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Acta Ne urochirurgica Supplements Editor: H.-J. Reulen Assistant Editor: H.-J. Steiger Cerebral Vasospasm Edited by R. W. Seiler and H.-J. Steiger Acta Ne urochirurgica Supplement 77 Prof. Dr. R. W. Seiler Neurochirurgische Univ.-Klinik, Inselspital, Bern, Switzerland Univ.-Prof. Dr. H.-J. Steiger Neurochirurgische Univ.-Klinik, Klinikurn GroBhadern, Miinchen, Germany This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machines or similar means, and storage in data banks. © 2001 Springer-Verlag/Wien Product Liability: The publisher can give no guarantee for all the information contained in this book. This does also refer to information about drug dosage and application thereof. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Typesetting: Asco Typesetters, Hong Kong Printed on acid-free and chlorine-free bleached paper SPIN: 10832807 With 90 partly coloured Figures Library of Congress Cataloging-in-Publication Data Cerebral vasospasm / edited by R. W. Seiler and H.-J. Steiger. p.; cm. - (Acta neurochirurgica. Supplement; 77) Includes bibliographical references and index. ISBN 3211836500 (alk. paper) I. Cerebrovascular spasm-Congresses. I. Seiler, RolfW. II. Steiger, Hans-Jakob, 1953- III. International Conference on Cerebral Vasospasm (7th: 2000 Interlaken, Switzerland) IV. Series. [DNLM: 1. Vasospasm, Intracranial-Congresses. WL 355 C41306 2001] RC388.5 .C39782 2001 616.8'I-dc21 2001020800 ISSN 0065-1419 ISBN 3-211-83650-0 Springer-Verlag Wien New York Preface This book contains the proceedings of the 7th Inter his life and his clinical and scientific work was pub national Conference on Cerebral Vasospasm, held in lished recently in Supplement 72 of Acta Neuro Interlaken, Switzerland, June 2000. Previous meetings chirurgica (1999). devoted to cerebral vasospasm were held in Jackson, The editors gratefully acknowledge the help of the Mississippi (1972), Amsterdam, Netherlands (1979), staff of the Department of Neurosurgery of the Uni Charlottesville, Virginia (1987), Tokyo (1990), Ed versity Hospital Berne, and especially of Mrs. Nicole monton, Canada (1993) and Sydney, Australia (1997). Reinert-Fliickiger, in the organization and running of The book gives the state of the art in reviews of the the 7th International Conference on Cerebral Vaso major aspects of cerebral vasospasm by invited au spasm. The editors extend their gratitude to the many thors, and selected articles of the conference presenting participants of this most recent vasospasm sympo important results of the most recent research in basic sium, who were also the contributors to this book. sciences and clinical management of cerebral vaso Special thanks belong also to Mrs. Ilona Anders for spasm. editing the manuscripts. Prof. Helge Nornes from Oslo, Norway, was the This book is dedicated to our families whose patient honored guest of the conference. Prof. Nornes has support is so important for our professional and sci made major contributions to the evaluation and clini entific activities. cal management of cerebral vasospasm. A tribute to R. W Seiler and H. -J. Steiger Contents Seiler, R. W, Binggeli, R: Is Cerebral Vasospasm still a Clinical Problem?............................................................ 1 Part 1: Basic Science and Experimental Vasospasm Molecular Biology of Vasospasm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Macdonald, R. L.: Pathophysiology and Molecular Genetics of Vasospasm. ................................................... 7 Kasuya, H., Onda, H., Kawashima, A., Sasahara, A., Hori, T: Identification of Genes Differentially Expressed in Canine Vasospastic Cerebral Arteries after Subarachnoid Hemorrhage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Zhang, Z.