ...
"The role of spreading depolarization in subarachnoid hemorrhage". European Journal of Neurology. 20 (8): 1121-1127. doi:10.1111 ...
It may be effective for prevention of seizures associated with subarachnoid hemorrhages. Levetiracetam has not been found to be ... Shah D, Husain AM (December 2009). "Utility of levetiracetam in patients with subarachnoid hemorrhage". Seizure. 18 (10): 676- ...
Macdonald RL, Pluta RM, Zhang JH (May 2007). "Cerebral vasospasm after subarachnoid hemorrhage: the emerging revolution". ... several types of cancer cerebral vasospasm following subarachnoid hemorrhage arterial hypertension, pulmonary hypertension, and ...
"Oligoclonal immunoglobulin G in acute subarachnoid hemorrhage and stroke". Neurology. 36 (3): 395-7. doi:10.1212/wnl.36.3.395. ... Systemic lupus erythematosus Neurosarcoidosis Subacute sclerosing panencephalitis Subarachnoid hemorrhage Syphilis Primary ...
... has been implicated in subarachnoid hemorrhage (SAH). Levels of ICAM-1 are shown to be significantly elevated in ... and L-selectin in the cerebrospinal fluid of patients after subarachnoid hemorrhage". Journal of Neurosurgery. 89 (4): 559-67. ...
... subarachnoid hemorrhage. Napane Pemasiri Thero, 98, Sri Lankan Buddhist clergy, maha nayaka of Rāmañña Nikāya (since 2012). ... brain hemorrhage. Guy-Olivier Segond, 75, Swiss politician, member of the swiss national council (1987-1990). Waqar Ahmed Seth ... brain haemorrhage. Tomislav Merčep, 68, Croatian politician, convicted war criminal and paramilitary, founder of the Croatian ... gastrointestinal hemorrhage. Kirby Morrow, 47, Canadian voice actor (Dragon Ball Z, Inuyasha, Ninjago), complications from ...
Examples of these conditions include meningitis and subarachnoid hemorrhage. It may also be used therapeutically in some ... In any age group, subarachnoid hemorrhage, hydrocephalus, benign intracranial hypertension, and many other diagnoses may be ... tap in the context of a workup for subarachnoid hemorrhage, for example. Taps that are "positive" have an RBC count of 100/mm³ ... A hypodermic needle is used to access the subarachnoid space and collect fluid. Fluid may be sent for biochemical, ...
Subarachnoid hemorrhage (SAH) is bleeding into the subarachnoid space-the area between the arachnoid membrane and the pia mater ... A true subarachnoid hemorrhage may be confused with a Pseudosubarachnoid hemorrhage, an apparent increased attenuation on CT ... gave a complete account of all major symptoms of subarachnoid hemorrhage, and he coined the term "spontaneous subarachnoid ... Subarachnoid hemorrhage may also occur in people who have had a head injury. Symptoms may include headache, decreased level of ...
This area is called the subarachnoid space. Subarachnoid bleeding is an emergency and prompt ... This area is called the subarachnoid space. Subarachnoid bleeding is an emergency and prompt ... Subarachnoid hemorrhage is bleeding in the area between the brain and the thin tissues that cover the brain. ... Subarachnoid hemorrhage is bleeding in the area between the brain and the thin tissues that cover the brain. ...
SAH constitutes half of all spontaneous atraumatic intracranial hemorrhages; the other half consists of bleeding that occurs ... refers to extravasation of blood into the subarachnoid space between the pial and arachnoid membranes. ... encoded search term (Subarachnoid Hemorrhage) and Subarachnoid Hemorrhage What to Read Next on Medscape ... Differentiating Reversible Cerebral Vasoconstriction Syndrome With Subarachnoid Hemorrhage From Other Causes of Subarachnoid ...
This type of hemorrhage is an emergency and is often fatal. Find out more here. ... A subarachnoid hemorrhage occurs when blood leaks into the space between two membranes surrounding the brain. Issues with blood ... Several factors may lead to a subarachnoid hemorrhage.. Aneurysm. Up to 80 percent of subarachnoid hemorrhages occur when a ... During a subarachnoid hemorrhage, the cerebrospinal fluid in the subarachnoid space fills with blood. ...
