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[PMID]:28863201
[Au] Autor:Kennell KA; Daghfal MM; Patel SG; DeSanto JR; Waterman GS; Bertino RE
[Ad] Endereço:University of Illinois College of Medicine, Peoria, IL, USA.
[Ti] Título:Cervical artery dissection related to chiropractic manipulation: One institution's experience.
[So] Source:J Fam Pract;66(9):556-562, 2017 Sep.
[Is] ISSN:1533-7294
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this study was to determine the frequency of patients seen at a single institution who were diagnosed with a cervical vessel dissection related to chiropractic neck manipulation. METHODS: We identified cases through a retrospective chart review of patients seen between April 2008 and March 2012 who had a diagnosis of cervical artery dissection following a recent chiropractic manipulation. Relevant imaging studies were reviewed by a board-certified neuroradiologist to confirm the findings of a cervical artery dissection and stroke. We conducted telephone interviews to ascertain the presence of residual symptoms in the affected patients. RESULTS: Of the 141 patients with cervical artery dissection, 12 had documented chiropractic neck manipulation prior to the onset of the symptoms that led to medical presentation. The 12 patients had a total of 16 cervical artery dissections. All 12 patients developed symptoms of acute stroke. All strokes were confirmed with magnetic resonance imaging or computerized tomography. We obtained follow-up information on 9 patients, 8 of whom had residual symptoms and one of whom died as a result of his injury. CONCLUSION: In this case series, 12 patients with newly diagnosed cervical artery dissection(s) had recent chiropractic neck manipulation. Patients who are considering chiropractic cervical manipulation should be informed of the potential risk and be advised to seek immediate medical attention should they develop symptoms.
[Mh] Termos MeSH primário: Traumatismo Cerebrovascular/etiologia
Traumatismo Cerebrovascular/cirurgia
Manipulação Quiroprática/efeitos adversos
Manipulação da Coluna/efeitos adversos
Artéria Vertebral/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170902
[St] Status:MEDLINE


  2 / 117 MEDLINE  
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[PMID]:28111193
[Au] Autor:Shahan CP; Croce MA; Fabian TC; Magnotti LJ
[Ad] Endereço:University of Tennessee Health Science Center, Memphis, TN.
[Ti] Título:Impact of Continuous Evaluation of Technology and Therapy: 30 Years of Research Reduces Stroke and Mortality from Blunt Cerebrovascular Injury.
[So] Source:J Am Coll Surg;224(4):595-599, 2017 Apr.
[Is] ISSN:1879-1190
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Blunt cerebrovascular injury (BCVI) was underdiagnosed until the 1990s when blunt carotid injuries were found to be more common than historically described. Technological advancements and regionalization of trauma care have resulted in increased screening and improved diagnosis of BCVI. The aim of this study was to demonstrate that systematic evaluation of the screening and diagnosis of BCVI, combined with early and aggressive treatment, have led to reductions in BCVI-related stroke and mortality. STUDY DESIGN: Patients with BCVI from 1985 to 2015 were identified and stratified by age, sex, and Injury Severity Score. BCVI-related stroke and mortality rates were then calculated and compared. Patients were divided into 5 eras based on changes in technology, screening, or treatment algorithms at our institution. RESULTS: Five hundred and sixty-four patients were diagnosed with BCVI: 508 carotid artery and 267 vertebral artery injuries. Sixty-five percent of patients were male, mean age was 41 years, and mean Injury Severity Score was 27. Incidence of BCVI diagnosis increased from 0.33% to approximately 2% of all blunt trauma (p < 0.001) during the study period. Ninety (14%) patients suffered BCVI-related stroke, with the incidence of stroke significantly decreasing over time from 37% to 5% (p < 0.001). Twenty-eight (5%) patients died as a direct result of BCVI, and BCVI-related mortality also decreased significantly over time from 24% to 0% (p < 0.001). CONCLUSIONS: Although increased screening has resulted in a higher incidence of injuries over time, BCVI-related stroke and mortality have decreased significantly. Continuous critical evaluation of evolving technology and diagnostic and treatment algorithms has contributed substantially to those improved outcomes. Appraisals of technological advances, preferably through prospective multi-institutional studies, should advance our understanding of these injuries and lead to even lower stroke rates.