-D., Marton, L. S, Ono, S, Komuro, T, Weir, B., Macdonald, R. L.: Complimentary Deoxyribonucleic Acid Array Analysis of Cerebral Arteries after Experimental Subarachnoid Hemorrhage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Nishizawa, S, Obara, K, Nakayama, K, Koide, M., Yokoyama, T, Yokota, N, Ohta, S: Which Protein Kinase C Isoforms are Involved in the Development of Vasospasm After Subarachnoid Haemorrhage? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Zubkov, A. Y, Rollins, K S, McGehee, B., Parent, A. D., Zhang, J. H.: Role of Mitogen-Activated Protein Kinase in the Contractions of Rabbit Basilar Artery Induced by Hemolysate, Oxyhemoglobin, and Bloody CSF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Zubkov, A. Y, Tibbs, R E., Clower, B., Ogihara, K, Aoki, K, Zhang, 1. H.: Apoptosis in Basilar Endothelial Cells in a Canine Double Hemorrhage Model ........................... 29 Zhang, Z.-D., Yamini, B., Komuro, T, Ono, S, Johns, L., Marton, L. S, Weir, B., Macdonald, R L.: Delayed Clot Removal and Experimental Vasospasm...................................................... 33 Hansen-Schwartz, J., Sviri, G., Edvinsson, L.: Influence of Brain Natriuretic Peptide on Phenotypic Change of Cerebral Vasculature.................... 37 Sviri, G. E., Shik, B., Raz, B., Soustiel, J. F: Brain Natriuretic Peptide and Cerebral Vasospasm in Subarachnoid Hemorrhage......................... 41 VIII Contents s., s., Jahromi, B. Komuro, T., Macdonald, R. L., Marton, L. Weir, B. K: Phosphatidy1choline Peroxidized by Hemoglobin Increases Intracellular Calcium in Dog Basilar Artery Smooth Muscle Cells........................................................................................ 45 Sato, M., Tani, E., Fujikawa, H, Yamaura, 1, Arita, N., Kaibuchi, K: Importance of Rho-Kinase-Mediated Phosphorylation of Myosin Light Chain in Vasospasm............. 49 Aoki, K, Zubkov, A. Y, Tibbs, R. E., Meguro, T., Zhang, J. H: Role of MAPK in Chronic Cerebral Vasospasm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 Endothelin and Nitric Oxide. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 Zuccarello, M: Endothelin: The "Prime Suspect" in Cerebral Vasospasm.................................................. 61 Pluta, R. M, Thompson, B. G., Afshar, J. K, Boock, R. 1., Iuliano, B., Oldfield, E. H: Nitric Oxide and Vasospasm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 c., v.: Zimmermann, M, Jung, Raabe, A., Spanehl, 0., Seifert, Effect of Endothelin-Converting Enzyme Inhibitors on Big Endothelin-l Induced Contraction of Rabbit Basilar Artery ............................................................................................... 73 Kim,1. M, Bak, K H, Kim, C. H, Park, 1 K, Oh, S. 1., Choi, H K: The Role of Endothelin I As Predictor of the Symptomatic Vasospasm in Acute Stage of Subarachnoid Hemorrhage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 Gene Therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Findlay, 1. M.: Gene Therapy for Vasospasm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 s., Suzuki, H, Kanamaru, K, Tsunoda, H, Inada, H, Kuroki, M, Sun, H, Waga, Tanaka, T.: The Functional Significance of Heme Oxygenase-l Gene Induction in a Rat Vasospasm Model. . . . . . . . . . . 89 Ono, S., Komuro, T., Macdonald, R L.: Adenovirus-Mediated Heme Oxygenase-l Gene Transfection Prevents Hemoglobin-Induced Contraction of Rat Basilar Artery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 Experimental Vasospasm ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97 Megyesi, 1. F., Findlay, J. M: In Vivo Animal Models of Cerebral Vasospasm: A Review................................................. 99 s.: Kang, Functional Characteristics of the Spasm Model by the Polystyrene Latex Bead. . . . . . . . . . . . . . . . . . . . . . . . . . . . 103 s., s.: Bunc, G., Kovacic, Strnad, The Effect of Sympathetic Nervous System Exclusion on Cerebral Vasospasm Following Subarachnoid Hemorrhage in Rabbits ..................................................................................... 