Abstract
We have been using cisternal irrigation therapy with urokinase (UK) and ascorbic acid (AsA) for prevention of symptomatic vasospasm after aneurysmal subarachnoid hemorrhage (SAH), and excellent results were obtained [3]. In this therapy, UK is used to dissolve the residual clot and AsA is added to degenerate oxyhemoglobin (Oxy-Hb), one of the strongest spasmogenic substances [4]. Previous experimental studies [1, 5] revealed the effect of AsA in degenerating Oxy-Hb. The present study intends to evaluate the effect of AsA in clinical cases by measuring Oxy-Hb concentration of drained fluid sequentially.
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References
Kawakami M, Kodama N, Toda N (1991) Suppression of the cerebral vasospastic actions of oxyhemoglobin by ascorbic acid. Neurosurgery 28: 33–40
Kodama N, Mizoi K, Sakurai Y, Suzuki J (1980) Incidence and onset of vasospasm. In: Wilkins RH (ed) Cerebral arterial vasospasm. Williams and Wilkins, Baltimore, p 361–365
Kodama N, Sasaki T, Kawakami M, Sato M, Asari J (2000) Cisternal irrigation therapy with urokinase and ascorbic acid for prevention of vasospasm after aneurysmal subarachnoid hemorrhage: outcome in 217 patients. Surg Neurol 53: 110–118
Osaka K (1977) Prolonged vasospasm by the breakdown products of erythrocytes. J Neurosurg 47: 403–411
Sato M (1987) Prevention of cerebral vasospasm: experimental studies on the degradation of oxyhemoglobin by ascorbic acid. Fukushima J Med Sei 33: 55–70
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Konno, Y., Sato, T., Suzuki, K., Matsumoto, M., Sasaki, T., Kodama, N. (2001). Sequential Changes of Oxyhemoglobin in Drained Fluid of Cisternal Irrigation Therapy — Reference to the Effect of Ascorbic Acid. 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_35
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DOI: https://doi.org/10.1007/978-3-7091-6232-3_35
Publisher Name: Springer, Vienna
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