Is CT sensitive enough to rule out subarachnoid hemorrhage? This study says yes, but rretrospective studies are inherently ... Sensitivity of noncontrast cranial computed tomography for emergency department diagnosis of subarachnoid hemorrhage. Ann Emerg ... High risk clinical characteristics for subarachnoid haemorrhage in patients with acute headache: prospective cohort study. BMJ ... is not sensitive enough to detect subtle subarachnoid hemorrhage (SAH), and that negative head CT must be followed by a lumbar ...
encoded search term (Cerebral Vasospasm After Subarachnoid Hemorrhage) and Cerebral Vasospasm After Subarachnoid Hemorrhage ... Cerebral Vasospasm After Subarachnoid Hemorrhage Workup. Updated: Sep 12, 2022 * Author: William W Ashley, Jr, MD, PhD, MBA; ... Subarachnoid haemorrhage: what happens to the cerebral arteries?. Clin Exp Pharmacol Physiol. 1998 Nov. 25 (11):867-76. [QxMD ... Pharmacologic Management of Subarachnoid Hemorrhage. World Neurosurg. 2015 Jul. 84 (1):28-35. [QxMD MEDLINE Link]. ...
Clinical trial for Intracranial Hemorrhage Ruptured Aneurysm , International Subarachnoid Aneurysm Trial II ... The trial showed that for 2143 subarachnoid hemorrhage (SAH)patients eligible for both surgery and endovascular coiling, ... The International Subarachnoid Aneurysm Trial (ISAT) was a turning point in modern neurosurgical history (1). ...
Subarachnoid hemorrhage occurs when a blood vessel ruptures at the base of the brain. ... Our experts in the Cerebrovascular Center at Mount Sinai specialize in evaluating and treating subarachnoid hemorrhage. ... Subarachnoid Hemorrhage Subarachnoid hemorrhage occurs when a blood vessel ruptures at the base of the brain. Blood fills up ... We treat subarachnoid hemorrhage by one or more of the following strategies:. *Endovascular coiling of brain aneurysms blocks ...
Jan van Gijn on Subarachnoid haemorrhage, part of a collection of multimedia lectures. ... van Gijn, J. (2008, October 27). Subarachnoid haemorrhage [Video file]. In The Biomedical & Life Sciences Collection, Henry ...
Gary K. Steinberg on Subarachnoid hemorrhage diagnosis and management, part of a collection of multimedia lectures. ... Subarachnoid hemorrhage diagnosis and management. *Prof. Gary K. Steinberg - Stanford University School of Medicine, USA ... Traumatic brain injury is a common cause of subarachnoid hemorrhage, but does not usually cause a stroke. I want to focus on ... The incidence of aneurysmal subarachnoid hemorrhage varies from two to 100,000 in China to ten times that in Finland. In the US ...
Aneurysmal subarachnoid hemorrhage (aSAH) is a serious condition with high mortality and a high permanent disability rate. In ... Spontaneous subarachnoid hemorrhage (SAH) affects individuals with a mean age of 55 years and accounts for 5% of stroke cases. ... Konczalla, J. et al. Outcome after Hunt and Hess Grade V subarachnoid hemorrhage: A comparison of pre-coiling era (1980-1995) ... Badjatia, N. et al. Relationship between energy balance and complications after subarachnoid hemorrhage. JPEN J. Parenter. ...
Subarachnoid hemorrhage is the term used to refer to the bleeding in the space between the brain and the surrounding ... ... Treatments, management plans for subarachnoid hemorrhage. Treatment for a brain hemorrhage like subarachnoid hemorrhage will ... Known symptoms of subarachnoid hemorrhage. The main symptom of subarachnoid hemorrhage is a sudden, severe headache, which is ... Subarachnoid hemorrhage can result in a permanent disability or death.. Subarachnoid hemorrhage can be treated with surgery, ...
Spontaneous Subarachnoid Hemorrhage in Sickle Cell Anemia. Harold S. Ballard, H. Bondar ...
Your Subarachnoid Haemorrhage booklet is ready to download, simply click the button below to open the PDF file. ...
J Rowe, N Soper, C Rae, C B T Adams, G K Radda, B Rajagopalan; Cerebral Blood Flow and Metabolism in Subarachnoid Haemorrhage. ... Cerebral Blood Flow and Metabolism in Subarachnoid Haemorrhage J Rowe; J Rowe ...
Benign subarachnoid haemorrhage (subarachnoid haemorrhage of unknown aetiology). Acta Neurochir (Wien) 1987;86:89-92. ... Subarachnoid haemorrhage of unknown cause: a long term follow-up. J Neurol Neurosurg Psychiatry 1989;52:230-5. ... Subarachnoid hemorrhage of unknown origin and the basilar artery configuration. J Clin Neurosci 2003;10:74-8. ... Subarachnoid haemorrhage of unknown aetiology: what next? Crit Rev Neurosurg 1999;9:147-55. ...