107 s., Date, 1, Nakajima, M, Takahashi, K, Ono, Satoh, M, Iseda, K, Manabe, H, Ninomiya, Y, s., Asari, Ohmoto, T.: Comparison of Cerebral Vasospasm Between Young and Old Animals: Preliminary Report. . . . . . . . . . . . . . 111 Contents IX s., s., Mcdonald, R. L., Ono, Johns, L., Marton, L. Weir, B., Zhang, Z.-D., Yamini, B., Komuro, T., Ahmed, 1, Stoodley, M.: Molecular Weight Interactions in Experimental Vasospasm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 Part 2: Diagnosis and Therapy of Clinical Vasospasm Diagnosis of Vasospasm ..................................................................................... 119 L6vblad, K-o., El-Koussy, M, Guzman, R., Kiefer, c., Remonda, L., Taleb, M, Reinert, M., Wels, T., Barth, A., Schroth, G., Seiler, R. W: Diffusion-Weighted and Perfusion-Weighted MR of Cerebral Vasospasm................................. 121 s.: Ohkuma, H., Ogane, K, Tanaka, M., Suzuki, Assessment of Cerebral Microcirculatory Changes During Cerebral Vasospasm by Analyzing Cerebral Circulation Time on DSA Images........................................................................... 127 Hegner, T., Krayenbiihl, N, Hefti, M., Yonekawa, Y., Keller, E.: Bedside Monitoring of Cerebral Blood Flow in Patients with Subarachnoid Hemorrhage................. 131 Handa, Y., Kimura, H., Arishima, H., Ishida, M, Ishii, H., Kubota, T.: Changes in Neuronal Metabolites in Brain Following Subarachnoid Haemorrhage Evaluated by Proton MR Spectroscopy........................................................................................... 135 Microdialysis and Metabolic Monitoring ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139 s., Sakowitz, O. W, Sarrafzadeh, A. Benndorf, G., Lanksch, W R., Unterberg, A. W: On-Line Microdialysis Following Aneurysmal Subarachnoid Hemorrhage................................ 141 s., Sarrafzadeh, A. Sakowitz, 0., Lanksch, W R, Unterberg, A. W: Time Course of Various Interstitial Metabolites Following Subarachnoid Hemorrhage Studied by On-Line Microdialysis....................................................................................... 145 De Micheli, E., Pinna, G., Piovan, E., Prisco, R, Hillered, L., Persson, L., Monolo, L., Bricolo, A.: Monitoring Subtle Neurometabolic Changes in Subarachnoid Hemorrhage Patients Using Microdialysis: A Study on 16 Cases......................................................................................... 149 Reinert, M, Zauner, A., Khaldi, A., Seiler, R., Bullock, R.: Microdialysis Nitric Oxide Levels and Brain Tissue Oxygen Tension in Patients with Subarachnoid Hemorrhage................................................................................................. 155 Prevention of Vasospasm by Clot Lysis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159 Nakagomi, T., Takagi, K, Narita, K, Nagashima, H., Tamura, A.: Cisternal Washing Therapy for the Prevention of Cerebral Vasospasm Following Aneurysmal Subarachnoid Hemorrhage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161 Konno, Y., Sato, T., Suzuki, K, Matsumoto, M, Sasaki, T., Kodama, N: Sequential Changes of Oxyhaemoglobin in Drained Fluid of Cisternal Irrigation Therapy - Reference to the Effect of Ascorbic Acid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167 Kodama, N, Matsumoto, M, Sasaki, T., Konno, Y., Sa to, T.: Cisternal Irrigation Therapy with Urokinase and Ascorbic Acid for Prevention of Vasospasm . . . . . . . . . . . . 171 X Contents Endovascular Treatment of Cerebral Vasospasm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175 Barreau, X, Pastore, M, Piotin, M., Spelle, c., Moret, 1.: Endovascular Treatment of Cerebral Vasospasm Following S.A.H. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177 Newell, D. W, Eskridge, J. M, Aaslid, R: Current Indications and Results of Cerebral Angioplasty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181 Muizelaar 1. P., Madden, L. K: Balloon Prophylaxis of Aneurysmal Vasospasm............................................................ 