[Mh] Termos MeSH primário: Traumatismo Cerebrovascular/diagnóstico
Traumatismo Cerebrovascular/terapia
Acidente Vascular Cerebral/etiologia
Ferimentos não Penetrantes/diagnóstico
Ferimentos não Penetrantes/terapia
[Mh] Termos MeSH secundário: Adulto
Idoso
Traumatismo Cerebrovascular/complicações
Traumatismo Cerebrovascular/mortalidade
Feminino
Seres Humanos
Incidência
Escala de Gravidade do Ferimento
Masculino
Meia-Idade
Estudos Retrospectivos
Acidente Vascular Cerebral/epidemiologia
Resultado do Tratamento
Ferimentos não Penetrantes/complicações
Ferimentos não Penetrantes/mortalidade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170124
[St] Status:MEDLINE


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[PMID]:27519451
[Au] Autor:Matthews S; Shenvi CL
[Ad] Endereço:University of North Carolina at Chapel Hill, Chapel Hill, NC.
[Ti] Título:Airway obstruction and neurogenic shock due to severe cervical spine injury.
[So] Source:Am J Emerg Med;35(1):196.e1-196.e2, 2017 Jan.
[Is] ISSN:1532-8171
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Acidentes de Trânsito
Obstrução das Vias Respiratórias/etiologia
Traumatismo Cerebrovascular/complicações
Vértebras Cervicais/lesões
Choque/etiologia
Fraturas da Coluna Vertebral/complicações
Hemorragia Subaracnoídea Traumática/complicações
Traumatismos em Chicotada/complicações
[Mh] Termos MeSH secundário: Idoso
Obstrução das Vias Respiratórias/diagnóstico por imagem
Traumatismo Cerebrovascular/diagnóstico por imagem
Vértebras Cervicais/diagnóstico por imagem
Evolução Fatal
Seres Humanos
Ligamentos Longitudinais/lesões
Masculino
Lesões do Pescoço/complicações
Lesões do Pescoço/diagnóstico por imagem
Fraturas da Coluna Vertebral/diagnóstico por imagem
Traqueia/diagnóstico por imagem
Artéria Vertebral/lesões
Traumatismos em Chicotada/diagnóstico por imagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160814
[St] Status:MEDLINE


  4 / 117 MEDLINE  
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[PMID]:27480926
[Au] Autor:Kelts G; Maturo S; Couch ME; Schmalbach CE
[Ad] Endereço:Department of Otolaryngology, San Antonio Uniformed Services Health Education Consortium Otolaryngology, San Antonio, Texas, U.S.A.
[Ti] Título:Blunt cerebrovascular injury following craniomaxillofacial fractures: A systematic review.
[So] Source:Laryngoscope;127(1):79-86, 2017 Jan.
[Is] ISSN:1531-4995
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Blunt cerebrovascular injury (BCVI) is a known sequela of high-energy craniomaxillofacial (CMF) trauma and can result in stroke or death. The objective of this systematic review is to 1) identify CMF trauma patients who may benefit from BCVI screening and 2) describe the optimal diagnostic and treatment modalities. STUDY DESIGN: Systematic review of the literature (1946-2013). METHODS: An a priori study protocol was created using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. The authors conducted a search of Ovid/Medline, PubMed, and Cochrane databases for articles related to BCVI and CMF fractures. All abstracts were reviewed, and data was extracted to determine the incidence of BCVI in the setting of CMF trauma. Individual fracture patterns were analyzed using descriptive statistics. RESULTS: Twenty-one studies met inclusion criteria. The overall incidence of CMF fracture-associated BCVI was 0.45%. The majority of patients (86.6%) sustained BCVI in the setting of high-energy trauma. The distribution of CMF fractures among BCVI patients was the mandible (12.5%), followed by the maxilla (11.8%). Computed tomographic angiography (CTA) was the most common diagnostic modality. A total of 63.1% of patients with BCVI were managed medically. The mortality among CMF patients with BCVI was 23.9%, and stroke rate was 47.1%. CONCLUSION: Blunt cerebrovascular injury is a rare but devastating complication of blunt trauma. The recommended screening modality is CTA, and the most common treatment is antiplatelet/anticoagulant medication. Mandibular and LeFort fractures were the most common isolated CMF injury associated with BCVI, highlighting the need for prospective trials to expand current screening criteria. LEVEL OF EVIDENCE: N/A. Laryngoscope, 127:79-86, 2017.