We determined surrogate parameters of pain and general well-being after subarachnoid hemorrhage (SAH), as well as the potential ... Analgesic treatment limits surrogate parameters for early stress and pain response after experimental subarachnoid hemorrhage. ... Analgesic treatment limits surrogate parameters for early stress and pain response after experimental subarachnoid hemorrhage. ... Analgesic treatment limits surrogate parameters for early stress and pain response after experimental subarachnoid hemorrhage. ...
Subarachnoid hemorrhage(SAH) is a devastating disease frequently leading to death or neurological deficits in the world [1], ... Xie X, Wu X, Cui J, Li H, Yan X: Increase ICAM-1 and LFA-1 expression by cerebrospinal fluid of subarachnoid hemorrhage ... Cahill J, Calvert JW, Zhang JH: Mechanisms of early brain injury after subarachnoid hemorrhage. J Cereb Blood Flow Metab 2006; ... Sehba FA, Hou J, Pluta RM, Zhang JH: The importance of early brain injury after subarachnoid hemorrhage. Prog Neurobiol 2012;97 ...
Intracerebral Hemorrhage, and Subarachnoid Hemorrhage Subject Area: Cardiovascular System , Neurology and Neuroscience ... Intracerebral Hemorrhage, and Subarachnoid Hemorrhage" [Cerebrovasc Dis 2022;51:313-322. DOI: 10.1159/000520053] by Pan et al ... Intracerebral Hemorrhage, and Subarachnoid Hemorrhage. Cerebrovasc Dis 19 August 2022; 51 (5): 695. https://doi.org/10.1159/ ... Intracerebral Hemorrhage, and Subarachnoid Hemorrhage ... Erratum - 8th World Intracranial Hemorrhage Conference (WICH ...
... subdural or subarachnoid haemorrhage. Contrary to historical opinion, drug-related intracranial haemorrhage (ICH) is frequently ... Cerebral computed tomography revealed right-sided subarachnoid haemorrhage and cerebral angiography showed right-sided middle ... "Subarachnoid haemorrhage with "Ecstasy" abuse in a young adult" Neurol Sci. 2003 Jan 21;23(4):199-201. ... Three weeks after onset of intracranial haemorrhage, neurological examination demonstrated normal findings. A history of severe ...
Spontaneous subarachnoid hemorrhage (sSAH) has an annual incidence of approximately 10 cases per 100,000 people worldwide. ... Introduction: Spontaneous subarachnoid hemorrhage (sSAH) has an annual incidence of approximately 10 cases per 100,000 people ... Conclusions: Spontaneous subarachnoid hemorrhage is a complex and multifactorial disease. Its pathophysiology remains poorly ... Incidence and Severity of Spontaneous Subarachnoid Hemorrhage in a Severe Weather Area. ...
Early neurological deterioration after subarachnoid haemorrhage: risk factors and impact on outcome ... Early neurological deterioration after subarachnoid haemorrhage: risk factors and impact on outcome ... Early neurological deterioration after subarachnoid haemorrhage: risk factors and impact on outcome ...
Perimesencephalic hemorrhage: a nonaneurysmal and benign form of subarachnoid hemorrhage. Neurology 1985;35:493-97. ... Cooperative study of intracranial aneurysms and subarachnoid hemorrhage: a long-term prognostic study. III. Subarachnoid ... Special features of subarachnoid hemorrhage of unknown origin: a review of a series of 179 cases. Neurol Res 2012;34:91-97. ... Spontaneous subarachnoid haemorrhage with negative initial angiography: a review of 143 cases. J Clin Neurosci 2006;13:1011-17 ...
... and subarachnoid hemorrhage (SAH). The authors sought to evaluate glibenclamides impact on mortality and functional outcomes ... subarachnoid hemorrhage. ; intracranial aneurysm. ; glibenclamide. ; clinical trial. ; vascular disorders. Page Count: 8 ... subarachnoid hemorrhage; intracranial aneurysm; glibenclamide; clinical trial; vascular disorders. Aneurysmal subarachnoid ... Simvastatin in aneurysmal subarachnoid haemorrhage (STASH): a multicentre randomised phase 3 trial. Lancet Neurol. 2014;13(7): ...
