Systemic Complications Following Aneurysmal Subarachnoid Hemorrhage

被引：31
作者：
Garg, Ravi [1 ]
Bar, Barak [1 ]
机构：
[1] Loyola Univ Chicago, Dept Neurol, Stritch Sch Med, 2160 S First Ave, Maywood, IL 60153 USA
来源：
CURRENT NEUROLOGY AND NEUROSCIENCE REPORTS | 2017年 / 17卷 / 01期
关键词：
Aneurysmal subarachnoid hemorrhage; Neurogenic pulmonary edema; Neurogenic stunned myocardium; Cerebral salt wasting; SIADH; Anemia; Systemic complications; NEUROGENIC PULMONARY-EDEMA; TAKOTSUBO CARDIOMYOPATHY; HYPONATREMIA; VASOSPASM; SIADH; TRANSFUSION; DYSFUNCTION; HEMOGLOBIN; INFARCTION; MORBIDITY;
D O I：
10.1007/s11910-017-0716-3
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Many systemic complications follow aneurysmal subarachnoid hemorrhage and are primarily due to sympathetic nervous system activation. These complications play an important role in the overall outcome of patients. The purpose of this review is to provide an update on the diagnosis, pathophysiology, and management of systemic complications specifically associated with aneurysmal subarachnoid hemorrhage. Special focus has been made on systemic complications that occur more frequently in patients with aneurysmal subarachnoid hemorrhage compared to other stroke subtypes and in the neurocritical care patient population. These complications include neurogenic pulmonary edema, electrocardiographic changes, troponin elevation, neurogenic stunned myocardium, hyponatremia, and anemia.
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