[Mh] Termos MeSH primário: Traumatismo Cerebrovascular/complicações
Fraturas Cranianas/diagnóstico
Ferimentos não Penetrantes/complicações
[Mh] Termos MeSH secundário: Traumatismo Cerebrovascular/mortalidade
Traumatismo Cerebrovascular/terapia
Diagnóstico por Imagem
Seres Humanos
Escala de Gravidade do Ferimento
Fraturas Cranianas/mortalidade
Fraturas Cranianas/terapia
Acidente Vascular Cerebral/diagnóstico
Acidente Vascular Cerebral/etiologia
Acidente Vascular Cerebral/mortalidade
Ferimentos não Penetrantes/mortalidade
Ferimentos não Penetrantes/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170804
[Lr] Data última revisão:
170804
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160803
[St] Status:MEDLINE
[do] DOI:10.1002/lary.26186


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[PMID]:27751528
[Au] Autor:Geddes AE; Burlew CC; Wagenaar AE; Biffl WL; Johnson JL; Pieracci FM; Campion EM; Moore EE
[Ad] Endereço:Department of Surgery, Denver Health Medical Center, University of Colorado, School of Medicine, 777 Bannock Street, Denver, CO 80204, USA.
[Ti] Título:Expanded screening criteria for blunt cerebrovascular injury: a bigger impact than anticipated.
[So] Source:Am J Surg;212(6):1167-1174, 2016 Dec.
[Is] ISSN:1879-1883
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: We implemented expanded screening criteria for blunt cerebrovascular injuries (BCVIs) in an attempt to capture the remaining 20% of patients not historically identified with earlier protocols. We hypothesized that these expanded criteria would capture the additional 20% of BCVI patients not previously identified. METHODS: Screening criteria for BCVI were expanded in 2011 after identifying new injury patterns. The study population included 4 years prior (2007 to 2010; classic) and following (2011 to 2014; expanded) implementation of expanded criteria. RESULTS: BCVIs were identified in 386 patients: 150 during the classic period (2.36% incidence) and 236 in the expanded period (2.99% incidence). In the expanded period, 155 patients were imaged based on classic screening criteria, 62 on expanded criteria (21 complex skull fractures, 20 upper rib fractures, 6 mandible fractures, 2 scalp degloving, 1 great vessel injury, and 12 combination), and 19 for other injuries and symptoms. CONCLUSIONS: There was a significant increase in the identification of BCVI following the adoption of expanded screening criteria, resulting in a substantial reduction of missed injuries. Expanded criteria should be adopted when screening for BCVI.
[Mh] Termos MeSH primário: Traumatismo Cerebrovascular/diagnóstico por imagem
Traumatismos Cranianos Fechados/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Traumatismo Cerebrovascular/complicações
Traumatismo Cerebrovascular/epidemiologia
Criança
Pré-Escolar
Protocolos Clínicos
Estudos de Coortes
Feminino
Traumatismos Cranianos Fechados/complicações
Traumatismos Cranianos Fechados/epidemiologia
Seres Humanos
Masculino
Meia-Idade
Seleção de Pacientes
Fatores de Risco
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161019
[St] Status:MEDLINE


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[PMID]:27620649
[Au] Autor:Wolf S; Hainz N; Beckmann A; Maack C; Menger MD; Tschernig T; Meier C
[Ad] Endereço:Department of Anatomy and Cell Biology, Saarland University, Germany.
[Ti] Título:Brain damage resulting from postnatal hypoxic-ischemic brain injury is reduced in C57BL/6J mice as compared to C57BL/6N mice.
[So] Source:Brain Res;1650:224-231, 2016 Nov 01.