Perimesencephalic hemorrhage: a nonaneurysmal and benign form of subarachnoid hemorrhage. Neurology 1985;35:493-97. ... Cooperative study of intracranial aneurysms and subarachnoid hemorrhage: a long-term prognostic study. III. Subarachnoid ... Special features of subarachnoid hemorrhage of unknown origin: a review of a series of 179 cases. Neurol Res 2012;34:91-97. ... Spontaneous subarachnoid haemorrhage with negative initial angiography: a review of 143 cases. J Clin Neurosci 2006;13:1011-17 ...
Relationshıp of spontaneous subarachnoid haemorrhage and cerebral aneurysm to serum Visfatin and Nesfatin-1 levels.. ... Relationshıp of spontaneous subarachnoid haemorrhage and cerebral aneurysm to serum Visfatin and Nesfatin-1 levels. ... Relationshıp of spontaneous subarachnoid haemorrhage and cerebral aneurysm to serum Visfatin and Nesfatin-1 levels. ... Inflammation plays a role in the development of aneurysm, and spontaneous subarachnoid haemorrhage (SAH) is typically caused by ...
Results of vitrectomy and the significance of vitreous hemorrhage in patients with subarachnoid hemorrhage. Ophthalmology. 1998 ... Tersons syndrome in subarachnoid hemorrhage and severe brain injury accompanied by acutely raised intracranial pressure. J ... Ocular ultrasound as an easy applicable tool for detection of Tersons syndrome after aneurysmal subarachnoid hemorrhage. PLoS ... Pfausler B, Belcl R, Metzler R, Mohsenipour I, Schmutzhard E. Tersons syndrome in spontaneous subarachnoid hemorrhage: a ...
Use of consensus term and definition for delayed cerebral ischaemia after aneurysmal subarachnoid haemorrhage. View ORCID ... Use of consensus term and definition for delayed cerebral ischaemia after aneurysmal subarachnoid haemorrhage ... Use of consensus term and definition for delayed cerebral ischaemia after aneurysmal subarachnoid haemorrhage ... Use of consensus term and definition for delayed cerebral ischaemia after aneurysmal subarachnoid haemorrhage ...
Outcome measures Subarachnoid haemorrhage was defined by either the presence of subarachnoid blood on CT, positive CSF ... Conclusions While modern CT has a high sensitivity for the diagnosis of acute subarachnoid haemorrhage, particularly within 12 ... Results 244 patients were screened for subarachnoid haemorrhage during the 24 months between March 2006 and April 2008 (mean ... LP or not LP, that is the question: gold standard or unnecessary procedure in subarachnoid haemorrhage? ...
  • Up to 80 percent of subarachnoid hemorrhages occur when a cerebral aneurysm ruptures. (medicalnewstoday.com)
  • The International Subarachnoid Aneurysm Trial (ISAT) was a turning point in modern neurosurgical history (1). (centerwatch.com)
  • 9-11 Some researchers do not accept this and speculate that spontaneous thrombosis, vasospasm, destruction of the aneurysm by haemorrhage, narrowing of the aneurysmal neck, alterations in blood flow, inadequate angiographic technique or observer error may be responsible. (bmj.com)
  • Cerebral computed tomography revealed right-sided subarachnoid haemorrhage and cerebral angiography showed right-sided middle cerebral artery aneurysm of 1 cm diameter. (erowid.org)
  • Relationshıp of spontaneous subarachnoid haemorrhage and cerebral aneurysm to serum Visfatin and Nesfatin-1 levels. (iasp-pain.org)
  • Inflammation plays a role in the development of aneurysm, and spontaneous subarachnoid haemorrhage (SAH) is typically caused by rupture of the aneurysmal sac because of the increased inflammation. (iasp-pain.org)
  • Outcome measures Subarachnoid haemorrhage was defined by either the presence of subarachnoid blood on CT, positive CSF spectrophotometry defined by national guidelines or aneurysm identified on subsequent angiography if either of the former were equivocal. (bmj.com)
  • About 80% of non-trauma subarachnoid hemorrhage (SAH) cases are caused by rupture of intracranial aneurysm, which encourages blood to fill the subarachnoid space and stimulates the surrounding structures, it's cause pathognomonic symptoms of stiff neck and thunderclap headache. (unram.ac.id)
  • Notes = Bleeding into the intracranial or spinal SUBARACHNOID SPACE, most resulting from INTRACRANIAL ANEURYSM rupture. (ed.ac.uk)
  • Subarachnoid haemorrhage (SAH) is a devastating disease, in the majority of cases caused by a rupture of an arterial intracranial aneurysm. (biomedcentral.com)
