Serebral Vazospazm: Klinik İzlem ve Tedavi

AKÇAKAYA, M Osman; KIRIS, TALAT; Goker, Burcu; HAMAMCIOĞLU, M. Kemal

Serebral Vazospazm: Klinik İzlem ve Tedavi

Burcu GÖKER, (İstinye Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

M Osman AKÇAKAYA, (İstinye Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

M. Kemal HAMAMCIOĞLU, (İstinye Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Talat KIRIŞ (İstinye Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Türk Nöroşirürji Dergsi

4 0

Yıl: 2018 Cilt: 28 Sayı: 1 Sayfa Aralığı: 119 - 123 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Serebral Vazospazm: Klinik İzlem ve Tedavi

Öz:

Subaraknoid kanama (SAK) sonrası gelişen fokal serebral iskeminin başlıca nedeni serebral vazospazmdır. Klinik olarak diğer iskemik inmelerden farkı, ortaya çıkmasının öngörülebilirliği, önlenebilirliği ve tedavi edilebilirliğidir. Anevrizma kanamasından sonra gelişen en korkutucu komplikasyon tekrar kanama iken, erken cerrahinin yaygın olarak uygulanır olması sayesinde bu sorunun önemi giderek azalmış ve vazospazm SAK'nın mortalite ve morbidite açısından en riskli komplikasyonu haline gelmiştir. Bu nedenle, vazospazmın erken tanınması hayati önem taşımaktadır. Anevrizmal SAK geçirmiş hastalarda vazospazm gelişmesini önleyecek tedbirleri almak, özellikle vazospazm açısından en riskli günlerde hastayı çok yakından izlemek ve en ufak bir kuşkuda enerjik bir tedavi ile müdahale etmek, vazospazma bağlı mortalite ve morbiditeyi azaltmanın birinci şartıdır. Bu derlemede, serebral vazospazmın klinik seyri ve güncel tedavisi özetlenmiştir

Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel Hematoloji Pediatri

Cerebral Vasospasm: Clinical Monitoring and Treatment

Öz:

The main cause of focal cerebral ischemia following subarachnoid hemorrhage (SAH) is cerebral vasospasm. Unlike other ischemic strokes, cerebral vasospasm can be clinically predicted, prevented and treated. The most dangerous complication following SAH is used to be considered as re-bleeding but its incidence and importance have decreased with the common use of early surgery. On the other hand, cerebral vasospasm has become the most dangerous complication of SAH by means of its mortality and morbidity. Therefore, the early recognition of cerebral vasospasm has utmost importance. Using preventive methods, close monitoring of the patients during the period of increased vasospasm risk after aneurysmal SAH, and starting aggressive treatment upon the slightest suspicion are the key to reducing vasospasm-related morbidity and mortality. In this review, we aimed to summarize the clinical course and current treatment options of cerebral vasospasm

Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel Hematoloji Pediatri

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

1. Akinci IO, Sencer A, Basel A, Aras Y, Aydoseli A, Kamar C, Güresti E, Sencer S, Aydın K, Izgi N, Kiris T: Effect of lumbar puncture in patients with aneurysmal subarachnoid hemorrhage treated microsurgically or endovascularly. Acta Neurochir Suppl 115: 95-98, 2013
2. Barker FG II, Ogilvy CS: Efficacy of prophylactic nimodipine for delayed ischemic deficit after subarachnoid hemorrhage: A meta-analysis. J Neurosurg 84: 405-414, 1996
3. Bejjani GK, Bank WO, Olan WJ, Sekhar LN: The efficacy and safety of angioplasty for cerebral vasospasm after subarachnoid hemorrhage. Neurosurgery 42: 979-986, 1998
4. Cross DT 3rd, Moran CJ, Angtuaco EE, Milburn JM, Diringer MN, Dacey RG Jr: Intracranial pressure monitoring during intraarterial papaverine infusion for cerebral vasospasm. AJNR Am J Neuroradiol 19(7): 1319-1323, 1998
5. Dorsch NWC: A review of cerebral vasospasm in aneurysmal subarachnoid hemorrhage. Part II: Management. J Clin Neurosci 1: 78-92, 1994
6. Dorsch NWC: Incidence, effects and treatment of ischemia following aneurysm rupture. Sano K, Takakura K, Kassell NF and Sasaki T (eds), Cerebral Vasospasm, Tokyo: Univ. of Tokyo Press, 1990:495-498
7. Ecker A, Riemenschneider PA: Arteriographic demonstration of spasm of the intracranial arteries: With special reference to saccular aneurysms. J Neurosurg 64: 594-600, 1986
8. Eskridge JM, McAuliffe W, Song JK, Deliganis AV, Newell DW, Lewis DH, Mayberg MR, Winn HR: Balloon angioplasty for the treatment of vasospasm: Results of first 50 cases. Neurosurgery 42: 510-516, 1998
9. Fisher CM, Kistler JP, Davis JM: Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning. Neurosurgery 6: 1-9, 1980
10. Fujii Y, Takahashi A, Yoshimoto T: Effect of balloon angioplasty on high grade symptomatic vasospasm after subarachnoid hemorrhage. Neurosurg Rev 18: 7-13, 1995
11. Hamilton MG, Williams FC: Perioperative management of subarachnoid hemorhage. Carter LP, Spetzler R (ed), Neurovascular Surgery, New York: Mc-Graw-Hill, 1995:603- 624
12. Hasan D, Vermeulen M, Wijdicks EF, Hijdra A, van Gijn J: Effect of fluid intake and antihypertensive treatment on cerebral ischemia after subarachnoid hemorrhage. Stroke 20(11): 1511-1515, 1989
13. Kassell NF, Torner JC, Jane JA, Haley EC Jr, Adams HP: The international cooperative study on timing of aneurysm surgery. Part 1: Overall management results. J Neurosurg 73: 18-37, 1990
14. Kistler JP, Crowell RM, Davis KR, Heros R, Ojemann RG, Zervas T, Fisher CM: The relation of cerebral vasospasm to the extentand location of subarachnoid blood visualized by CT scan: A prospective study. Neurology 33: 424-436, 1983
15. Klimo P Jr, Kestle JR, MacDonald JD, Schmidt RH: Marked reduction of cerebral vasospasm with lumbar drainage of cerebrospinal fluid after subarachnoid hemorrhage. J Neurosurg 100: 215-224, 2004
16. Macdonald RL, Weir B: Cerebral Vasospasm. San Diego: Academic Press 2001: 387-389
17. McAuliffe W, Townsend M, Eskridge JM, Newell DW, Grady MS, Winn HR: Intracranial pressure changes induced during papaverine infusion for treatment of vasospasm. J Neurosurg 83(3): 430-434, 1995
18. Milburn JM, Moran CJ, Cross DT 3rd, Diringer MN, Pilgram TK, Dacey RG Jr: Increase in diameters of vasospastic intracranial arteries by intraarterial papaverine administration. J Neurosurg 88(1): 38-42, 1998
19. Mori T, Katayama Y, Kawamata T, Hirayama T: Improved efficiency of hypervolemic therapy with inhibition of natriuresis by fludrocortisone in patients with aneurysmal subarachnoid hemorrhage. J Neurosurg 91(6): 947-952, 1999
20. Numaguchi Y, Zoarski GH, Clouston JE, Zagardo MT, Simard JM, Aldrich EF, Sloan MA, Maurer PK, Okawara SH: Repeat intra-arterial papaverine for recurrent cerebral vasospasm after subarachnoid haemorrhage. Neuroradiology 39(10): 751- 759, 1997
21. Origitano TC, Wascher TM, Reichman OH, Anderson DE: Sustained increased cerebral blood flow with prophylactic hypertensive hypervolemic hemodilution ("triple-H" therapy) after subarachnoid hemorrhage. Neurosurgery 27:729-739, 1990
22. Pluta RM, Hansen-Schwartz J, Dreier J, Vajkoczy P, Macdonald RL, Nishizawa S, Kasuya H, Wellman G, Keller E, Zauner A, Dorsch N, Clark J, Ono S, Kiris T, Leroux P, Zhang JH: Cerebral vasospasm following subarachnoid hemorrhage: Time for a new world of thought. Neurol Res 31(2):151-158, 2009
23. Ropper AH, Gress DR, Diringer MN, Green DM, Mayer SA, Bleck TP: Neurological and neurosurgical intensive care, 4th ed. Philadelphia: Lippincott Williams & Wilkins, 2004: 391
24. Rordorf G, Koroshetz WJ, Copen WA, Gonzalez G, Yamada K, Schaefer PW, Schwamm LH, Ogilvy CS, Sorensen AG: Diffusion- and perfusion-weighted imaging in vasospasm after subarachnoid hemorrhage. Stroke 30(3): 599-605, 1999
25. Sencer S, Kırıs T, Sencer A, Yaka U, Sahinbas M, Aydın K, Tiryaki B, Karasu A, Agus O, Ozkan M, Imer M, Unal F: Diffusion and perfusion MRI findings with clinical correlation in patients with subarachnoid haemorrhage related vasospasm. Acta Neurochir Suppl 104: 245-248, 2008
26. Sloan MA, Haley EC Jr, Kassell NF, Henry ML, Stewart SR, Beskin RR, Sevilla EA, Torner JC: Sensitivity and specificity of transcranial Doppler ultrasonography in the diagnosis of vasospasm following subarachnoid hemorrhage. Neurology 39(11): 1514-1518, 1989
27. Sloan MA, Burch CM, Wozniak MA, Rothman MI, Rigamonti D, Permutt T, Numaguchi Y: Transcranial doppler detection of vertebrobasilar vasospasm following subarachnoid hemorrhage. Stroke 25(11): 2187-2197, 1994
28. Solomon RA, Fink ME, Lennihan L: Early aneurysm surgery and prophylactic hypervolemic hypertensive therapy for the treatment of aneurysmal subarachnoid hemorrhage. Neurosurgery 23(6): 699-704, 1988
29. Song JK, Elliott JP, Eskridge JM: Neuroradiologic diagnosis and treatment of vasospasm. Neuroimaging Clin N Am 7: 819- 835, 1997
30. Stober T, Anstätt T, Sen S, Schimrigk K, Jäger H: Cardiac arrhythmias in subarachnoid haemorrhage. Acta Neurochir (Wien) 93(1-2): 37-44, 1988
31. Taneda M: Effect of early operation for ruptured aneurymsms on prevention of late ischemic symptoms. J Neurosurg 57: 622-628, 1982
32. Weir B, Macdonald RL: Intracranial aneurysms and subarachnoid hemorrhage: An overview. In: Wilkins RH and Rengachary SS (eds), Neurosurgery. New York: McGraw Hill, 1996: 2191-2214
33. Wijdicks EF, Ropper AH, Hunnicutt EJ, Richardson GS, Nathanson JA: Atrial natriuretic factor and salt wasting after aneurysmal subarachnoid hemorrhage. Stroke 22(12): 1519- 1524, 1991
34. Wijdicks EF, Vermeulen M, Hijdra A, van Gijn J: Hyponatremia and cerebral infarction in patients with ruptured intracranial aneurysms: Is fluid restriction harmful? Ann Neurol 17(2): 137- 140, 1985
35. Zabramski JM, Spetzler RF, Bonstelle C: Chronic cerebral vasospasm: Effect of volume and timing of hemorrhage in a canine model. Neurosurgery 18: 1-6, 1986

