Aneurysmal subarachnoid haemorrhage from a neuroimaging perspective
Identifieur interne : 000100 ( Pmc/Curation ); précédent : 000099; suivant : 000101Aneurysmal subarachnoid haemorrhage from a neuroimaging perspective
Auteurs : Airton Leonardo De Oliveira Manoel [Canada] ; Ann Mansur ; Amanda Murphy [Canada] ; David Turkel-Parrella [Canada] ; Matt Macdonald [Canada] ; R Loch Macdonald [Canada] ; Walter Montanera [Canada] ; Thomas R. Marotta [Canada] ; Aditya Bharatha [Canada] ; Khaled Effendi [Canada] ; Tom A. Schweizer [Canada]Source :
- Critical Care [ 1364-8535 ] ; 2014.
Abstract
Neuroimaging is a key element in the management of patients suffering from subarachnoid haemorrhage (SAH). In this article, we review the current literature to provide a summary of the existing neuroimaging methods available in clinical practice. Noncontrast computed tomography is highly sensitive in detecting subarachnoid blood, especially within 6 hours of haemorrhage. However, lumbar puncture should follow a negative noncontrast computed tomography scan in patients with symptoms suspicious of SAH. Computed tomography angiography is slowly replacing digital subtraction angiography as the first-line technique for the diagnosis and treatment planning of cerebral aneurysms, but digital subtraction angiography is still required in patients with diffuse SAH and negative initial computed tomography angiography. Delayed cerebral ischaemia is a common and serious complication after SAH. The modern concept of delayed cerebral ischaemia monitoring is shifting from modalities that measure vessel diameter to techniques focusing on brain perfusion. Lastly, evolving modalities applied to assess cerebral physiological, functional and cognitive sequelae after SAH, such as functional magnetic resonance imaging or positron emission tomography, are discussed. These new techniques may have the advantage over structural modalities due to their ability to assess brain physiology and function in real time. However, their use remains mainly experimental and the literature supporting their practice is still scarce.
The online version of this article (doi:10.1186/s13054-014-0557-2) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s13054-014-0557-2
PubMed: 25673429
PubMed Central: 4331293
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Airton Leonardo De Oliveira Manoel<affiliation><nlm:aff id="Aff3">Keenan Research Centre of the Li Ka Shing Knowledge Institute of St Michael’s Hospital, 30 Bond Street, Toronto, ON M5B 1 W8 Canada</nlm:aff>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Aneurysmal subarachnoid haemorrhage from a neuroimaging perspective</title>
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<front><div type="abstract" xml:lang="en"><p>Neuroimaging is a key element in the management of patients suffering from subarachnoid haemorrhage (SAH). In this article, we review the current literature to provide a summary of the existing neuroimaging methods available in clinical practice. Noncontrast computed tomography is highly sensitive in detecting subarachnoid blood, especially within 6 hours of haemorrhage. However, lumbar puncture should follow a negative noncontrast computed tomography scan in patients with symptoms suspicious of SAH. Computed tomography angiography is slowly replacing digital subtraction angiography as the first-line technique for the diagnosis and treatment planning of cerebral aneurysms, but digital subtraction angiography is still required in patients with diffuse SAH and negative initial computed tomography angiography. Delayed cerebral ischaemia is a common and serious complication after SAH. The modern concept of delayed cerebral ischaemia monitoring is shifting from modalities that measure vessel diameter to techniques focusing on brain perfusion. Lastly, evolving modalities applied to assess cerebral physiological, functional and cognitive sequelae after SAH, such as functional magnetic resonance imaging or positron emission tomography, are discussed. These new techniques may have the advantage over structural modalities due to their ability to assess brain physiology and function in real time. However, their use remains mainly experimental and the literature supporting their practice is still scarce.</p>
<sec><title>Electronic supplementary material</title>
<p>The online version of this article (doi:10.1186/s13054-014-0557-2) contains supplementary material, which is available to authorized users.</p>
</sec>
</div>
</front>
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<author><name sortKey="Grimshaw, Jm" uniqKey="Grimshaw J">JM Grimshaw</name>
</author>
<author><name sortKey="Wells, Ga" uniqKey="Wells G">GA Wells</name>
</author>
<author><name sortKey="Boers, M" uniqKey="Boers M">M Boers</name>
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<author><name sortKey="Andersson, N" uniqKey="Andersson N">N Andersson</name>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Crit Care</journal-id>
<journal-title-group><journal-title>Critical Care</journal-title>
</journal-title-group>
<issn pub-type="ppub">1364-8535</issn>
<issn pub-type="epub">1466-609X</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
<publisher-loc>London</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">25673429</article-id>
<article-id pub-id-type="pmc">4331293</article-id>
<article-id pub-id-type="publisher-id">557</article-id>
<article-id pub-id-type="doi">10.1186/s13054-014-0557-2</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Review</subject>
</subj-group>
</article-categories>
<title-group><article-title>Aneurysmal subarachnoid haemorrhage from a neuroimaging perspective</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>de Oliveira Manoel</surname>
<given-names>Airton Leonardo</given-names>
</name>
<address><email>airtonleo.manoel@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
<xref ref-type="aff" rid="Aff2"></xref>
<xref ref-type="aff" rid="Aff3"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mansur</surname>