  • Background Perimesencephalic subarachnoid hemorrhage (PMSAH) is only rarely associated with a ruptured cerebral aneurysm and CT angiography (CTA) has very good sensitivity and specificity for aneurysm detection. (bmj.com)
  • Several factors may lead to a subarachnoid hemorrhage. (medicalnewstoday.com)
  • Having a head injury or bleeding disorder, or taking blood thinners, can lead to a subarachnoid hemorrhage. (healthline.com)
  • When bleeding occurs in the space that surrounds the brain, blood builds up but has nowhere to go, so the brain experiences pressure and can lead to a subarachnoid hemorrhage. (supremevascular.com)
  • Aneurysms associated with subarachnoid hemorrhages tend to occur in a circle of arteries that supply blood to the brain. (medicalnewstoday.com)
  • Causes for subarachnoid hemorrhage include brain aneurysms , arteriovenous malformations (AVM) , amyloid angiopathy, and head trauma. (mountsinai.org)
  • Subarachnoid hemorrhages (SAH) due to true aneurysms of the Posterior Cerebral Artery (PCA) during puerperium in young and healthy females are extremely rare. (uni-regensburg.de)
  • The National Institute for Health and Care Excellence guidelines ( Subarachnoid haemorrhage due to ruptured aneurysms ) are due in July 2021 and will hopefully review this issue in more detail, including the key issue of whether a negative CT of the head within 6 hours of the headache onset can safely exclude SAH and remove the need to perform a lumbar puncture. (rcpjournals.org)
  • Background and purpose The aim of this study was to assess the long term outcome after non-aneurysmal subarachnoid haemorrhage (SAH). (bmj.com)
  • In 2010, a multidisciplinary research group proposed a consensus term and definition for the complication of delayed cerebral ischaemia (DCI) following aneurysmal subarachnoid haemorrhage (SAH). (ox.ac.uk)
  • Background Adverse events (AEs) or complications may arise secondary to the treatment of aneurysmal subarachnoid haemorrhage (SAH). (lu.se)
  • The combination of intracerebral hemorrhage and raised intracranial pressure (if present) leads to a "sympathetic surge", i.e. over-activation of the sympathetic system. (wikipedia.org)
  • Minimally invasive "burr hole" removal of intracerebral hemorrhage can be effective. (mountsinai.org)
  • In the article "Association between Apolipoprotein E Polymorphism and Clinical Outcome after Ischemic Stroke, Intracerebral Hemorrhage, and Subarachnoid Hemorrhage" [Cerebrovasc Dis 2022;51:313-322. (karger.com)
  • Subarachnoid extension of primary intracerebral hemorrhage is associated with poor outcomes. (uchicago.edu)
  • The classic symptom of subarachnoid hemorrhage is thunderclap headache (a headache described as "like being kicked in the head", or the "worst ever", developing over seconds to minutes). (wikipedia.org)
  • About one-third of people have no symptoms apart from the characteristic headache, and about one in ten people who seek medical care with this symptom are later diagnosed with a subarachnoid hemorrhage. (wikipedia.org)
  • Perry JJ, Stiell IG, Sivilotti ML, Bullard MJ, Lee JS, Eisenhauer M. High risk clinical characteristics for subarachnoid haemorrhage in patients with acute headache: prospective cohort study. (medscape.com)
  • Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study. (medscape.com)
  • The first symptom of a subarachnoid hemorrhage is often a sudden and severe "thunderclap headache. (medicalnewstoday.com)
  • If a person experiences a stiff neck and severe headache with no other known cause, these may be signs of a subarachnoid hemorrhage. (medicalnewstoday.com)
  • The main symptom of subarachnoid hemorrhage is a sudden, severe headache, which is more intense at the base of the skull. (naturalpedia.com)
  • A history of severe headache immediately after using amphetamine, Ecstasy, or cocaine should alert doctors to the possibility of intracerebral haemorrhage. (erowid.org)
  • The Ottowa subarachnoid rule has been designed to determine which patients presenting to the emergency department with a nontraumatic headache that had reached maximal intensity within 1 hour of onset with normal neurological examination require exclusion of a subarachnoid haemorrhage (SAH) as the cause of the headache. (rcpjournals.org)
  • Subarachnoid hemorrhages usually cause a sudden severe headache , nausea , vomiting , light intolerance, and stiff neck. (medicinenet.com)
