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Verfasst von:Sykora, Marek [VerfasserIn]   i
 Steiner, Thorsten [VerfasserIn]   i
 Poli, Sven [VerfasserIn]   i
 Rocco, Andrea [VerfasserIn]   i
 Diedler, Jennifer [VerfasserIn]   i
Titel:Autonomic effects of intraventricular extension in intracerebral hemorrhage
Verf.angabe:Marek Sykora, Thorsten Steiner, Sven Poli, Andrea Rocco, Peter Turcani, Jennifer Diedler
Jahr:2012
Jahr des Originals:2011
Umfang:7 S.
Fussnoten:Published online: 6 October 2011 ; Gesehen am 21.06.2018
Titel Quelle:Enthalten in: Neurocritical care
Ort Quelle:New York, NY : Springer, 2004
Jahr Quelle:2012
Band/Heft Quelle:16(2012), 1, Seite 102-108
ISSN Quelle:1556-0961
Abstract:BackgroundAutonomic dysfunction after stroke is common and relates to unfavorable outcome. The pathophysiology of autonomic impairment after intracerebral hemorrhage (ICH) is unknown. This study examined the relationship between intraventricular hemorrhage extension (IVH) and autonomic dysregulation after ICH.MethodsWe examined the autonomic modulation using the cross-correlational time-sequence baroreflex sensitivity (BRS) in 68 ICH patients with and without IVH. Localization and extent of IVH based on the LeRoux score, hydrocephalus, hematoma volume, initial stroke severity and baseline demographic, clinical, and biochemical parameters were included in the analysis.ResultsIVH was present in 36 (52.9%) of patients. BRS was significantly lower in patients with IVH compared to those without IVH (BRS 2.35 vs. 3.5 ms/mmHg, P = 0.03). Patients with IVH including third and fourth ventricle had significantly lower BRS than patients with IVH in lateral ventricles (2.1 vs. 5.9 ms/mmg, P = 0.008) or patients without IVH (2.1 vs. 3.5 ms/mmHg, P = 0.003). There was no significant difference in BRS between patients with IVH in the lateral ventricles and patients without IVH (median BRS 5.9 vs. 3.5 ms/mmHg, P = 0.36). The amount of IVH in the third and fourth ventricle inversely correlated with decreased BRS (r = −0.43, P < 0.001). BRS did not correlate with initial hydrocephalus, hemorrhage volume, NIHSS score at admission, etiology of the ICH or parenchymal localization of the ICH.ConclusionsHematoma extension to the third and fourth ventricle seems to cause profound autonomic dysregulation, possibly contributing to poor outcome. Patients with IVH in this location should be monitored vigorously to prevent and treat complications of autonomic failure.
DOI:doi:10.1007/s12028-011-9637-1
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/10.1007/s12028-011-9637-1
 Volltext: https://link.springer.com/article/10.1007/s12028-011-9637-1
 DOI: https://doi.org/10.1007/s12028-011-9637-1
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:157674762X
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