Abstract
Changes of cerebral hemodynamics and oxygenation in patients with cerebral vasospasm (CVS) after subarachnoid hemorrhage (SAH) might be underestimated if transcranial Doppler sonography (TCD) and angiography findings are considered singularly [1]. Low cerebral blood flow (CBF) has been identified as independent predictor of poor outcome after SAH [7]. Nevertheless the established methods for bedside measurement of CBF with inert tracers, such as the nitrous oxide or the 133Xenon dilution technique are technically difficult and time consuming [6, 9]. Stable xenon-enhanced computed tomography, positron emission tomography and magnetic resonance spectroscopy are powerful research tools [1], but require that the patient be transported, which carries a potentially high risk. Recently a new double indicator dilution technique for bedside monitoring of CBF became available [5].
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References
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© 2001 Springer-Verlag
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Hegner, T., Krayenbühl, N., Hefti, M., Yonekawa, Y., Keller, E. (2001). Bedside Monitoring of Cerebral Blood Flow in Patients with Subarachnoid Hemorrhage. In: Seiler, R.W., Steiger, HJ. (eds) Cerebral Vasospasm. Acta Neurochirurgica Supplements, vol 77. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6232-3_28
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DOI: https://doi.org/10.1007/978-3-7091-6232-3_28
Publisher Name: Springer, Vienna
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