  • A thunderclap headache, which is a very intense, sudden, and painful headache, is the main symptom of a subarachnoid hemorrhage. (supremevascular.com)
  • Various imaging modalities are employed to diagnose cerebral vasospasm after aneurysmal subarachnoid hemorrhage (aSAH). (medscape.com)
  • Aneurysmal subarachnoid hemorrhage (aSAH) is a serious condition with high mortality and a high permanent disability rate. (nature.com)
  • Our goal was to evaluate the feasibility and potential role of bedside optical coherence tomography (OCT) in Terson's Syndrome (TS) in patients with acute subarachnoid hemorrhage (aSAH) and its potential role in blindness prevention. (cns.org)
  • Cerebrospinal fluid fills the part of the brain known as the subarachnoid space. (medicalnewstoday.com)
  • Subarachnoid hemorrhage is the term used to refer to the bleeding in the space between the brain and the surrounding membrane , also known as the subarachnoid space. (naturalpedia.com)
  • When blood is released into the subarachnoid space, it irritates the lining of the brain, puts more pressure on the brain, and injures brain cells. (naturalpedia.com)
  • Bedside Optical Coherence Tomography for Terson's Syndrome screening in Acute Subarachnoid Hemorrhage: A pilot study. (cns.org)
  • Morris PG, Wilson JT, Dunn L. Anxiety and depression after spontaneous subarachnoid hemorrhage. (medscape.com)
  • Spontaneous subarachnoid hemorrhage (SAH) affects individuals with a mean age of 55 years and accounts for 5% of stroke cases. (nature.com)
  • Spontaneous subarachnoid hemorrhage (sSAH) has an annual incidence of approximately 10 cases per 100,000 people worldwide. (cns.org)
  • Spontaneous subarachnoid hemorrhage is a complex and multifactorial disease. (cns.org)
  • A hemorrhage of this type can lead to a stroke and often has severe consequences. (medicalnewstoday.com)
  • Subarachnoid hemorrhage is a life-threatening type of stroke. (naturalpedia.com)
  • Subarachnoid hemorrhage is a life-threatening type of stroke that occurs due to the bleeding in the space between the brain and the surrounding membrane. (naturalpedia.com)
  • A cerebral hemorrhage (bleeding in the brain) causes stroke symptoms by depriving blood and oxygen to parts of the brain in a variety of ways. (medicinenet.com)
  • BACKGROUND: Subarachnoid hemorrhage (SAH) is a devastating cause of stroke, occurring in relatively young people. (ox.ac.uk)
  • A subarachnoid hemorrhage (SAH) can put someone at risk of a stroke. (supremevascular.com)
  • Classically, subarachnoid stroke happens more commonly in the young age group of patients and is a known cause of sudden death in younger individuals. (supremevascular.com)
  • In a recent decided case, a patient failed to prove that negligent management of her subarachnoid haemorrhage (a kind of stroke) caused harm. (enablelaw.com)
  • Boesiger BM, Shiber JR. Subarachnoid hemorrhage diagnosis by computed tomography and lumbar puncture: are fifth generation CT scanners better at identifying subarachnoid hemorrhage? (medscape.com)
  • Cortunum S, Sørensen P, Jørgensen J. Determining the sensitivity of computed tomography scanning in early detection of subarachnoid hemorrhage. (aafp.org)
  • Emergency medicine dogma has stated that computed tomography (CT) is not sensitive enough to detect subtle subarachnoid hemorrhage (SAH), and that negative head CT must be followed by a lumbar puncture. (aafp.org)
  • The data that this article presented suggest that the inclusion criteria was all patients undergoing a computed tomography (CT) of the head for the investigation of SAH, and they excluded CT requests which included subdural, hypertensive or intracranial haemorrhage as the working diagnosis, and have not listed any other criteria for inclusion. (rcpjournals.org)
  • Cardiac troponin elevation, cardiovascular morbidity, and outcome after subarachnoid hemorrhage. (medscape.com)
  • Analgesic treatment limits surrogate parameters for early stress and pain response after experimental subarachnoid hemorrhage. (iasp-pain.org)
  • During a subarachnoid hemorrhage, the cerebrospinal fluid in the subarachnoid space fills with blood. (medicalnewstoday.com)
  • Follow-up head CT scan showing subarachnoid blood. (medscape.com)
  • Endovascular management of intracerebral and subarachnoid hemorrhage. (medscape.com)
  • Among various animal models of subarachnoid hemorrhage (SAH), the endovascular filament model has been found particularly suitable to investigate acute pathophysiological changes after experimental SAH. (openaccessjournals.com)
