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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1979 Jul;42(7):625–634. doi: 10.1136/jnnp.42.7.625

Relationship between presence of vasoconstrictor activity in cerebrospinal fluid and time after subarachnoid haemorrhage from rupture of cerebral arterial aneurysms.

T M Hunt, G H Du Boulay, W P Blaso, D M Forster, D J Boullin
PMCID: PMC490276  PMID: 479902

Abstract

The relationship between clinical condition and vasoconstrictor factors in cerebrospinal fluid was studied in 19 patients for up to six weeks after subarachnoid haemorrhage. Vasoconstrictor activity was assayed biologically. Sixteen of 19 patients improved as vasoconstrictor activity declined; this pattern was not significantly influenced by surgery. Serial angiography was performed on three patients and a qualitative relationship was shown between arterial dilatation, clinical improvement, and reduced pharmacological activity.

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Selected References

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  1. ALLCOCK J. M., DRAKE C. G. RUPTURED INTRACRANIAL ANEURYSMS--THE ROLE OF ARTERIAL SPASM. J Neurosurg. 1965 Jan;22:21–29. doi: 10.3171/jns.1965.22.1.0021. [DOI] [PubMed] [Google Scholar]
  2. Adams C. B., Fearnside M. R., O'Laoire S. A. An investigation with serial angiography into the evolution of cerebral arterial spasm following aneurysm surgery. J Neurosurg. 1978 Dec;49(6):805–815. doi: 10.3171/jns.1978.49.6.0805. [DOI] [PubMed] [Google Scholar]
  3. Allen G. S., Gross C. J., French L. A., Chou S. N. Cerebral arterial spasm. Part 5: in vitro contractile activity of vasoactive agents including human CSF on human basilar and anterior cerebral arteries. J Neurosurg. 1976 May;44(5):594–600. doi: 10.3171/jns.1976.44.5.0594. [DOI] [PubMed] [Google Scholar]
  4. BOHR D. F., GOULET P. L., TAQUINI A. C., Jr Direct tension recording from smooth muscle of resistance vessels from various organs. Angiology. 1961 Oct;12:478–485. doi: 10.1177/000331976101201009. [DOI] [PubMed] [Google Scholar]
  5. BUCKELL M. DEMONSTRATION OF SUBSTANCES CAPABLE OF CONTRACTING SMOOTH MUSCLE IN THE HAEMATOMA FLUID FROM CERTAIN CASES OF RUPTURED CEREBRAL ANEURYSM. J Neurol Neurosurg Psychiatry. 1964 Jun;27:198–199. doi: 10.1136/jnnp.27.3.198. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Bergvall U., Steiner L., Forster D. M. Early pattern of cerebral circulatory disturbances following subarachnoid haemorrhage. Neuroradiology. 1973 Feb;5(1):24–32. doi: 10.1007/BF02464626. [DOI] [PubMed] [Google Scholar]
  7. Boullin D. J., Adams C. B., Mohan J., Green A. R., Hunt T. M., du Boulay G. H., Rogers A. T. Effects of intracranial dopamine perfusion: behavioural arousal and reversal of cerebral arterial spasm following surgery for clipping of ruptured cerebral aneurysms. Proc R Soc Med. 1977;70 (Suppl 2):55–70. doi: 10.1177/00359157770700S211. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Boullin D. J., Bunting S., Blaso W. P., Hunt T. M., Moncada S. Responses of human and baboon arteries to prostaglandin endoperoxides and biologically generated and synthetic prostacyclin: their relevance to cerebral arterial spasm in man. Br J Clin Pharmacol. 1979 Feb;7(2):139–147. doi: 10.1111/j.1365-2125.1979.tb00914.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Boullin D. J., Du Boulay G. H., Rogers A. T. Aetiology of cerebral arterial spasm following subarachnoid haemorrhage: evidence against a major involvement of 5-hydroxy-tryptamine in the production of acute spasm. Br J Clin Pharmacol. 1978 Sep;6(3):203–215. doi: 10.1111/j.1365-2125.1978.tb04586.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Boullin D. J., Hunt T. M., Rogers A. T. Models for investigating the aetiology of cerebral arterial spasm: comparative responses of the human basilar artery with rat colon, anococcygeus, stomach fundus, and aorta and guinea-pig ileum and colon. Br J Pharmacol. 1978 Jun;63(2):251–257. doi: 10.1111/j.1476-5381.1978.tb09754.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Boullin D. J., Mohan J. Effects of (+) and (-)-propranolol on the responses of the human isolated basilar artery to cerebrospinal fluid obtained from patients with subarachnoid haemorrhage and cerebral arterial spasm. Br J Clin Pharmacol. 