Sequential changes in cerebral blood flow in patients with hypertensive subcortical intracerebral hematoma

Sequential changes in cerebral blood flow (CBF) were investigated in patients with surgicallyevacuated hypertensive intracerebral hematoma (ICH). The subjects comprised 14 patients with subcortical ICH. CBF was studied by means of stable xenon-enhanced computed tomography (xenon CT) before and after...

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Bibliographic Details
Published inJapanese Journal of Stroke Vol. 18; no. 4; pp. 294 - 301
Main Authors Nakamura, Saburo, Yoshida, Kenshi
Format Journal Article
LanguageJapanese
Published The Japan Stroke Society 1996
Subjects
cerebral blood flow
intracerebral hematoma
xenon
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ISSN0912-0726
1883-1923
DOI10.3995/jstroke.18.294

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Summary:Sequential changes in cerebral blood flow (CBF) were investigated in patients with surgicallyevacuated hypertensive intracerebral hematoma (ICH). The subjects comprised 14 patients with subcortical ICH. CBF was studied by means of stable xenon-enhanced computed tomography (xenon CT) before and after surgery, and during the chronic stage. The pre-operative CBF and its response to acetazolamide (AZ) on the hematoma side declined in accordance with an increase in hematoma volune. Not only the global CBF levels on the hematoma side but also the regional CBF surrounding the hematoma were distinctly improved after evacuation of the hematoma in all cases. These findigns suggest that surgical evacuation, in cases of hypertensive subcortical hematoma, might be useful for improving the CBF.
ISSN:0912-0726
1883-1923
DOI:10.3995/jstroke.18.294