التفاصيل البيبلوغرافية
| العنوان: |
Current Management of Delayed Cerebral Ischemia: Update from Results of Recent Clinical Trials. |
| المؤلفون: |
Brathwaite, Shakira, Macdonald, R. |
| المصدر: |
Translational Stroke Research; Apr2014, Vol. 5 Issue 2, p207-226, 20p |
| مستخلص: |
Subarachnoid hemorrhage (SAH) accounts for 5-7 % of all strokes worldwide and is associated with high mortality and morbidity. Even after surgical intervention, approximately 30 % of patients develop long-term cognitive and neurological deficits that significantly affect their capacity to return to work or daily life unassisted. Much of this stems from a secondary ischemic phenomenon referred to as delayed cerebral ischemia (DCI). While DCI has been historically attributed to the narrowing of the large basal cerebral arteries, it is now recognized that numerous pathways contribute to its pathogenesis, including microcirculatory dysfunction, microthrombosis, cortical spreading depression, and early brain injury. This paper seeks to summarize some of the key pathophysiological events that are associated with poor outcome after SAH, provide a general overview of current methods of treating SAH patients, and review the results of recent clinical trials directed at improving outcome after SAH. The scientific basis of these studies will be discussed, in addition to the available results and recommendations for effective patient management. Therapeutic methods under current clinical investigation will also be addressed. In particular, the mechanisms by which they are expected to elicit improved outcome will be investigated, as well as the specific study designs and anticipated time lines for completion. [ABSTRACT FROM AUTHOR] |
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Copyright of Translational Stroke Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
