"\u010Cesk\u00E1 a slovensk\u00E1 neurologie a neurochirurgie" . "000333662100003" . "Kanta, Martin" . "1210-7859" . "6"^^ . . . . "[8CC1EB78BAC0]" . "\u010Ces\u00E1k, Tom\u00E1\u0161" . . "Cerebr\u00E1ln\u00ED vazospazmy po subarachnoid\u00E1ln\u00EDm krv\u00E1cen\u00ED - mo\u017Enosti diagnostiky, monitorace a l\u00E9\u010Dby" . . "\u0158eh\u00E1k, Svatopluk" . . . "V\u00FDsledky l\u00E9\u010Dby pacient\u016F se subarachnoid\u00E1ln\u00EDm krv\u00E1cen\u00EDm z praskl\u00E9ho aneuryzmatu jsou i v dne\u0161n\u00ED dob\u011B propracovan\u00FDch opera\u010Dn\u00EDch postup\u016F, endovaskul\u00E1rn\u00EDch technik a nov\u00FDch trend\u016F v neurointenzivn\u00ED p\u00E9\u010Di nad\u00E1le neuspokojiv\u00E9. O\u0161et\u0159en\u00ED zdroje krv\u00E1cen\u00ED p\u0159edstavuje prvn\u00ED krok, na kter\u00FD mus\u00ED navazovat monitorov\u00E1n\u00ED pacienta zohled\u0148uj\u00EDc\u00ED p\u0159irozen\u00FD pr\u016Fb\u011Bh tohoto onemocn\u011Bn\u00ED. Cerebr\u00E1ln\u00ED vazospazmy (CVS), je\u017E pat\u0159\u00ED mezi nejz\u00E1va\u017En\u011Bj\u0161\u00ED komplikace po subarachnoid\u00E1ln\u00EDm krv\u00E1cen\u00ED, jsou p\u0159\u00EDtomny u 40- 70 % pacient\u016F. Participuj\u00ED na vzniku mozkov\u00E9 ischemie, kter\u00E1 je nej\u010Dast\u011Bj\u0161\u00ED p\u0159\u00ED\u010Dinou t\u011B\u017Ek\u00E9 morbidity nebo \u00FAmrt\u00ED (15- 20 %). \u00DA\u010Dinn\u00E1 prevence t\u011Bchto komplikac\u00ED se op\u00EDr\u00E1 o detailn\u00ED klinick\u00E9 sledov\u00E1n\u00ED. U pacient\u016F s poruchou v\u011Bdom\u00ED je nutn\u00FD invazivn\u00ED monitoring mozkov\u00E9ho metabolizmu a nitrolebn\u00EDho tlaku s c\u00EDlem \u010Dasn\u00E9 detekce hroz\u00EDc\u00ED ischemick\u00E9 p\u0159\u00EDhody. Sou\u010Dasn\u00E9 znalosti a technologick\u00E9 mo\u017Enosti umo\u017E\u0148uj\u00ED v\u00E9st agresivn\u011Bj\u0161\u00ED l\u00E9\u010Dbu zam\u011B\u0159enou na normalizaci perfuzn\u00EDch pom\u011Br\u016F mozku."@cs . . "I" . . "Cerebr\u00E1ln\u00ED vazospazmy po subarachnoid\u00E1ln\u00EDm krv\u00E1cen\u00ED - mo\u017Enosti diagnostiky, monitorace a l\u00E9\u010Dby"@cs . . . "Cerebr\u00E1ln\u00ED vazospazmy po subarachnoid\u00E1ln\u00EDm krv\u00E1cen\u00ED - mo\u017Enosti diagnostiky, monitorace a l\u00E9\u010Dby" . "N\u00E1hlovsk\u00FD, Ji\u0159\u00ED" . "RIV/00216208:11150/14:10279712!RIV15-MSM-11150___" . . . . "V\u00FDsledky l\u00E9\u010Dby pacient\u016F se subarachnoid\u00E1ln\u00EDm krv\u00E1cen\u00EDm z praskl\u00E9ho aneuryzmatu jsou i v dne\u0161n\u00ED dob\u011B propracovan\u00FDch opera\u010Dn\u00EDch postup\u016F, endovaskul\u00E1rn\u00EDch technik a nov\u00FDch trend\u016F v neurointenzivn\u00ED p\u00E9\u010Di nad\u00E1le neuspokojiv\u00E9. O\u0161et\u0159en\u00ED zdroje krv\u00E1cen\u00ED p\u0159edstavuje prvn\u00ED krok, na kter\u00FD mus\u00ED navazovat monitorov\u00E1n\u00ED pacienta zohled\u0148uj\u00EDc\u00ED