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Verfasst von:Sakowitz, Oliver [VerfasserIn]   i
 Santos, Edgar [VerfasserIn]   i
 Krajewski, Kara Leigh [VerfasserIn]   i
 Hertle, Daniel [VerfasserIn]   i
 Vajkoczy, Peter [VerfasserIn]   i
 Unterberg, Andreas [VerfasserIn]   i
Titel:Clusters of spreading depolarizations are associated with disturbed cerebral metabolism in patients with aneurysmal subarachnoid hemorrhage
Verf.angabe:Oliver W. Sakowitz, Edgar Santos, Alexandra Nagel, Kara L. Krajewski, Daniel N. Hertle, Peter Vajkoczy, Jens P. Dreier, Andreas W. Unterberg, Asita S. Sarrafzadeh
Jahr:2013
Jahr des Originals:2012
Umfang:4 S.
Fussnoten:Originally published 6 Dec 2012 ; Gesehen am 18.06.2018
Titel Quelle:Enthalten in: Stroke
Ort Quelle:New York, NY : Association, 1970
Jahr Quelle:2013
Band/Heft Quelle:44(2013), 1, Seite 220-223
ISSN Quelle:1524-4628
Abstract:Background and Purpose—We studied the dynamics of extracellular brain tissue concentrations of glucose, lactate, pyruvate, and glutamate during the occurrence of spreading depolarizations (SDs) in patients with aneurysmal subarachnoid hemorrhage. Methods—In this prospective observational study, patients with aneurysmal subarachnoid hemorrhage received multimodal cerebral monitoring, including intracranial pressure, cerebral microdialysis, and subdural electrocorticography. Results—Seven of the 17 recruited patients had intracerebral hemorrhage, acute ischemia and severe brain oedema leading to acute ischemic neurological deficits associated with early disturbance of metabolism at the recording site. They displayed a total of 130 SDs. The remaining 10 patients without acute ischemic neurological deficits exhibited 138 single SDs and 68 SDs in clusters. In patients without acute ischemic neurological deficits, clustered SDs were associated with a significant transient decrease in glucose and increase in lactate compared with baseline during the first 140 minutes after SDs. Moreover, the number of clustered SDs correlated with the outcome (R=−0.659; P<0.01). Conclusion—SDs can propagate in nonischemic human brain tissue. Clusters of SDs are related to metabolic changes suggestive of ongoing secondary damage in primarily nonischemic brain tissue.
DOI:doi:10.1161/STROKEAHA.112.672352
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: http://dx.doi.org/10.1161/STROKEAHA.112.672352
 Volltext: http://stroke.ahajournals.org/content/44/1/220
 DOI: https://doi.org/10.1161/STROKEAHA.112.672352
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:aneurysms
 cerebrovascular disease
 delayed cerebral ischemia
 energy metabolism
 focal ischemia
 glucose
 spreading depolarization
K10plus-PPN:1576457958
Verknüpfungen:→ Zeitschrift

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