<given-names>Ann</given-names>
</name>
<address><email>annmansur@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff3"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Murphy</surname>
<given-names>Amanda</given-names>
</name>
<address><email>amanda.murphy@live.ca</email>
</address>
<xref ref-type="aff" rid="Aff4"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Turkel-Parrella</surname>
<given-names>David</given-names>
</name>
<address><email>davetp@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff2"></xref>
<xref ref-type="aff" rid="Aff5"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Macdonald</surname>
<given-names>Matt</given-names>
</name>
<address><email>matthewj.macdonald@mail.utoronto.ca</email>
</address>
<xref ref-type="aff" rid="Aff6"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Macdonald</surname>
<given-names>R Loch</given-names>
</name>
<address><email>macdonaldl@smh.ca</email>
</address>
<xref ref-type="aff" rid="Aff3"></xref>
<xref ref-type="aff" rid="Aff5"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Montanera</surname>
<given-names>Walter</given-names>
</name>
<address><email>montaneraw@smh.ca</email>
</address>
<xref ref-type="aff" rid="Aff2"></xref>
<xref ref-type="aff" rid="Aff3"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marotta</surname>
<given-names>Thomas R</given-names>
</name>
<address><email>marottat@smh.ca</email>
</address>
<xref ref-type="aff" rid="Aff2"></xref>
<xref ref-type="aff" rid="Aff3"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bharatha</surname>
<given-names>Aditya</given-names>
</name>
<address><email>bharathaa@smh.ca</email>
</address>
<xref ref-type="aff" rid="Aff2"></xref>
<xref ref-type="aff" rid="Aff3"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Effendi</surname>
<given-names>Khaled</given-names>
</name>
<address><email>khaled.effendi@usherbrooke.ca</email>
</address>
<xref ref-type="aff" rid="Aff2"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Schweizer</surname>
<given-names>Tom A</given-names>
</name>
<address><email>schweizert@smh.ca</email>
</address>
<xref ref-type="aff" rid="Aff3"></xref>
<xref ref-type="aff" rid="Aff7"></xref>
</contrib>
<aff id="Aff1"><label></label>
Trauma & Neurosurgery Intensive Care, Department of Medical Imaging, 3-141 CC, St Michael’s Hospital, University of Toronto, 30 Bond Street, Toronto, ON M5B 1 W8 Canada</aff>
<aff id="Aff2"><label></label>
Medical Imaging, Interventional Neuroradiology, St Michael’s Hospital, University of Toronto, 30 Bond Street, Toronto, ON M5B 1 W8 Canada</aff>
<aff id="Aff3"><label></label>
Keenan Research Centre of the Li Ka Shing Knowledge Institute of St Michael’s Hospital, 30 Bond Street, Toronto, ON M5B 1 W8 Canada</aff>
<aff id="Aff4"><label></label>
Medical Imaging, University of Toronto, 30 Bond Street, Toronto, ON M5B 1 W8 Canada</aff>
<aff id="Aff5"><label></label>
Division of Neurosurgery, St Michael’s Hospital, University of Toronto, 30 Bond Street, Toronto, ON M5B 1 W8 Canada</aff>
<aff id="Aff6"><label></label>
Faculty of Medicine, University of Toronto, 30 Bond Street, Toronto, ON M5B 1 W8 Canada</aff>
<aff id="Aff7"><label></label>
Neuroscience Research Program, St Michael’s Hospital, University of Toronto, 30 Bond Street, Toronto, ON M5B 1 W8 Canada</aff>
</contrib-group>
<pub-date pub-type="epub"><day>13</day>
<month>11</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>13</day>
<month>11</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub"><year>2014</year>
</pub-date>
<volume>18</volume>
<issue>6</issue>
<elocation-id>557</elocation-id>
<permissions><copyright-statement>© de Oliveira Manoel et al.; licensee BioMed Central Ltd. 2014</copyright-statement>
<license license-type="open-access"><license-p>The licensee has exclusive rights to distribute this article, in any medium, for 12 months following its publication. After this time, the article is available under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0">http://creativecommons.org/licenses/by/4.0</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<abstract id="Abs1"><p>Neuroimaging is a key element in the management of patients suffering from subarachnoid haemorrhage (SAH). In this article, we review the current literature to provide a summary of the existing neuroimaging methods available in clinical practice. Noncontrast computed tomography is highly sensitive in detecting subarachnoid blood, especially within 6 hours of haemorrhage. However, lumbar puncture should follow a negative noncontrast computed tomography scan in patients with symptoms suspicious of SAH. Computed tomography angiography is slowly replacing digital subtraction angiography as the first-line technique for the diagnosis and treatment planning of cerebral aneurysms, but digital subtraction angiography is still required in patients with diffuse SAH and negative initial computed tomography angiography. Delayed cerebral ischaemia is a common and serious complication after SAH. The modern concept of delayed cerebral ischaemia monitoring is shifting from modalities that measure vessel diameter to techniques focusing on brain perfusion. Lastly, evolving modalities applied to assess cerebral physiological, functional and cognitive sequelae after SAH, such as functional magnetic resonance imaging or positron emission tomography, are discussed. These new techniques may have the advantage over structural modalities due to their ability to assess brain physiology and function in real time. However, their use remains mainly experimental and the literature supporting their practice is still scarce.</p>
<sec><title>Electronic supplementary material</title>
<p>The online version of this article (doi:10.1186/s13054-014-0557-2) contains supplementary material, which is available to authorized users.</p>
</sec>
</abstract>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2014</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>
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