p\u0159irozen\u00FD pr\u016Fb\u011Bh tohoto onemocn\u011Bn\u00ED. Cerebr\u00E1ln\u00ED vazospazmy (CVS), je\u017E pat\u0159\u00ED mezi nejz\u00E1va\u017En\u011Bj\u0161\u00ED komplikace po subarachnoid\u00E1ln\u00EDm krv\u00E1cen\u00ED, jsou p\u0159\u00EDtomny u 40- 70 % pacient\u016F. Participuj\u00ED na vzniku mozkov\u00E9 ischemie, kter\u00E1 je nej\u010Dast\u011Bj\u0161\u00ED p\u0159\u00ED\u010Dinou t\u011B\u017Ek\u00E9 morbidity nebo \u00FAmrt\u00ED (15- 20 %). \u00DA\u010Dinn\u00E1 prevence t\u011Bchto komplikac\u00ED se op\u00EDr\u00E1 o detailn\u00ED klinick\u00E9 sledov\u00E1n\u00ED. U pacient\u016F s poruchou v\u011Bdom\u00ED je nutn\u00FD invazivn\u00ED monitoring mozkov\u00E9ho metabolizmu a nitrolebn\u00EDho tlaku s c\u00EDlem \u010Dasn\u00E9 detekce hroz\u00EDc\u00ED ischemick\u00E9 p\u0159\u00EDhody. Sou\u010Dasn\u00E9 znalosti a technologick\u00E9 mo\u017Enosti umo\u017E\u0148uj\u00ED v\u00E9st agresivn\u011Bj\u0161\u00ED l\u00E9\u010Dbu zam\u011B\u0159enou na normalizaci perfuzn\u00EDch pom\u011Br\u016F mozku." . "77" . . "Cerebral Vasospasms Following Subarachnoid Bleeding - Diagnosis, Monitoring and Treatment Options"@en . "Adamkov, Jaroslav" . . "2" . "Cerebr\u00E1ln\u00ED vazospazmy po subarachnoid\u00E1ln\u00EDm krv\u00E1cen\u00ED - mo\u017Enosti diagnostiky, monitorace a l\u00E9\u010Dby"@cs . "6513" . . . "Cerebral Vasospasms Following Subarachnoid Bleeding - Diagnosis, Monitoring and Treatment Options"@en . "10"^^ . "CZ - \u010Cesk\u00E1 republika" . . "Krajina, Anton\u00EDn" . "7"^^ . "delayed cerebral ischemia; subarachnoid haemorrhage; cerebral vasospasms"@en . "Despite availability of sophisticated surgical procedures, endovascular techniques and new trends in neuro-intensive care, treatment outcomes in patients with subarachnoid bleeding from a ruptured aneurysm are still very unsatisfactory. The first step in patient management, i.e. treating the source of bleeding, is followed by close patient monitoring, taking into account the natural course of the disease. Cerebral vasospasms are among the most severe complications, identified in 40-70% of patients after subarachnoid bleeding. In patients in whom the source of bleeding has been treated, cerebral vasospasms are responsible for the development of delayed cerebral ischemia, the most common cause of high morbidity rates or deaths (15-20%). Effective prevention of such complications is based on detailed clinical observation. Invasive monitoring of cerebral metabolism and intracranial pressure is to be applied in patients with impaired consciousness in order to detect a threatening cerebral ischemia as early as possible. Current knowledge and technology enable more aggressive treatment that concentrates on normalising perfusion in the brain."@en . "Habalov\u00E1, Ji\u0159ina" . "RIV/00216208:11150/14:10279712" . "11150" .