Subarachnoid Hemorrhage: Pathophysiology and Management

Front Cover
Joshua B. Bederson
Thieme, 1997 - Medical - 283 pages

Due to its unique epidemiological characteristics, the incidence of subarachnoid hemorrhage (SAH) has remained unchanged over time. However, during the past 20 years many advances have improved our understanding and treatment of SAH and its consequences. Subarachnoid Hemorrhage is the first book to synthesize those advances and to focus on the pathophysiology and treatment of SAH.

After reading Subarachnoid Hemorrhage, the physician will understand the epidemiology, natural history and modern day outcome of SAH.

In addition, the physician will understand and comprehend:

  • Aspects of molecular, cellular, pharmacological and physiological mechanisms of brain injury induced by SAH
  • The causes and treatments of the wide range of secondary neurological sequelae, including elevated intracranial pressure, seizures and epilepsy, vasospasm and coma
  • The non-neurological complications of SAH including cardiac and systemic medical complications and cognitive impairment
  • Neuroanesthesia, critical care and rehabilitation of patients and controversies in their management

(Distributed by Thieme for the American Association of Neurological Surgeons)

 

Contents

Cognitive Outcome After Subarachnoid Hemorrhage
27
Neuropathology of Subarachnoid Hemorrhage
41
Mechanisms of Acute Brain Injury After Subarachnoid Hemorrhage
61
Elevated Intracranial Pressure Ventricular Drainage and
77
Seizures and Epilepsy After Subarachnoid Hemorrhage
117
Mechanisms and Treatment of Coma After
157
Critical Care of Patients With Subarachnoid Hemorrhage
173
Rebleeding After Subarachnoid Hemorrhage
189
Anesthetic Management of Patients With Subarachnoid Hemorrhage
203
Traumatic Subarachnoid Hemorrhage
225
Rehabilitation of Patients With Subarachnoid Hemorrhage
239
CME QUESTIONS
255
INDEX
269
ANSWERS TO CME QUESTIONS
283
Copyright

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Page ix - to sponsor continuing medical education for physicians. The American Association of Neurological Surgeons designates the continuing medical education activity as 15 credit hours in Category I of the Physician's Recognition Award of the American Medical Association. PREFACE
Page ix - of Neurological Surgery Barrow Neurological Institute St. Joseph's Hospital and Medical Center Phoenix, Arizona AANS PUBLICATIONS COMMITTEE Daniel L. Barrow, MD, Chairman Michael LJ Apuzzo, MD Edward C. Benzel, MD John A. Jane, MD (ex officio) Howard H. Kaufman, MD Christopher M. Loftus, MD Robert J. Maciunas, MD J. Gordon McComb, MD
Page 118 - symptoms 3. with autonomic symptoms 4. with psychic symptoms B. Complex partial seizures (with impairment of consciousness) 1. beginning as simple partial seizures and progressing to impairment of consciousness 2. with impairment of consciousness
Page 186 - Faden Al, Demediuk P, Panter SS, et al: The role of excitatory amino acids and NMDA receptors in traumatic brain injury. Science
Page 151 - Crowell RM, Davis KR, et a!: The relation of cerebral vasospasm to the extent and location of subarachnoid blood visualized by CT scan: a prospective study. Neurology 33:424-436,
Page 171 - Sacco RL, Wolf PA, Bharucha NE, et al: Subarachnoid and intracerebral hemorrhage: natural history, prognosis, and precursive factors in the Framingham Study. Neurology 34:847-854, 1984
Page 235 - Bouma GI, Muizelaar IP, Stringer WA, et al: Ultraearly evaluation of regional cerebral blood flow in severely head-injured patients using xenon-enhanced computerized tomography. I Neurosurg
Page 202 - Kobayashi 5, Fode NC, et a!: Results and complications of surgical management of 809 intracranial aneurysms in 722 cases. Related and unrelated to grade of patient, type of aneurysm, and timing
Page 186 - Grubb RL Jr, Raichle ME, Eichling JO, et al: Effects of subarachnoid hemorrhage on cerebral blood volume, blood flow, and oxygen utilization in humans. J Neurosurg46:446-453, 1977
Page 74 - Moore PK, Wallace P, Gaffen Z, et a!: Characterization of the novel nitric oxide synthase inhibitor 7-nitro indazole and related indazoles: antinociceptive and cardiovascular effects. Br J Pharmacol

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