  • Glibenclamide has been shown to improve outcomes in cerebral ischemia, traumatic brain injury, and subarachnoid hemorrhage (SAH). (thejns.org)
  • Hyperglycaemia is known to be associated with unfavourable outcomes in subarachnoid haemorrhage (SAH), but the pathogenic mechanism is unclear, and there is also a lack of effective therapeutic drugs in clinical practice. (bvsalud.org)
  • In a study that compared three-dimensional (3D) spin-echo-based black-blood MRA (BBMRA) with time-of-flight (TOF)-MRA for detection of cerebral vasospasm in the early posttreament period after subarachnoid hemorrhage, Takano et al found that BBMRA, owing to its contrast properties, may be superior to TOF-MRA for the evaluation of intracranial arteries. (medscape.com)
  • Post-admission beta blockade in aneurysmal subarachnoid hemorrhage patients was associated with increased incidence of vasospasm. (openneurologyjournal.com)
  • It may also occur due to intrathecally administered contrast material, leakage of high-dose intravenous contrast material into the subarachnoid spaces, or in patients with cerebral venous sinus thrombosis, severe meningitis, leptomeningeal carcinomatosis, intracranial hypotension, cerebellar infarctions, or bilateral subdural hematomas. (wikipedia.org)
  • Cardiac troponin I elevation in patients with aneurysmal subarachnoid hemorrhage. (medscape.com)
  • On average, in 15% (5-30%) of patients with spontaneous subarachnoid haemorrhage (SAH), no obvious source of bleeding can be demonstrated, even with high quality four vessel cerebral digital subtraction angiography (DSA). (bmj.com)
  • Results of vitrectomy and the significance of vitreous hemorrhage in patients with subarachnoid hemorrhage. (cns.org)
  • Objective To measure the sensitivity of modern CT in patients presenting to the emergency department and evaluated for possible subarachnoid haemorrhage, with particular attention to those presenting within 12 h of ictus. (bmj.com)
  • Participants Patients presenting to the emergency department and screened for suspected subarachnoid haemorrhage. (bmj.com)
  • Results 244 patients were screened for subarachnoid haemorrhage during the 24 months between March 2006 and April 2008 (mean age 48.5 years). (bmj.com)
  • Conclusions While modern CT has a high sensitivity for the diagnosis of acute subarachnoid haemorrhage, particularly within 12 h of ictus, it is still not sufficient to act as the sole diagnostic tool, and patients with a negative CT will require further investigation with a lumbar puncture. (bmj.com)
  • Methods Thirteen patients (8 females, 5 males), mean age of 57 years (range from 41 to 79 years) with subarachnoid hemorrhage underwent external ventricular drain placement in order to treat acute hydrocephalus. (scienceopen.com)
  • Subarachnoid hemorrhage can also occur due to a bleeding disorder , bleeding from a tangle of blood vessels called an arteriovenous malformation, or the use of blood thinners. (naturalpedia.com)
  • Intraocular hemorrhage (bleeding into the eyeball) may occur in response to the raised pressure: subhyaloid hemorrhage (bleeding under the hyaloid membrane, which envelops the vitreous body of the eye) and vitreous hemorrhage may be visible on fundoscopy. (wikipedia.org)
  • Subarachnoid hemorrhage (SAH) is bleeding into the subarachnoid space-the area between the arachnoid membrane and the pia mater surrounding the brain. (wikipedia.org)
  • Subarachnoid hemorrhage is bleeding in the area between the brain and the thin tissues that cover the brain. (medlineplus.gov)
  • A subarachnoid hemorrhage occurs when blood leaks into the space between two of the membranes surrounding the brain. (medicalnewstoday.com)
  • Subarachnoid hemorrhage occurs when a blood vessel ruptures at the base of the brain. (mountsinai.org)
  • Blood fills up the subarachnoid space, an area between the brain and the thin tissues that cover it. (mountsinai.org)
  • Treatment for a brain hemorrhage like subarachnoid hemorrhage will depend on the cause of the bleeding, the extent of the bleeding, and tissue damage. (naturalpedia.com)
  • Previous studies have proved that the activation of TLR4/NF-κ B signaling pathway is involved in inflammatory processes in early brain injury (EBI) after subarachnoid hemorrhage (SAH). (karger.com)