185 Reisch, R., Filippi, R., Bacher-Schwarz, H., Mauer, D., Ringel, K, Stoeter, P., Perneczky, A.: Effect of Intra-Arterial Infusion of Papaverine Hydrochloride on Brain Tissue Oxygen Pressure in the Management of Severe Vasospasm Following Aneurysmal Subarachnoid Hemorrhage ................... 191 Srinivasan, J., Moore, A., Eskridge, 1., Winn, H. R, Newell, D. W: Long Term Follow-Up of Angioplasty for Cerebral Vasospasm............................................ 195 Treatment of Clinical Vasospasm and Neuroprotection . .. .. . .. .. .. . .. . .. .. .. . .. .. .. .. .. .. .. . .. . .. . .. . . .. . .. . 199 Shibuya, M., Asano, T., Sasaki, Y.: Effect of Fasudil HCI, a Protein Kinase Inhibitor, on Cerebral Vasospasm................................ 201 s.: Tanaka, Y., Masuzawa, T., Saito, M, Yamada, T., Ebihara, A., Iwasa, H., Mori, Combined Administration of Fasudil Hydrochloride and Nitroglycerin for Treatment of Cerebral Vasospasm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205 Masaoka, H., Takasato, Y., Nojiri, T, Hayakawa, T, Akimoto, H., Yatsushige, H., Toumori, H., Miyazaki, Y., Honma, M: Clinical Effect of Fasudil Hydrochloride for Cerebral Vasospasm Following Subarachnoid Hemorrhage. 209 Takanashi, Y., Ishida, T, Meguro, T., Kirchmeier, M. 1., Allen, T M, Zhang, 1. H.: A Novel Drug Delivery System As Prophylaxis for Cerebral Vasospasm................................... 213 Kasuya, H., Kawashima, A., Sasahara, A., Onda, H., Hori, T: Development ofNicardipine Prolonged-Release Implants for Preventing Vasospasm...................... 217 Mima T, Mostafa, MG.: Inhibition of Over expression of Endothelin-l by an RNA Synthesis Inhibitor, Doxorubicin, in the Rat Vasospasm Model........................................................................................... 221 Ebel, H., Semmelmann, G., Schomiicker, K, Balogh, A., Volz, M., Funke, J., Schicha, H., Klug, N: Effects of High Cervical Spinal Cord Stimulation (CSCS) on Regional Cerebral Blood Flow after Induced Subarachnoid Haemorrhage in Rats. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225 Shinonaga, M., Takanashi, Y.: Vasodilating Effect of Spinal Cord Stimulation for Cerebral Vasospasm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229 Hemodynamic Therapy and Neuroprotection ................................................................ 231 Dorsch, N W c., Kassell, N F., Sinkula, M S. et al.: Metaanalysis of Trials of Tirilazad Mesylate in Aneurysmal SAH.......................................... 223 Romner, B., Reinstrup, P.: Triple-H Therapy after Aneurysmal Subarachnoid Hemorrhage. A Review................................ 237 Contents XI Dueck, M., Ebel, H, Volz, M., Lee, J. Y., Semmelmann, G.: Triple-H Therapy does not Increase Cerebral Blood Flow after Induced Subarachnoid Hemorrhage in Pigs. Results ofa Pilot 99mTc HMPAO-Single Photon Emission Computed Tomography Study.......... 243 Krayenbuhl, N., Hegner, T., Yonekawa, Y., Keller, E.: Cerebral Vasospasm after Subarachnoid Hemorrhage: Hypertensive Hypervolemic Hemodilution (3-H) Therapy According to New Systemic Hemodynamic Parameters........................................... 247 Kreitschmann-Andermahr, l, Hutter, B. 0., Gilsbach, J. M.: Antiischemic Therapy of Severe Prolonged Vasospasm after Aneurysmal SAH: Effects on Quality of Life 251 Thome, c., Schubert, G., Piepgras, A., Elste, v., Schilling, L., Schmiedek, P.: Hypothermia Reduces Acute Vasospasm Following SAH in Rats.......................................... 255 s., Zausinger, Westermaier, T., Baethmann, A., Steiger, H J., Schmid-Elsaesser, R.: Neuroprotective Treatment Paradigms in Neurovascular Surgery - Efficacy in a Rat Model of Focal Cerebral Ischemia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 259 Author Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 267 Index of Keywords . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 269 Listed in Current Contents

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