1977 Feb;4(1):27–31. doi: 10.1111/j.1365-2125.1977.tb00662.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Boullin D. J., Mohan J., Grahame-Smith D. G. Evidence for the presence of a vasoactive substance (possibly involved in the aetiology of cerebral arterial spasm) in cerebrospinal fluid from patients with subarachnoid haemorrhage. J Neurol Neurosurg Psychiatry. 1976 Aug;39(8):756–766. doi: 10.1136/jnnp.39.8.756. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Du Boulay G., Symon L., Ackerman R. H., Dorsch D., Kendall B. E., Shah S. H. The reactivity of the spastic arteries. Neuroradiology. 1973 Feb;5(1):37–39. doi: 10.1007/BF02464628. [DOI] [PubMed] [Google Scholar]
  14. Echlin F. A. Current concepts in the etiology and treatment of vasospasm. Clin Neurosurg. 1968;15:133–160. doi: 10.1093/neurosurgery/15.cn_suppl_1.133. [DOI] [PubMed] [Google Scholar]
  15. Echlin F. A. Spasm of basilar and vertebral arteries caused by experimental subarachnoid hemorrhage. J Neurosurg. 1965 Jul;23(1):1–11. doi: 10.3171/jns.1965.23.1.0001. [DOI] [PubMed] [Google Scholar]
  16. Echlin F. Experimental vasospasm, acute and chronic, due to blood in the subarachnoid space. J Neurosurg. 1971 Dec;35(6):646–656. doi: 10.3171/jns.1971.35.6.0646. [DOI] [PubMed] [Google Scholar]
  17. Gabrielsen T. O., Greitz T. Normal size of the internal carotid, middle cerebral and anterior cerebral arteries. Acta Radiol Diagn (Stockh) 1970 Jan;10(1):1–10. doi: 10.1177/028418517001000101. [DOI] [PubMed] [Google Scholar]
  18. Hunt W. E., Hess R. M. Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg. 1968 Jan;28(1):14–20. doi: 10.3171/jns.1968.28.1.0014. [DOI] [PubMed] [Google Scholar]
  19. Nielsen K. C., Owman C. Contractile response and amine receptor mechanisms in isolated middle cerebral artery of the cat. Brain Res. 1971 Mar 19;27(1):33–42. doi: 10.1016/0006-8993(71)90370-2. [DOI] [PubMed] [Google Scholar]
  20. RAYNOR R. B., McMURTRY J. G., POOL J. L. Cerebrovascular effects of topically applied serotonin in the cat. Neurology. 1961 Mar;11:190–195. doi: 10.1212/wnl.11.3.190. [DOI] [PubMed] [Google Scholar]
  21. Radü E. W., du Boulay G. H. Paradoxical dilation of the large cerebral arteries in hypocapnia in man. Stroke. 1976 Nov-Dec;7(6):569–572. doi: 10.1161/01.str.7.6.569. [DOI] [PubMed] [Google Scholar]
  22. Ramwell P. W., Shaw J. E. Spontaneous and evoked release of prostaglandins from cerebral cortex of anesthetized cats. Am J Physiol. 1966 Jul;211(1):125–134. doi: 10.1152/ajplegacy.1966.211.1.125. [DOI] [PubMed] [Google Scholar]
  23. Simeone F. A., Vinall P. Mechanisms of contractile response of cerebral artery to externally-applied fresh blood. J Neurosurg. 1975 Jul;43(1):37–47. doi: 10.3171/jns.1975.43.1.0037. [DOI] [PubMed] [Google Scholar]
  24. Starling L. M., Boullin D. J., Grahame-Smith D. G., Adams C. B., Gye R. S. Responses of isolated human basilar arteries to 5-hydroxytryptamine, noradrenaline, serum, platelets, and erythrocytes. J Neurol Neurosurg Psychiatry. 1975 Jul;38(7):650–656. doi: 10.1136/jnnp.38.7.650. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Weir B., Grace M., Hansen J., Rothberg C. Time course of vasospasm in man. J Neurosurg. 1978 Feb;48(2):173–178. doi: 10.3171/jns.1978.48.2.0173. [DOI] [PubMed] [Google Scholar]
  26. Wilkins R. H., Wilkins G. K., Gunnells J. C., Odom G. L. Experimental studies of intracranial arterial spasm using aortic strip assays. J Neurosurg. 1967 Dec;27(6):490–500. doi: 10.3171/jns.1967.27.6.0490. [DOI] [PubMed] [Google Scholar]
  27. Yamamoto Y. L., Feindel W., Wolfe L. S., Katoh H., Hodge C. P. Experimental vasoconstriction of cerebral arteries by prostaglandins. J Neurosurg. 1972 Oct;37(4):385–397. doi: 10.3171/jns.1972.37.4.0385. [DOI] [PubMed] [Google Scholar]
  28. Zervas N. T., Kuwayama A., Rosoff C. B., Salzman E. W. Cerebral arterial spasm. Modification by inhibition of platelet function. Arch Neurol. 1973 Jun;28(6):400–404. doi: 10.1001/archneur.1973.00490240060010. [DOI] [PubMed] [Google Scholar]

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