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Fever and cerebral vasospasm in ruptured intracranial aneurysms.

Authors: P, Rousseaux; B, Scherpereel; M H, Bernard; J P, Graftieaux; J F, Guyot;

Fever and cerebral vasospasm in ruptured intracranial aneurysms.

Abstract

The temperature curves of 262 patients affected by subarachnoid hemorrhage, including 107 arterial aneurysms, 26 arteriovenous malformations, 42 idiopathic subarachnoid hemorrhages, and 87 cerebral hemorrhages, were observed and classified into three types: Type I: absence of fever; Type II: fever oscillating between 37 degrees and 38 degrees C; and Type III: fever with a plateau between 38 degrees and 39 degrees C beginning on the fifth day at the latest and lasting an average of nine days, with a decline over the next three days. Type III was observed in 3.8% of the patients with arteriovenous malformations, 7% of those with cerebral hemorrhages, and 88.3% of those who had arterial aneurysms with severe angiographic vasospasm associated with delayed ischemic signs. We suggest that the delayed fever is not a simple sign of meningeal syndrome but a sign related to cerebral vasospasm.

Keywords

Adult, Intracranial Arteriovenous Malformations, Male, Fever, Intracranial Pressure, Intracranial Aneurysm, Middle Aged, Subarachnoid Hemorrhage, Body Temperature, Ischemic Attack, Transient, Basilar Artery, Circle of Willis, Humans, Female, Carotid Artery, Internal, Vertebral Artery, Hydrocephalus

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Powered by OpenAIRE graph
Found an issue? Give us feedback
selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
75
Top 10%
Top 1%
Top 10%
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