  • This study aimed to explore the underlying mechanisms of H 2 S in early brain injury after subarachnoid hemorrhage (SAH). (oncotarget.com)
  • A cerebral hemorrhage occurs when a blood vessel in the brain ruptures and bleeds into the surrounding brain tissue. (medicinenet.com)
  • In a subarachnoid hemorrhage, blood accumulates in the space beneath the arachnoid membrane that lines the brain. (medicinenet.com)
  • GSK3ß inhibitor TDZD8 ameliorates brain damage through both ROS scavenging and inhibition of apoptosis in hyperglycaemic subarachnoid haemorrhage rats. (bvsalud.org)
  • When caused by trauma, subarachnoid hemorrhage commonly occurs with other types of bleeding in the head. (medlineplus.gov)
  • Subarachnoid hemorrhage occurs in approximately 10 in every 100,000 people in the United States, equivalent to around 30,000 new cases each year. (medicalnewstoday.com)
  • The bleeding in subarachnoid hemorrhage occurs in the arteries just below the arachnoid membrane and above the pia mater. (medicalnewstoday.com)
  • Symptoms do not often become apparent until a hemorrhage occurs. (medicalnewstoday.com)
  • INTRODUCTION: Atraumatic and nonaneurysmal sulcal subarachnoid hemorrhage (sSAH) is a rare type of cerebrovascular disease with various etiologies previously reported in small case reports. (bordeaux-neurocampus.fr)
  • Contrary to historical opinion, drug-related intracranial haemorrhage (ICH) is frequently related to an underlying vascular malformation. (erowid.org)
  • Three weeks after onset of intracranial haemorrhage, neurological examination demonstrated normal findings. (erowid.org)
  • Atraumatic nonaneurysmal sulcal subarachnoid hemorrhages: a diagnostic workup based on a case series. (bordeaux-neurocampus.fr)
  • Abuse of the drugs like amphetamine, cocaine and "Ecstasy" may be complicated by intracerebral, subdural or subarachnoid haemorrhage. (erowid.org)
  • 8. Marcolini, E., & Hine, J. Approach to the Diagnosis and Management of Subarachnoid Hemorrhage. (unram.ac.id)
  • If your doctor thinks you have a subarachnoid hemorrhage, a head CT scan (without contrast dye) will be done right away. (medlineplus.gov)
  • Initial presenting head CT scan showing subarachnoid hemorrhage and blood filling basal cisterns. (medscape.com)
  • The scan, however, may not discover the hemorrhage if it is small or if the rupture occurred over a week ago. (supremevascular.com)
  • Characterization of perioperative seizures and epilepsy following aneurysmal subarachnoid hemorrhage. (medscape.com)
  • A true subarachnoid hemorrhage may be confused with a Pseudosubarachnoid hemorrhage, an apparent increased attenuation on CT scans within the basal cisterns that mimics a true subarachnoid hemorrhage. (wikipedia.org)
  • Neurologic end-organ damage due to uncontrolled BP may include hypertensive encephalopathy, cerebral vascular accident/cerebral infarction, subarachnoid hemorrhage , and/or intracranial hemorrhage . (medscape.com)
  • The presence of new retinal hemorrhages, exudates, or papilledema suggests a hypertensive emergency. (medscape.com)
  • Jaeger M, Soehle M, Schuhmann MU, Meixensberger J. Clinical Significance of Impaired Cerebrovascular Autoregulation After Severe Aneurysmal Subarachnoid Hemorrhage. (medscape.com)
  • A severe head injury, such as a blow to the head, can cause a subarachnoid hemorrhage. (medicalnewstoday.com)
  • Subarachnoid hemorrhages are responsible for around 5 percent of all strokes and around one in every four deaths caused by or related to strokes. (medicalnewstoday.com)
  • Boggs W. Clinical Findings Identify Reversible Cerebral Vasoconstriction With Hemorrhage. (medscape.com)
  • Definition of delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage as an outcome event in clinical trials and observational studies: proposal of a multidisciplinary research group. (medscape.com)
  • Veelken et al, 1995) produced a more pronounced subarachnoid blood effusion, elevation of ICP and decrease of cerebral blood flow (CBF). (openaccessjournals.com)
  • 8. Sung W, Arnaldo B, Sergio C, Juliana S, Michel F. Terson's syndrome as a prognostic factor for mortality of spontaneous subarachnoid haemorrhage. (cns.org)
  • With controlled pre-hemorrhage blood pressure values and longer mechanical ventilation mortality can be kept low even if stronger filaments are used. (openaccessjournals.com)
  • Subarachnoid hemorrhage is sudden bleeding into the subarachnoid space. (msdmanuals.com)