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Zerebro-vaskuläre Störungen pp 291–306Cite as

Subarachnoidalblutungen

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Zusammenfassung

Zu Subarachnoidalblutungen kommt es, wenn Blut in den Subarachnoidalraum sik-kert, sei es Blut aus einer rupturierten Arterie oder Vene (primäre Subarachnoidalblutung) oder aus einer intrazerebralen Blutung, die sich durch das Parenchym bis an die Oberfläche des Gehirns oder in die Ventrikel ausbreitet (sekundäre Subarachnoidalblutung), Solche Hämorrhagien werden als spontan bezeichnet, wenn keine äußere zusätzliche Ursache ersichtlich ist, und als traumatisch, wenn sie nach einer Gewalteinwirkung auftreten. Da Patienten mit posttraumatischer Hämorrhagie am besten durch einen Neurochirurgen behandelt werden, wird die Subarachnoidalblutung traumatischer Genese -obwohl sie am häufigsten vorkommt — in diesem Buch nicht besprochen.

„Fehldiagnosen werden nicht deswegen gestellt, weil Untersucher über zu wenig Fachkenntnis verfügen, sondern vielmehr, weil mangelhaft untersucht wird.“ Sir William Osler

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Literatur

Allgemeines

  • Fields, W. S., Sahs, A. L. (eds.): Intracranial Aneurysma and Subarachnoid Hemorrhage. Springfield, Ill.: Charles C. Thomas 1965

    Google Scholar 

Ätiologie und Pathogenese

  • Agnoli, A., Bettag, W.: Endokarditis und Subarachnoidalblutung. Z. Neurol. 199, 295 (1971)

    Article  PubMed  CAS  Google Scholar 

  • Heppner, F.: Die ungeklärte Subrachnoidalblutung. Wien. klin. Wschr. 81, 621 (1969)

    PubMed  CAS  Google Scholar 

  • Hofer, Susanne: Unabgeklärte Subarachnoidalblutung. Arch. Neurol. Neurochir. Psychiat. 97, 241 (1966)

    CAS  Google Scholar 

  • Jain, K. K.: Mechanism of rupture of intracranial saccular aneurysms. Surgery. 54, 347 (1963)

    PubMed  CAS  Google Scholar 

  • Kerr, C. B.: Intracranial haemorrhage in haemophilia. J. Neurol. Neurosurg. Psychiat. 27, 166 (1964)

    Article  PubMed  CAS  Google Scholar 

  • Lins, E., Vlajic, I., Wappenschmidt, J.: Spinale Subarachnoidalblutung bei einem Falle von Aorten-Isthmus-Stenose. Röntgenblätter 30, 239 (1977)

    PubMed  CAS  Google Scholar 

  • Mamoli, B., Sonneck, G., Lechner, K.: Intrakranielle und spinale Blutungen bei Hämophilie. J. Neurol. 211, 143 (1976)

    Article  PubMed  CAS  Google Scholar 

  • Nassar, S. I., Correll, J. W.: Subarachnoid hemorrhage due to spinal cord tumors. Neurology. 18, 87 (1968)

    PubMed  CAS  Google Scholar 

  • Pakarinen, S.: Incidence, aetiology, and prognosis of primary subarachnoid haemorrhage. A study based on 589 cases diagnosed in a defined urban population during a defined period. Acta neurol. scand. 43 (suppl. 29), 9 (1967)

    Google Scholar 

  • Quickel, K. E., Jr., Whaley, R. J.: Subarachnoid hemorrhage in a patient with hereditary her-morhagic telangiectasis. Neurology. 17, 716 (1967)

    PubMed  Google Scholar 

  • Sahs, A. L., Perret, G. E., Locksley, H. B., Nishioka, H. (eds.): Intracranial Aneurysms and Subarachnoid Hemorrhage. A Cooperative Study. Philadelphia: J. B. Lipincott 1969

    Google Scholar 

Klinische Besonderheiten

  • Agnoli, A., Bettag, W.: Endokarditis und Subarachnoidalblutung. Z. Neurol. 199, 295 (1971)