APA	Goker B, AKÇAKAYA M, HAMAMCIOĞLU M, KIRIS T (2018). Serebral Vazospazm: Klinik İzlem ve Tedavi. , 119 - 123.
Chicago	Goker Burcu,AKÇAKAYA M Osman,HAMAMCIOĞLU M. Kemal,KIRIS TALAT Serebral Vazospazm: Klinik İzlem ve Tedavi. (2018): 119 - 123.
MLA	Goker Burcu,AKÇAKAYA M Osman,HAMAMCIOĞLU M. Kemal,KIRIS TALAT Serebral Vazospazm: Klinik İzlem ve Tedavi. , 2018, ss.119 - 123.
AMA	Goker B,AKÇAKAYA M,HAMAMCIOĞLU M,KIRIS T Serebral Vazospazm: Klinik İzlem ve Tedavi. . 2018; 119 - 123.
Vancouver	Goker B,AKÇAKAYA M,HAMAMCIOĞLU M,KIRIS T Serebral Vazospazm: Klinik İzlem ve Tedavi. . 2018; 119 - 123.
IEEE	Goker B,AKÇAKAYA M,HAMAMCIOĞLU M,KIRIS T "Serebral Vazospazm: Klinik İzlem ve Tedavi." , ss.119 - 123, 2018.
ISNAD	Goker, Burcu vd. "Serebral Vazospazm: Klinik İzlem ve Tedavi". (2018), 119-123.

APA	Goker B, AKÇAKAYA M, HAMAMCIOĞLU M, KIRIS T (2018). Serebral Vazospazm: Klinik İzlem ve Tedavi. Türk Nöroşirürji Dergsi, 28(1), 119 - 123.
Chicago	Goker Burcu,AKÇAKAYA M Osman,HAMAMCIOĞLU M. Kemal,KIRIS TALAT Serebral Vazospazm: Klinik İzlem ve Tedavi. Türk Nöroşirürji Dergsi 28, no.1 (2018): 119 - 123.
MLA	Goker Burcu,AKÇAKAYA M Osman,HAMAMCIOĞLU M. Kemal,KIRIS TALAT Serebral Vazospazm: Klinik İzlem ve Tedavi. Türk Nöroşirürji Dergsi, vol.28, no.1, 2018, ss.119 - 123.
AMA	Goker B,AKÇAKAYA M,HAMAMCIOĞLU M,KIRIS T Serebral Vazospazm: Klinik İzlem ve Tedavi. Türk Nöroşirürji Dergsi. 2018; 28(1): 119 - 123.
Vancouver	Goker B,AKÇAKAYA M,HAMAMCIOĞLU M,KIRIS T Serebral Vazospazm: Klinik İzlem ve Tedavi. Türk Nöroşirürji Dergsi. 2018; 28(1): 119 - 123.
IEEE	Goker B,AKÇAKAYA M,HAMAMCIOĞLU M,KIRIS T "Serebral Vazospazm: Klinik İzlem ve Tedavi." Türk Nöroşirürji Dergsi, 28, ss.119 - 123, 2018.
ISNAD	Goker, Burcu vd. "Serebral Vazospazm: Klinik İzlem ve Tedavi". Türk Nöroşirürji Dergsi 28/1 (2018), 119-123.