The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.
Predictors of Cerebral Infarction in Aneurysmal Subarachnoid Hemorrhage
Abstract
Background— Clinical and radiologic predictors of cerebral infarction occurrence and location after aneurysmal subarachnoid hemorrhage have been seldom studied. Methods— We evaluated all patients admitted to our hospital with aneurysmal subarachnoid hemorrhage between 1998 and 2000. Cerebral infarction was defined as a new hypodensity located in a vascular distribution on computed tomography (CT) scan. Results— Fifty-seven of 143 patients (40%) developed a cerebral infarction. On univariate analysis, occurrence of cerebral infarction was associated with a worse World Federation of Neurological Surgeons grade ( P =0.01), use of ventriculostomy catheter ( P =0.01), preoperative vasospasm ( P =0.03), surgical clipping ( P =0.02), symptomatic vasospasm ( P <0.01), and vasospasm on transcranial Doppler ultrasonography (TCD) or repeat angiogram ( P <0.01). On multivariable analysis, only presence of symptoms ascribed to vasospasm ( P <0.01) and evidence of vasospasm on TCD or angiogram predicted cerebral infarction ( P <0.01). TCD and angiogram agreed on the diagnosis of vasospasm in 73% of cases (95% CI, 63% to 81%), but the diagnostic accuracy of this combination of tests was suboptimal for the prediction of cerebral infarction occurrence (sensitivity, 0.72; specificity, 0.68; positive predictive value, 0.67; negative predictive value, 0.72). Location of the cerebral infarction on delayed CT was predicted by neurological symptoms in 74%, by aneurysm location in 77%, and by angiographic vasospasm in 67%. Conclusions— Evidence of vasospasm on TCD and angiogram is predictive of cerebral infarction on CT scan but sensitivity and specificity are suboptimal. Cerebral infarction location cannot be predicted in one quarter to one third of patients by any of the studied clinical or radiological variables.
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Cites
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Arterial territories of the human brain: Cerebral hemispheres
Tatu, L., Moulin, T., Bogousslavsky, J., & Duvernoy, H. (1998) · Neurology · doi:10.1212/wnl.50.6.1699 · Cited by 614
Time course of vasospasm in man
Weir, B., Grace, M., Hansen, J., & Rothberg, C. (1978) · Journal of Neurosurgery · doi:10.3171/jns.1978.48.2.0173 · Cited by 601
Cerebral vasospasm diagnosis by means of angiography and blood velocity measurements
Lindegaard, K. F., Nornes, H., Bakke, S. J., Sorteberg, W., & Nakstad, P. (1989) · Acta Neurochirurgica · doi:10.1007/bf01405268 · Cited by 495
Arterial territories of human brain: Brainstem and cerebellum
Tatu, L., Moulin, T., Bogousslavsky, J., & Duvernoy, H. (1996) · Neurology · doi:10.1212/wnl.47.5.1125 · Cited by 465
Charpentier, C., Audibert, G., Guillemin, F., Civit, T., Ducrocq, X., Bracard, S., Hepner, H., Picard, L., & Laxenaire, M. C. (1999) · Stroke · doi:10.1161/01.str.30.7.1402 · Cited by 305
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Suarez, J. I., Qureshi, A. I., Yahia, A. B., Parekh, P. D., Tamargo, R. J., Williams, M. A., Ulatowski, J. A., Hanley, D. F., & Razumovsky, A. Y. (2002) · Critical Care Medicine · doi:10.1097/00003246-200206000-00035 · Cited by 202
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Cited by
Diringer, M. N., Bleck, T. P., Claude Hemphill, J., Menon, D., Shutter, L., Vespa, P., Bruder, N., Connolly, E. S., Citerio, G., Gress, D., et al. (2011) · Neurocritical Care · doi:10.1007/s12028-011-9605-9 · Cited by 1,121
Self-citationAneurysmal Subarachnoid Hemorrhage
Suarez, J. I., Tarr, R. W., & Selman, W. R. (2006) · New England Journal of Medicine · doi:10.1056/nejmra052732 · Cited by 986
Defining Vasospasm After Subarachnoid Hemorrhage: What Is the Most Clinically Relevant Definition?
Frontera, J. A., Fernandez, A., Schmidt, J. M., Claassen, J., Wartenberg, K. E., Badjatia, N., Connolly, E. S., & Mayer, S. A. (2009) · Stroke · doi:10.1161/strokeaha.108.544700 · Cited by 586
Early Brain Injury, an Evolving Frontier in Subarachnoid Hemorrhage Research
Fujii, M., Yan, J., Rolland, W. B., Soejima, Y., Caner, B., & Zhang, J. H. (2013) · Translational Stroke Research · doi:10.1007/s12975-013-0257-2 · Cited by 493
Oertel, M., Boscardin, W. J., Obrist, W. D., Glenn, T. C., McArthur, D. L., Gravori, T., Lee, J. H., & Martin, N. A. (2005) · Journal of Neurosurgery · doi:10.3171/jns.2005.103.5.0812 · Cited by 227
Metadata
- Authors
- Rabinstein, A. A., Friedman, J. A., Weigand, S. D., McClelland, R. L., Fulgham, J. R., Manno, E. M., Atkinson, J. L. D., & Wijdicks, E. F. M.
- Venue
- Stroke
- Published
- 2004-08
- Volume
- 35
- Issue
- 8
- Pages
- 1862-1866
- ISSN
- 0039-2499 (ISSN-L)
- 1524-4628
- OpenAlex
- W2101988458
- Cited by
- 498
- References
- 15
- FWCI
- 10.76
- Type
- journal article
- Language
- en
- Open access
- closed
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- Rabinstein, A. A., Friedman, J. A., Weigand, S. D., McClelland, R. L., Fulgham, J. R., Manno, E. M., Atkinson, J. L. D., & Wijdicks, E. F. M. (2004). Predictors of Cerebral Infarction in Aneurysmal Subarachnoid Hemorrhage. Stroke. https://doi.org/10.1161/01.str.0000133132.76983.8e
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