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Trends in Blood Pressure, Osmolality and Electrolytes after Subarachnoid Hemorrhage from Aneurysms

Published online by Cambridge University Press:  18 September 2015

Lew Disney
Affiliation:
Division of Neurosurgery, University of Alberta, Edmonton
Bryce Weir*
Affiliation:
Division of Neurosurgery, University of Alberta, Edmonton
Michael Grace
Affiliation:
Department of Surgery, University of Alberta, Edmonton
Paul Roberts
Affiliation:
Department of Surgery, University of Alberta, Edmonton
*
2D1.02 Mackenzie Health Sciences Centre, 8440 - 112 Street, Edmonton, Alberta, Canada T6G 2B7
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Abstract:

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Daily trends in blood pressure, osmolality and electrolytes were analyzed in a series of 173 operated aneurysm cases who had subarachnoid hemorrhage (SAH) and were admitted within 4 days of the ictus. High blood pressure was associated with a greater risk of mortality and the development of clinically significant vasospasm (VSP). High osmolality shortly after admission was related to mortality but not VSP. Changes in sodium and potassium had no obvious relationship to mortality or VSP.

Type
Original Articles
Copyright
Copyright © Canadian Neurological Sciences Federation 1989

References

REFERENCES

1.Weir, B, Grace, M, Hansen, H, et al. Time course of vasospasm in man. J Neurosurg 1978; 48: 173178.CrossRefGoogle ScholarPubMed
2.Weir, B, Rothberg, C, Grace, M, et al. Relative prognostic significance of vasospasm following subarachnoid hemorrhage. Can J Neurol Sci 1975; 2: 109114.CrossRefGoogle ScholarPubMed
3.Henderson, WG, Torner, JC, Nibbelink, DW. Intracranial aneurysms and subarachnoid hemorrhage — Report on a randomized treatment study: IV-B. Regulated bed rest — Statistical evaluation. Stroke 1977; 8: 579589.CrossRefGoogle ScholarPubMed
4.Torner, JC, Kassell, NF, Wallace, RB, et al. Preoperative prognostic factors for rebleeding and survival in aneurysm patients receiving antifibrinolytic therapy: Report of the cooperative aneurysm study. Neurosurgery 1981; 9: 506511.CrossRefGoogle ScholarPubMed
5.Artiola i Fortuny, L, Prieto-Valiente, L. Long-term prognosis in surgically treated intracranial aneurysms: Part 1. Mortality. J Neurosurg 1981; 54: 2634.CrossRefGoogle ScholarPubMed
6.Artiola i Fortuny, L, Prieto-Valiente, L. Long-term prognosis in surgically treated intracranial aneurysms: Part 2. Morbidity. J Neurosurg 1981; 54: 3543.CrossRefGoogle ScholarPubMed
7.Wheelock, B, Weir, B, Watts, R, et al. Timing of surgery for intracerebral hematomas due to aneurysm rupture. J Neurosurg 1983; 58: 476481.CrossRefGoogle ScholarPubMed
8.Mohr, G, Ferguson, G, Khan, M, et al. Intraventricular hemorrhage from ruptured aneurysm. J Neurosurg 1983; 58: 482487.CrossRefGoogle ScholarPubMed
9.Ljunggren, B, Brandt, L, Kagstrom, E, et al. Results of early operations for ruptured aneurysms. J Neurosurg 1981; 54: 473479.CrossRefGoogle ScholarPubMed
10.Kassell, NF, Torner, JC. The international cooperative study on timing of aneurysm surgery — An update. Stroke 1984; 15: 566570.CrossRefGoogle Scholar
11.Kassell, NF, Torner, JC. Aneurysmal rebleeding: a preliminary report from the Cooperative Aneurysm Study. Neurosurgery 1983; 13: 479481.CrossRefGoogle ScholarPubMed
12.O’Neill, P, West, CR, Chadwick, DW, et al. Post-ictal blood pressure in aneurysmal subarachnoid hemorrhage. Br J Neurosurg 1988; 2: 153160.CrossRefGoogle Scholar
13.Disney, L, Weir, B, Grace, M. Factors influencing outcome of aneurysm rupture in poor grade patients: a prospective series. Neurosurgery 1988; 23: 19.CrossRefGoogle ScholarPubMed
14.Landolt, AM, Yasargil, MG, Krayenbuhl, H. Disturbances of the serum eletrolytes after surgery of intracranial arterial aneurysms. J Neurosurg 1972; 37: 210218.CrossRefGoogle Scholar
15.Takaku, A, Tanaka, S, Mori, T, et al. Postoperative complications in 1,000 cases of intracranial aneurysms. Surg Neurol 1979; 12: 137144.Google Scholar
16.Doczi, T, Bende, J, Huszka, E, et al. Syndrome of inappropriate secretion of antidiuretic hormone after subarachnoid hemorrhage. Neurosurgery 1981; 9: 394397.CrossRefGoogle ScholarPubMed
17.Nelson, PB, Seif, S, Gutai, J, et al. Hyponatremia with natriuresis following subarachnoid hemorrhage in a monkey model. J Neurosurg 1984; 60: 233237.CrossRefGoogle Scholar