[Is] ISSN:1872-6240
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Perinatal hypoxia is a critical complication during delivery and is mostly studied in animal models of postnatal hypoxic-ischemic brain injury. We here studied the effects of postnatal hypoxic-ischemic brain injury in two different sub-strains of C57BL/6 mice, i.e. C57BL/6J and C57BL/6N mice. These two sub-strains show different metabolic properties, for instance an impaired glucose tolerance in C57BL/6J mice. Genetically, this was linked to differences in their nicotinamide nucleotide transhydrogenase (Nnt) genes: In C57BL/6J mice, exons 7-11 of the Nnt gene are deleted, resulting in the absence of functional Nnt protein. The mitochondrial Nnt-protein is one of several enzymes that catalyses the generation of NADPH, which in turn is important for the elimination of reactive oxygen species (ROS). As ROS is thought to contribute to the pathophysiology of hypoxia-ischemia, the lack of Nnt might indirectly increase ROS levels and therefore result in increased brain damage. We therefore hypothesize that lesion score and lesion size will increase in C57BL/6J mice as compared to C57BL/6N mice. Surprisingly, the results showed exactly the opposite: C57BL/6J mice showed a decrease in lesion score and size, associated with a reduced number of apoptotic cells and activated microglia. In contrast, the number of cells with ROS-induced DNA modifications (detected by 8OHdG) was higher in C57BL/6J than C57BL/6N mice. In conclusion, C57BL/6J mice showed reduced ischemic consequences after postnatal hypoxic-ischemic brain injury compared to C57BL/6N mice, with the exception of the amount of ROS-induced DNA-damage. These differences might relate to the lack of Nnt, but also to a modified metabolic setting (cardiovascular parameters, oxygen and glucose metabolism, immune function) in C57BL/6J mice.
[Mh] Termos MeSH primário: Hipóxia-Isquemia Encefálica/fisiopatologia
Camundongos Endogâmicos/metabolismo
[Mh] Termos MeSH secundário: Animais
Encéfalo/metabolismo
Lesões Encefálicas/fisiopatologia
Traumatismo Cerebrovascular/fisiopatologia
Éxons
Intolerância à Glucose/patologia
Macrófagos/metabolismo
Camundongos
Camundongos Endogâmicos C57BL
Camundongos Endogâmicos/genética
NADP/genética
NADP/metabolismo
NADP Trans-Hidrogenases/genética
NADP Trans-Hidrogenases/metabolismo
Espécies Reativas de Oxigênio/metabolismo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Reactive Oxygen Species); 53-59-8 (NADP); EC 1.6.1.- (NADP Transhydrogenases)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160914
[St] Status:MEDLINE


  7 / 117 MEDLINE  
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[PMID]:27538629
[Au] Autor:Molad JA; Findler M; Bornstein NM; Auriel E
[Ad] Endereço:Department of Neurology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel.
[Ti] Título:Symptomatogenic acute cervical artery dissection following dental procedure - Case series.
[So] Source:J Neurol Sci;368:184-6, 2016 Sep 15.
[Is] ISSN:1878-5883
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Cervical artery dissection (CAD) is an important cause of ischemic stroke which may occur following minor traumatic neck manipulations or hyperextension. This paper describes four cases of CAD secondary to dental procedures. CASES: Four patients were admitted to the neurology department due to various neurological deficits, which developed subsequently to dental procedure. CT angiography demonstrated CAD in all patients. No predisposing background disease or other neck manipulations were found. DISCUSSION: We describe four cases of dental procedure induced CAD. Since dental procedures are very common, CAD incidence may be higher than recognized. High clinical suspicion is crucial for promoting vascular imaging and diagnosis, especially among patients with non-neurologically symptomatic CAD. We suggest avoiding prolonged neck hyperextension during dental procedures, especially under general anesthesia, in order to prevent this rare but dramatic complication.
