background: simultaneous electrocardiographic (ecg) changes are seen in hemorrhagic brain events even in the absence of associated myocardial infarction (mi). this study was designed to assess the role of ecg changes to predict true mi in patients with hemorrhagic brain trauma. methods: data of 153 patients with traumatic brain injury and concomitant ecg changes were recorded. enzyme study was ...

BACKGROUND AND PURPOSE Serial changes of anti-platelet-aggregating activity in the endothelial cells after experimental subarachnoid hemorrhage were studied in 30 feline two-hemorrhage models. METHODS One hour or 2, 4, 7, or 14 days after mimic subarachnoid hemorrhage, ADP (40 mg/kg) was infused into the basilar artery via the right vertebral artery to activate circulating platelets. Immediat...

#### Notable in Neurology This Week This issue features an article that investigates the association between early neurologic recovery, practice pattern variation, and endotracheal intubation during status epilepticus; another describes development of a new quality life measure for boys men with Duchenne muscular dystrophy. A featured Contemporary Issues discusses ethics searching covert consc...

conclusions bscta is easily accessible, less time consuming, and most importantly, a non-invasive technique for detecting intracranial aneurysms. it is also suitable for patients who have been referred to emergency services. therefore, it can be used in emergency conditions and as a first-line diagnostic method in patients with non-traumatic sah. patients and methods sixty consecutive patients ...

We report preliminary results applying fluid-attenuated inversion-recovery (FLAIR) sequences to three patients with acute subarachnoid hemorrhage. Acute subarachnoid hemorrhage could be clearly demonstrated as areas of high signal intensity on FLAIR sequences in all patients. These preliminary results suggest that with FLAIR sequences one could reliably diagnose acute subarachnoid hemorrhage.

Aneurysmal subarachnoid hemorrhage (SAH) can be devastating and associated intraparenchymal hematomas significantly increase the likelihood of neurological deficit. We report a case of a patient with an aneurysmal subarachnoid hemorrhage and a brainstem hematoma, but suffering only minimal sensory deficits. Our hypothesis is that the apparent brainstem hematoma was actually subarachnoid blood i...

We report CT findings in seven patients with diffuse cerebral edema and increased attenuation in the basilar cisterns resembling subarachnoid hemorrhage. On the basis of autopsy (three cases) and lumbar puncture (four cases) findings, true subarachnoid hemorrhage was reasonably excluded. Pathophysiologic changes that occur with diffuse cerebral edema are explored, with proposed explanations for...

Sir, The subarachnoid hemorrhage is an important neurological problem which is usually due to the problem of vascular structure. However, there are also other uncommon causes. Gnathostomiasis is a tropical parasitic infection that is common in Southeast Asia. This disease usually causes migratory swelling with eosinophilia. Internal organ involvement is also possible. Focusing on neurognathosto...

We report the finding of multiple cerebral aneurysms in a pair of identical twins. One twin had subarachnoid hemorrhage and intracerebral hematoma; her sister had subarachnoid hemorrhage and intraventricular bleeding. Angiography in both cases showed multiple cerebral aneurysms. It is appropriate to recommend a cerebral angiographic examination of an asymptomatic twin after the other twin has s...

Twenty-six first episodes of subarachnoid hemorrhage occurred among 1,621 Hisayama residents aged greater than or equal to 40 years during the 22-year follow-up of a prospective study. Subarachnoid hemorrhage was confirmed by both clinical and autopsy findings. The average annual incidence (96.1/100,000 population) was 3-13 times higher than any previously reported and steeply increased with ag...