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Cerebrospinal Fluid 20-HETE Is Associated With Delayed Cerebral Ischemia and Poor Outcomes After Aneurysmal Subarachnoid Hemorrhage
Author(s) -
Elizabeth Crago,
Bhavani P. Thampatty,
Paula R. Sherwood,
Chie-Wen J. Kuo,
Catherine M. Bender,
Jeffrey Balzer,
Michael Horowitz,
Samuel M. Poloyac
Publication year - 2011
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.110.605816
Subject(s) - medicine , subarachnoid hemorrhage , cerebral blood flow , vasospasm , cerebrospinal fluid , cerebral vasospasm , anesthesia , ischemia , cerebral perfusion pressure , cardiology
Delayed cerebral ischemia (DCI) is a major complication after aneurysmal subarachnoid hemorrhage (aSAH); it is manifested by changes in cerebral blood flow accompanied by neurological decline, and it results in long-term functional and neuropsychological impairment. Preclinical evidence has demonstrated that the arachidonic acid metabolite, 20-hydroxyeicosatetraenoic acid (20-HETE), affects cerebral microvascular tone and cerebral blood flow after aSAH. The purpose of this study was to determine whether cerebrospinal fluid 20-HETE levels were associated with DCI and long-term neuropsychological outcomes in aSAH patients.

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