Articles: subarachnoid-hemorrhage.
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The AA. carry out a study on correlation among acute hydrocephalus, cerebral ischemia and hyponatremia in 70 patients with ESA.
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Case Reports
[A case of systemic lupus erythematosus associated with multiple intracranial aneurysms].
The author reports a case of systemic lupus erythematosus (SLE) with multiple intracranial aneurysms and subarachnoid hemorrhage. A 31-year-old woman was admitted to the department of internal medicine of Shizuoka General Hospital for the treatment of nephrotic syndrome due to systemic lupus erythematosus on 1984. She spend an uneventful life until April, 1985 when she suddenly complained of severe headache and nausea. ⋯ The incidence of subarachnoid hemorrhage in SLE was about two percent in the reported clinical cases. The mechanisms of the subarachnoid hemorrhage and the aneurysmal formation in SLE seemed to be due to angitic changes, which involved the vessels of the whole body systematically. The exact prognosis of SLE with subarachnoid hemorrhage is difficult to say, but it seems to be unfortunately poor due to multiplicity of the lesion and the difficulty of its treatment.
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We analysed the charts of 131 consecutive cases of spontaneous subarachnoid hemorrhage--without arteriovenous malformations--for seizures. Convulsions occurred in 31 patients (24%) and most often within 24 hours of bleeding. ⋯ Early mortality, rebleeding and intracerebral hematoma were similar in both seizure and non-seizure groups. Late seizures were infrequent in survivors who had suffered seizures in the acute stage--thus questioning the necessity for routine, long term prophylactic anticonvulsants in these patients.
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Comparative Study
QT and QT-peak interval measurements. A methodological study in patients with subarachnoid haemorrhage compared to a reference group.
To study the properties of QT and QT-peak intervals, ECGs were compared between 56 consecutive patients who were suffering from subarachnoid haemorrhage (SAH) and 50 reference subjects. The routine QTc interval was compared to the mean QTc from all of the 12 leads with identifiable U waves and to the mean QT-peakc. The interval between peak and end of T(Tp-Te) was subsequently calculated. ⋯ In conclusion, the routine QTc measurements, without reference to an identified U wave, may result in falsely prolonged estimates of cardiac repolarization time. In this respect the mean QT-peakc may provide additional information. In the majority of patients the prolonged mean QTc was dependent on a disturbed rate-dependent function (prolonged mean QT-peakc) while some patients had an increased asymmetry of the repolarization process within the myocardium (prolonged Tp-Tc).