    Article  PubMed  CAS  Google Scholar 

  • Crompton, M. R.: Hypothalamic lesions following the rupture of cerebral berry aneurysms. Brain. 86, 301 (1963)

    Article  PubMed  CAS  Google Scholar 

  • Money, R. A., Vanderfield, G. K.: Premonitory symptoms and signs of subarachnoid haemorhage. Med. J. Australia. 1, 859 (1966)

    Google Scholar 

  • Paal, G.: Cerebrale Insulte bei Subarachnoidalblutung. Nervenarzt. 46, 197 (1975)

    PubMed  CAS  Google Scholar 

Untersuchung des Patienten

  • Fahmy, J. A., Knudsen, V., Andersen, S. R.: Intraocular haemorrhage following subarachnoid haemorrhage. Acta opthalmol. 47, 550 (1969)

    Article  CAS  Google Scholar 

  • Greenhoot, J. H., Reichenbach, D. D.: Cardiac injury and subarachnoid hemorrhage. A clinical, pa-thological and physiological correlation. J. Neurosurg. 30, 521 (1969)

    Article  PubMed  CAS  Google Scholar 

Differentialdiagnose

  • Glass, B., Abbott, K. H.: Subarachnoid hemorrhage consequent to intracranial tumors; review of literature and report of seven cases. Arch. Neurol. Psychiat. 73, 369 (1955)

    CAS  Google Scholar 

  • Goran, A., Ciminello, V. J., Fisher, R. G.: Hemorrhage into meningiomas. Arch. Neurol. 13, 65, (1965)

    PubMed  CAS  Google Scholar 

  • Huskisson, E. C., Hart, F. D.: Fulminating meningococcal septicaemia presenting with subarachnoid haemorrhage. Brit. Med. J. 2, 231 (1969)

    Article  PubMed  CAS  Google Scholar 

  • Morris, D. A., Henkind, P.: Relationship of intracranial optic-nerve sheath and retinal hemorrhage. Am. J. Ophthalmol. 64, 853 (1967)

    PubMed  CAS  Google Scholar 

  • Secher-Hansen, E.: Subarachnoid haemorrhage and sudden unexpected death: A medico-legal material. Acta neurol. scand. 40, 115 (1964)

    Article  PubMed  CAS  Google Scholar 

Laborbefunde

  • Brock, M., Stamato, J. A., Schürmann, K.: Die Subarachnoidalblutung ohne angiographischen Befund. Nervenarzt. 38, 319 (1967)

    Google Scholar 

  • James, I. M.: Changes in cerebral blood flow and in systemic arterial pressure following spontaneous subarachnoid haemorrhage. Clin. Sci. 35, 11 (1968)

    PubMed  CAS  Google Scholar 

Liquoruntersuchung

  • Barrows, L. J., Hunter, F. T., Banker, B. Q.: The nature and clinical significance of pigments in the cerebrospinal fluid. Brain. 78, 59 (1955)

    Article  PubMed  CAS  Google Scholar 

  • Bischoff, A., Zöbeli-Vassalli, L.: Leitsymptom: Der bluthaltige Liquor. Schweiz, med. Wschr. 96, 105 (1966)

    CAS  Google Scholar 

  • Froman, C., Smith, A. C.: Metabolic acidosis of the cerebrospinal fluid associated with subarachnoid haemorrhage. Lancet. 1, 965 (1967)

    Article  PubMed  CAS  Google Scholar 

  • Oehmichen, M., Schütze, G.: Erythrophagen in der Liquorzelldiagnostik der Subarachnoidalblutung. Postpunktionelles Verhalten von Erythrocyten und Makrophagen im Liquor cerebrospinalis. Nervenarzt. 44, 407 (1973)

    PubMed  CAS  Google Scholar 

  • Tourtellotte, W. W., Metz, L. N., Bryan, E. R., DeJong, R. N.: Spontaneous subarachnoid hemorrhage: Factors affecting the rate of clearing of the cerebrospinal fluid. Neurology. 14, 301 (1964)

    PubMed  CAS  Google Scholar 

  • Van Der Meulen, J. P.: Cerebrospinal fluid xanthochromia: An objective index. Neurology. 16, 170 (1966)

