フクハラ　トオル   Toru Fukuhara   福原　徹    所属   川崎医科大学  医学部 臨床医学　脳神経外科学２    職種   特任教授
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Relationship between intracranial pressure and the development of vasospasm after aneurysmal subarachnoid hemorrhage.
掲載誌名	正式名：Neurol Med Chir (Tokyo).
掲載区分	国外
巻・号・頁	38(11),pp.710-717
著者・共著者	FukuharaToru,DouvilleCM,EliottJP,NewellDW,WinnHR
担当区分	筆頭著者
発行年月	1998/11
概要	The relationship between intracranial pressure (ICP) and the development of vasospasm after subarachnoid hemorrhage caused by the rupture of an intracranial aneurysm was investigated. Eleven patients were divided into high (6 cases) and low (5 cases) ICP groups based on ICP data obtained during the perioperative period by continuous ICP monitoring. Transcranial Doppler ultrasonography was performed every 24 hours for 7 days and the severity, distribution, and duration of vasospasm were assessed. The high ICP group tended to have severe, prolonged, and diffuse vasospasm compared with the low ICP group. However, only duration of vasospasm was statistically different. The relationship between cerebral perfusion pressure (CPP) and the development of vasospasm was also examined. CPP had a less significant effect than ICP although similar tendencies for high ICP and low CPP were observed. High ICP worsens vasospasm and treatment for decreasing ICP with perioperative ICP monitoring has potential for avoiding the development of vasospasm.