دورية أكاديمية
[Diabetes insipidus in acute subarachnoidal hemorrhage after clipping of aneurysm of the anterior cerebral artery and the anterior communicating artery].
| العنوان: | [Diabetes insipidus in acute subarachnoidal hemorrhage after clipping of aneurysm of the anterior cerebral artery and the anterior communicating artery]. |
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| المؤلفون: | Savin IA, Popugaev KA, Oshorov AV, Goriachev AS, Moldotasheva AK, Kurdiumova NV, Abramov TA, Kulikovskiĭ VP, Kheĭreddin AS, Tseĭtlin AM |
| المصدر: | Anesteziologiia i reanimatologiia [Anesteziol Reanimatol] 2007 Mar-Apr (2), pp. 56-9. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | Russian |
| بيانات الدورية: | Publisher: Meditsina Country of Publication: Russia (Federation) NLM ID: 7705399 Publication Model: Print Cited Medium: Print ISSN: 0201-7563 (Print) Linking ISSN: 02017563 NLM ISO Abbreviation: Anesteziol Reanimatol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Moskva : Meditsina Original Publication: Moskva, Meditsina. |
| مواضيع طبية MeSH: | Anterior Cerebral Artery/*surgery , Diabetes Insipidus/*diagnosis , Diabetes Insipidus/*etiology , Intracranial Aneurysm/*surgery , Subarachnoid Hemorrhage/*complications, Acute Disease ; Adult ; Anterior Cerebral Artery/diagnostic imaging ; Anterior Cerebral Artery/pathology ; Cerebral Angiography ; Cerebrovascular Circulation ; Diabetes Insipidus/therapy ; Female ; Humans ; Intracranial Aneurysm/pathology ; Subarachnoid Hemorrhage/diagnostic imaging ; Subarachnoid Hemorrhage/pathology ; Surgical Instruments ; Tomography, X-Ray Computed ; Vasoconstriction |
| مستخلص: | In the presented case, clipping of aneurysm of the anterior cerebral artery (A CeA) and the anterior communicating artery (ACoA) in acute subarachnoidal hemorrhage (SAH) was complicated by the development of vasospasm and transient diabetes insipidus (DI). The cause of DI was ischemia of the anterior portions of the hypothalamus due to ACeA and ACoA spasm. The use of the standard triple H-therapy protocol in the presence of DI failed to achieve the optimal parameters of hemodynamics and cerebral perfusion pressure due to the development of severe polyuria. Addition of the standard triple H-therapy protocol by hormonal replacement therapy with desmopressin could yield adequate systemic hemodynamic parameters. During this treatment, the state became stable and vasospasm regressed. The manifestations of DI ceased with the values of cerebral circulation being normal. |
| تواريخ الأحداث: | Date Created: 20070615 Date Completed: 20070806 Latest Revision: 20161124 |
| رمز التحديث: | 20240628 |
| PMID: | 17564004 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0201-7563 |
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