    Google Scholar 

Laborbefunde Röntgenuntersuchungen

  • Bjorkesten, G., Halonen, V.: Incidence of intracranial vascular lesions in patients with subarachnoid hemorrhage investigated by four-vessel angiography. J. Neurosurg. 23, 29 (1965)

    Article  Google Scholar 

  • du Boulay, G.: Distribution of spasm in the intracranial arteries after subarachnoid haemorrhage. Acta radiol. diagn. 1, 257 (1963)

    Google Scholar 

  • Brock, M., Stamato, J. A., Schürmann, K.: Die Subarachnoidalblutung ohne angiographischen Befund. Nervenarzt. 38, 319 (1967)

    PubMed  CAS  Google Scholar 

  • Heiskanen, O.: Cerebral circulatory arrest caused by acute increase in intracranial pressure: A clinical and roentgenological study of 25 cases. Acta neurol. scand. 40 (suppl. 17), 1 (1964)

    Google Scholar 

  • Heppner, F.: Die ungeklärte Subarachnoidalblutung. Wien. klin. Wschr. 81, 621 (1969)

    PubMed  CAS  Google Scholar 

  • Kalbag, R. M.: Recurrent subarachnoid haemorrhage from paraventricular lesions with normal angiography. J. Neurol. Neurosurg. Psychiat. 27, 435 (1964)

    Article  PubMed  CAS  Google Scholar 

Laborbefunde Elektroenzephalographie

  • Millar, J. H. D.: The electroencephalogram in cases of subarachnoid haemorrhage. Electroencephalog. Clin. Neurophysiol. 5, 165 (1953)

    Article  CAS  Google Scholar 

  • Rumpl, E., Bauer, G., Stampfel, G.: Der Angiospasmus bei der Subarachnoidalblutung als wichtige Ursache für fokale Veränderungen im EEG. EEG EMG 8, 200 (1977)

    PubMed  CAS  Google Scholar 

Laborbefunde Elektrokardiographie

  • Cropp, G. J., Manning, G. W.: Electrocardiographic changes simulating myocardial ischemia and infarction associated with spontaneous intracranial hemorrhage. Circulation, 22, 25 (1960)

    PubMed  CAS  Google Scholar 

  • Hoffbrand, B. I., Morgan, B. D.: Electrocardiographic changes associated with subarachnoidal haemorrhage. Lancet. 1, 844 (1965)

    Article  PubMed  CAS  Google Scholar 

Krankheitsverlauf

  • Arutiunov, A. I., Baron, M. A., Majorova, N. A.: Experimental and clinical study of the development of spasm of the cerebral arteries related to subarachnoid hemorrhage. J. Neurosurg. 32, 617, (1970)

    Article  PubMed  CAS  Google Scholar 

  • Editorial: Prognosis of subarachnoid haemorrhage. Lancet. 2, 590 (1960)

    Google Scholar 

  • Ellington, E., Margolis, G.: Block of arachnoid villus by subarachnoid hemorrhage. J. Neurosurg. 30, 651 (1969)

    Article  PubMed  CAS  Google Scholar 

  • Gurdjian, E. S., Thomas, L. M.: Cerebral vasospasm. Surg. Gynecol. Obstet. 129, 931 (1969)

    PubMed  CAS  Google Scholar 

  • Hartmann, A., Dorndorf, W., Alberti, E.: Komplikationen der Subarachnoidalblutung. Med. Klin. 72, 476 (1977)

    PubMed  CAS  Google Scholar 

  • Katsiotis, P. A., Taptas, J. N.: Embolism and spasm following subarachnoid hemorrhage. Acta radiol. diagn. 7, 140 (1968)

    CAS  Google Scholar 

  • Rumpl, E., Stampfel, G.: Cerebrale Angiospasmen und Herdsymptome bei der Subarachnoidalblutung (SAB). Nervenarzt. 46, 38 (1975)

    PubMed  CAS  Google Scholar 

  • Storey, P. B.: Psychiatric sequelae of subarachnoid haemorrhage. Brit. Med. J. 3, 261 (1967)

