Table 2.
Pathophysiologic parameters to be expected
Parameter | Effect | Time from SAH |
---|---|---|
Physiological changes: | ||
ICP | Increase | Seconds |
MABP | Transient increase | Second |
CBF | Fall | Seconds |
CPP (MABP-ICP) | Fall followed by partial or complete recovery | Seconds |
Mortality | Approximately 30% | 24 hr |
Small vessel response: | ||
Acute | Constriction | Minutes |
Delayed | Not known | Not known |
Large vessel response: | ||
Acute | Constriction | Minutes |
Delayed | Constriction | 24–48 hrs |
Cell death: | ||
Endothelium | Present | Minutes |
Neuron | Present | Minutes |
Neurological deficits | Present | Days |