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Grading and outcome prediction of cases of aneurysmal subarachnoid haemorrhage by bedside xenon cerebral blood flowmetry
Authors:M. M. W. Kotb  L. Symon  J. Compton  J. Rosenstein  A. Jabre
Affiliation:(1) The Gough-Cooper Department, Institute of Neurology, The National Hospital for Neurology and Neurosurgery, London, UK
Abstract:Summary Ninety-six patients with aneurysmal subarachnoid haemorrhage underwent serial measurement of regional cerebral blood flow throughout the period of their treatment over the period of 5 years (1983 to 1988). A portable bedside xenon cerebral blood flow machine was used in this study and the initial slope index (ISI) values showed a clear relationship between reduction of cerebral blood flow and deteriorating clinical grade. Furthermore, serial measurements showed a statistically significant relationship between drop of cerebral blood flow, at anytime during the course of the disease, and fatal or less than satisfactory outcome.
Keywords:Aneurysmal subarachnoid haemorrhage  bedside xenon cerebral blood flowmetry  clinical grading  outcome prediction
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