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  • 1
    Electronic Resource
    Electronic Resource
    Amsterdam : Elsevier
    Ultramicroscopy 27 (1989), S. 223-231 
    ISSN: 0304-3991
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Electrical Engineering, Measurement and Control Technology , Natural Sciences in General , Physics
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Amsterdam : Elsevier
    Nuclear Engineering and Design 144 (1993), S. 345-352 
    ISSN: 0029-5493
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Energy, Environment Protection, Nuclear Power Engineering
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-0533
    Keywords: Cold-lesion injury ; Brain edema ; Blood-brain barrier ; Alkaline phosphatase ; Anionic sites
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Micro-blood vessels (MBVs), located in the area of edema, were studied in cat brain at various time intervals (1 h, 24 h, 7 days) after cold-lesion injury. Both cold-injured and adjacent gyri were examined for blood-brain barrier (BBB) permeability to i. v. injected horseradish peroxidase (HRP) with circulation times of 40 min and 24 h. Evans blue (EB) was used as a tracer for gross evaluation of the extension of brain edema. Localization of alkaline phosphatase (AP) and binding of cationized ferritin (CF), considered as a marker of anionic sites, were also studied ultrastructurally. Twenty-four hours after cold injury, the extravasated edema fluid, outlined by EB tracer, was observed to be spreading through the white matter (WM) into the adjacent gyrus. At this time, numerous, larger than capillary MBVs, presumably arterioles and venules located in the edematous WM, showed accumulations of HRP injected at the time of the operation, in the basement membrane, in abluminal pits, and in numerous pinocytotic vesicles and vacuoles of endothelial cells (ECs). The animals killed after 24 h with 40 min HRP circulation showed extravasation of HRP tracer in a zone underlying the necrotic cold injury lesion. On the other hand, there was no evidence of an abnormal HRP leakage in the further removed areas of edema in the WM, particularly in the adjacent gyrus. These observations suggest that a reverse, vesicular transport of HRP across the ECs of some MBVs represents one of several possible mechanisms responsible for the removal of extravasated proteins and of edematous fluid from brain extracellular space. This reverse transport is accompanied by a disruption of the surface anionic layer and changed polarity of ECs manifested by the relocation of AP activity from luminal to abluminal plasmalemma.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Acta neurochirurgica 108 (1991), S. 163-166 
    ISSN: 0942-0940
    Keywords: Symptomatic vasospasm ; delayed operation ; late onset
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary An unusually late occurrence of symptomatic cerebral vasospasm is reported. The case involves a 50-year-old male who was uneventfully operated on for a ruptured anterior communicating artery aneurysm, with no symptom of cerebral vasospasm, 17 days after sustaining the subarachnoid haemorrhage. Two days after surgery, a right hemiparesis developed and angiography disclosed severe cerebral vasospasm. This case history and the aetiological factors of symptomatic vasospasm are discussed.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 0942-0940
    Keywords: Ruptured aneurysms ; overall management ; early operation ; aged patients
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary One hundred and two consecutive non selected patients with intracranial aneurysms were reviewed. The incidence of ruptured aneurysm was 17.5 per population of 100,000 per year. The patients were divided into two groups, according to a change of policy that reversed the timing of operations from delayed to early surgery. The overall mortality and occurrence rate of neurological deficits due to vasospasm in patients in Hunt and Kosnik grades I through III were found to be lower during the period with a policy of early surgery. Elderly patients over 70 years old constituted 19% of the cases and those in poor condition (grade IV and V) 31%. These figures in this study are high, which may reflect the fact that these are common problems inherent in the treatment of ruptured aneurysms without patient selection at most community hospitals in the forefront of primary medical care.
    Type of Medium: Electronic Resource
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