[Mh] Termos MeSH primário: Traumatismo Cerebrovascular/etiologia
Restauração Dentária Permanente/efeitos adversos
Pescoço/irrigação sanguínea
Procedimentos Cirúrgicos Bucais/efeitos adversos
[Mh] Termos MeSH secundário: Idoso
Dissecação da Artéria Carótida Interna/diagnóstico
Traumatismo Cerebrovascular/diagnóstico por imagem
Traumatismo Cerebrovascular/tratamento farmacológico
Feminino
Seres Humanos
Masculino
Meia-Idade
Pescoço/diagnóstico por imagem
Estudos Prospectivos
Extração Dentária/efeitos adversos
Transplante/efeitos adversos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160820
[St] Status:MEDLINE


  8 / 117 MEDLINE  
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[PMID]:27537517
[Au] Autor:Laser A; Bruns BR; Kufera JA; Kim AI; Feeney T; Tesoriero RB; Lauerman MH; Sliker CW; Scalea TM; Stein DM
[Ad] Endereço:From the R Adams Cowley Shock Trauma Center, Department of Surgery (A.L., B.R.B., R.B.T., M.H.L., T.M.S., D.M.S.), University of Maryland Medical Center, R Adams Cowley Shock Trauma Center, Department of Radiology and Nuclear Medicine (C.W.S.), University of Maryland Medical Center, National Study Center for Trauma and EMS (J.K.), University of Maryland School of Medicine, and University of Maryland School of Medicine (A.K.), Baltimore, Maryland; and Department of Surgery (T.F.), Tufts Medical Center, Boston, Massachusetts.
[Ti] Título:Long-term follow-up of blunt cerebrovascular injuries: Does time heal all wounds?
[So] Source:J Trauma Acute Care Surg;81(6):1063-1069, 2016 Dec.
[Is] ISSN:2163-0763
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The short-term natural history of blunt cerebrovascular injuries (BCVIs) has been previously described in the literature, but the purpose of this study was to analyze long-term serial follow-up and lesion progression of BCVI. METHODS: This is a single institution's retrospective review of a prospectively collected database over four years (2009-2013). All patients with a diagnosis of BCVI by computed tomographic (CT) scan were identified, and injuries were graded based on modified Denver scale. Management followed institutional algorithm: initial whole-body contrast-enhanced CT scan, followed by CT angiography at 24 to 72 hours, 5 to 7 days, 4 to 6 weeks, and 3 months after injury. All follow-up imaging, medication management, and clinical outcomes through 6 months following injury were recorded. RESULTS: There were 379 patients with 509 injuries identified. Three hundred eighty-one injuries were diagnosed as BCVI on first CT (Grade 1 injuries, 126; Grade 2 injuries, 116; Grade 3 injuries, 69; and Grade 4 injuries, 70); 100 "indeterminate" on whole-body CT; 28 injuries were found in patients reimaged only for lesions detected in other vessels. Sixty percent were male, mean (SD) age was 46.5 (19.9) years, 65% were white, and 62% were victims of a motor vehicle crash. Most frequently, Grade 1 injuries were resolved at all subsequent time points. Up to 30% of Grade 2 injuries worsened, but nearly 50% improved or resolved. Forty-six percent of injuries originally not detected were subsequently diagnosed as Grade 3 injuries. Greater than 70% of all imaged Grade 3 and Grade 4 injuries remained unchanged at all subsequent time points. CONCLUSIONS: This study revealed that there are many changes in grade throughout the six-month time period, especially the lesions that start out undetectable or indeterminate, which become various grade injuries. Low-grade injuries (Grades 1 and 2) are likely to remain stable and eventually resolve. Higher-grade injuries (Grades 3 and 4) persist, many up to six months. Inpatient treatment with antiplatelet or anticoagulation did not affect BCVI progression. LEVEL OF EVIDENCE: Prognostic study, level III; therapeutic study, level IV.
[Mh] Termos MeSH primário: Traumatismo Cerebrovascular/patologia
Traumatismo Cerebrovascular/fisiopatologia
Ferimentos não Penetrantes/patologia
Ferimentos não Penetrantes/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Traumatismo Cerebrovascular/terapia
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Fatores de Tempo
Tomografia Computadorizada por Raios X
Cicatrização
Ferimentos não Penetrantes/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170703
[Lr] Data última revisão:
170703
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160819
[St] Status:MEDLINE


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[PMID]:27468510
[Au] Autor:Abudeev SA; Popugaev KA; Kruglyakov NM; Belousova KA; Terekhov DA; Leushin KY; Aronov MS; Karpova OV; Zelenkov AV; Kiselev KV; Fedin AB; Zabelin MV; Samoylov AS
[Ti] Título:[HYPOTHERMIA INFLUENCES ON OXYGEN TENSION IN THE BRAIN PARENCHYMA IN PATIENTS WITH ANEURYSMAL SUBARACHNOID HEMORRHAGE].
