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As an index for estimation of cerebral vasospasm in ruptured aneurysms, systolic cerebral blood inflow rate (SCBIR) has been derived. The relationship between SCBIR and cortical CBF measured by a thermo-gradient flow meter was analyzed in 4 patients with SAH, and the relationship between them was statistically significant (CBF = 0.04•~SCBIR + 33.7, r= 0.7, p<0.05, n = 10). SCBIR was reduced in all patients who seemed to have vasospasm as estimated by a reduction in CBF. On day 3, a moderate reduction in SCBIR was found in one patient even when no cortical CBF reduction was present. Shortly thereafter, however, cortical CBF started to decrease. Subse-

Change in Systolic Cerebral Blood Inflow Rate (SCBIR) Estimated by the ICP Wave in Patients with Vasospasm