    Article  PubMed  CAS  Google Scholar 

  • Tappura, M.: Prognosis of subarachnoid haemorrhage: A study of 120 patients with unoperated intracranial arterial aneurysms and 267 patients without vascular lesions demonstrable in bilateral carotid angiograms. Acta med. scand. 173 (suppl. 392), 1 (1962)

    Google Scholar 

  • Theander, S., Granholm, L.: Sequelae after spontaneous subarachnoid haemorrhage, with special reference to hydrocephalus and Korsakoffs syndrome. Acta neurol. scand. 43, 479 (1967)

    Article  PubMed  CAS  Google Scholar 

  • Walter, W., Schiefer, W.: Zur Klinik und Prognose der Subarachnoidalblutungen ohne angiographischen Nachweis einer Gefäßmißbildung. Med. Welt, (Stuttg.). 29, 1600 (1969)

    CAS  Google Scholar 

  • Wolf, G.: Langfristige Beobachtungen bei Kranken mit Subarachnoidalblutungen. Der Nervenarzt. 34, 73 (1963)

    PubMed  CAS  Google Scholar 

TherapieKonservative Therapie

  • Ahmed, R. H., Sedzimir, C. B.: Ruptured anterior communicating aneurysm. A comparison of medical and specific surgical treatment. J. Neurosorg. 26, 213(1967)

    Article  CAS  Google Scholar 

  • Dalsgaard-Nielsen, T.: The prognosis of unoperated cases of first attack of spontaneous, uncomplicated subarachnoid haemorrhage with or without detected aneurysm. Acta neurol. scand. 44, 130 (1968)

    Article  PubMed  CAS  Google Scholar 

  • Heiskanen, O., Nikki, P.: Rupture of intracranial arterial aneurysm during pregnancy. Acta neurol. scand. 39, 202 (1963)

    Article  PubMed  CAS  Google Scholar 

  • Rose, F. C., Sarner, M.: Epilepsy after ruptured intracranial aneurysm. Brit. Med. J. 1, 18 (1965)

    Article  PubMed  CAS  Google Scholar 

Therapie Chirurgische Therapie

  • Richardson, A.: Subarachnoid haemorrhage. Brit. Med. J. 4, 89, (1969)

    Article  PubMed  CAS  Google Scholar 

  • Scharfetter, F.: Zur zerebralen Aneurysmablutung: Indikation und Zeitpunkt für Angiographie und Operation. Schweiz. Med. Wschr. 107, 1139 (1977)

    PubMed  CAS  Google Scholar 

  • Stornelli, S. A., French, J. D.: Subarachnoid hemorrhage — Factors in prognosis and management. J. Neurosurg. 21, 769 (1964)

    Article  PubMed  CAS  Google Scholar 

Zusätzliche Angaben

  • Keller, A. Z.: Hypertension, age and residence in the survival with subarachnoid hemorrhage. Am. J. Epidemiol. 91, 139 (1970)

    PubMed  CAS  Google Scholar 

  • Robinson, J. L., Hall, C. J., Sedzimir, C. B.: Subarachnoid hemorrhage in pregnancy. J. Neurosurg. 36, 27 (1972)

    Article  PubMed  CAS  Google Scholar 

  • Wilkins, R. H., Wilkinson, R. H., Odom, G. L.: Abnormal brain scans in patients with cerebral arterial spasm. J. Neurosurg. 36, 133 (1972)

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Bowman Gray School of Medicine, Wake Forest University, 300 South Hawthorne Road, Winston-Salem, N.C., 27103, USA

    James F. Toole M. D. (Professor of Neurology)

  2. Albany Medical College of Union University, Albany, N.Y., USA

    Aneel N. Patel M. D. M.R.C.P, F.R.C.P. (Associate Professor of Neurology)

Authors
  1. James F. Toole M. D.
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  2. Aneel N. Patel M. D. M.R.C.P, F.R.C.P.
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© 1980 Springer-Verlag Berlin Heidelberg

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Toole, J.F., Patel, A.N. (1980). Subarachnoidalblutungen. In: Zerebro-vaskuläre Störungen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67424-2_24

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  • DOI: https://doi.org/10.1007/978-3-642-67424-2_24

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-67425-9

  • Online ISBN: 978-3-642-67424-2

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