[So] Source:Anesteziol Reanimatol;61(2):155-8, 2016 Mar-Apr.
[Is] ISSN:0201-7563
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:Aneurysmal subarachnoid hemorrhage is a serious medical and social problem. The main physiological mechanisms that determine secondary brain damage in this patients are intracranial hypertension, cerebral vasospasm, dysfunction of autoregulation mechanisms, violation of liquorodynamics and delayed cerebral ischemia. The multimodal neuromonitoring for prevention and timely correction ofsecondary brain injury factors has become routine practice in neuroICU. Measurement of oxygen tension in the brain parenchyma is one of neuromonitoring options. During the years of intensive use of this method in clinical practice the reasons for reducing the oxygen tension in the brain parenchyma were revealed, as well as developed and clinically validated algorithms for correction of such conditions. However, there are clinical situations that are difficult to interpret and even more difficult to make the right tactical and therapeutic solutions. We present the clinical observation of the patient with aneurysmal subarachnoid hemorrhage, who had dramatically reduced brain intraparenchymal oxygen pressure although prolonged hypothermia were used. Despite this, the outcome was favorable. The analysis allowed to assume that the reason for this decrease in oxygen tension in the brain parenchyma could be hypothermia itself
[Mh] Termos MeSH primário: Isquemia Encefálica/fisiopatologia
Traumatismo Cerebrovascular/fisiopatologia
Hipertensão Intracraniana/fisiopatologia
Oxigênio/metabolismo
Hemorragia Subaracnóidea/fisiopatologia
[Mh] Termos MeSH secundário: Gasometria
Encéfalo/metabolismo
Encéfalo/fisiopatologia
Isquemia Encefálica/diagnóstico por imagem
Isquemia Encefálica/cirurgia
Circulação Cerebrovascular
Traumatismo Cerebrovascular/diagnóstico por imagem
Traumatismo Cerebrovascular/terapia
Feminino
Seres Humanos
Hipotermia Induzida/métodos
Hipertensão Intracraniana/diagnóstico por imagem
Hipertensão Intracraniana/terapia
Pressão Intracraniana/fisiologia
Meia-Idade
Monitorização Fisiológica
Tecido Parenquimatoso/metabolismo
Tecido Parenquimatoso/fisiopatologia
Hemorragia Subaracnóidea/diagnóstico por imagem
Hemorragia Subaracnóidea/cirurgia
Tomografia Computadorizada de Emissão
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
S88TT14065 (Oxygen)
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170111
[Lr] Data última revisão:
170111
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160730
[St] Status:MEDLINE


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[PMID]:27287948
[Au] Autor:Bodanapally UK; Sliker CW
[Ad] Endereço:Department of Radiology, R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, MD. Electronic address: ubodanapally@umm.edu.
[Ti] Título:Imaging of Blunt and Penetrating Craniocervical Arterial Injuries.
[So] Source:Semin Roentgenol;51(3):152-64, 2016 Jul.
[Is] ISSN:1558-4658
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Traumatismo Cerebrovascular/diagnóstico por imagem
Imagem por Ressonância Magnética/métodos
Tomografia Computadorizada por Raios X/métodos
Ferimentos não Penetrantes/diagnóstico por imagem
Ferimentos Penetrantes/diagnóstico por imagem
[Mh] Termos MeSH secundário: Artérias Carótidas/diagnóstico por imagem
Lesões das Artérias Carótidas/diagnóstico por imagem
Artérias Cerebrais/diagnóstico por imagem
Artérias Cerebrais/lesões
Seres Humanos
Artéria Vertebral/diagnóstico por imagem
Artéria Vertebral/lesões
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170424
[Lr] Data última revisão:
170424
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160612
[St] Status:MEDLINE



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