Abstract
Many cerebrovascular disorders are associated with autonomic dysfunction, particularly subarachnoid hemorrhage (SAH), intracerebral hemorrhage (ICH) and ischemic stroke. The common basis for these problems is maximal activation of the sympathetic pathway, with parasympathetic coactivation. A major main clinical symptom is electrocardiograph (ECG) change that may include a long QT interval, torsades des points, ventricular arrhythmias (Fig. 1), and cerebral T waves. Cardiovascular changes include hypertension, tachycardia, or bradycardia. Neurogenic pulmonary edema may also occur, as well as metabolic changes in catabolism or sodiumpotassium function, and stress reactions such as agitation or anxiety which contribute to the risk of secondary rebleeding.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Cushing H. (1902) Some experimental and clinical observations concerning states of increased intracranial tension. The Mutter Lecture for 1901. American Journal of the Medial Sciences, September, 1902
Graf CJ, Rossi NP (1976) Catecholamine response to intracranial hypertension. J Neurosurg 49: 862
Hamann G (1993) Autonome Veranderungen von lebensbedrohlichen intrakraniellen Erkrankungen. Habilitationsschrift, Hamburg, Saar
Hamann G, Haass A, Schimrick K (1993) Beta blockade in acute aneurysmal subarachnoid hemorrhage. Acta Neurochir 121: 179
Simmons RL, Martin AM Jr, Heisterkamp CA, et al (1969) Respiratory insufficiency in combat casualties. II. Pulmonary edema following head injury. Ann Surg 170: 139
Matjasko MJ (1994) Multisystem sequelae of severe head injury. In: Cottrell JE, Smith DS (eds) Anesthesia and Neurosurgery. Mosby, St. Louis, Missouri, pp 685
Malik AB (1977) Pulmonary vascular response to increase in intracranial pressure: role of sympathetic mechanisms. J Appl Physiol 42: 335
Simon RP, Bayne LL, Naughton MP (1982) Left atrial pressure elevation recreates the altered lung lymph flow of seizures. J Appl Physiol 53: 432
McClellan MD, Dauber IM, Weil JV (1989) Elevated intracranial pressure increases pulmonary vascular permeability to protein. J Appl Physiol 67: 1185
Touho H, Karasawa J, Shishido H, et al (1989) Neurogenic pulmonary edema in the acute stage of hemorrhagic cerebrovascular disease. Neurosurg 25: 762
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1998 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Borel, C., Hamann, G. (1998). Autonomic Changes in Acute Cerebrovascular Disorders. In: Steiner, T., Hacke, W., Hanley, D.F. (eds) Stroke. Update in Intensive Care and Emergency Medicine, vol 27. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60264-1_4
Download citation
DOI: https://doi.org/10.1007/978-3-642-60264-1_4
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-64326-2
Online ISBN: 978-3-642-60264-1
eBook Packages: Springer Book Archive