Korean J Cerebrovasc Surg.
2007 Mar;9(1):3-7.
Relation between Thromboembolism and Delayed Ischemic Neurological Deficits in Aneurysmal Subarachnoid Hemorrhage
- Affiliations
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- 1Department of Neurosurgery, Hanyang University Guri Hospital, Guri, Gyeongigi-do, Korea. kjm2323@hanyang.ac.kr
Abstract
- Cerebral vasospasm leading to delayed ischemic neurological deficits (DINDs) is one of the most serious complications after aneurysmal subarachnoid hemorrhage (SAH). There are many evidence, against which demonstrate the role of angiographically confirmed vasospasm as the sole cause of DINDs. The authors review literatures that support a potential role of thromboembolism as a possible cause of DINDs after aneurysmal SAH. Although there is some controversy regarding the relation between the cerebral vasospasm in large arteries and cerebral ischemia, vasospasm still remains one of the primary causes of DINDs. In addition, thromboembolism intensifies or supplements the effects of vasospasm as a possible alternative.
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