INTENSIVIST Volume 12, Issue 1 (January 2020)
Japanese

Physiology in patients after a stroke Daisuke IKECHI 1 , Susumu YAMASHITA 1 1Department of Emergency Medicine Tokuyama Central Hospital pp.11-17
Published Date 2020/1/1
DOI https://doi.org/10.11477/mf.3102200704
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Fever in patients after a stroke without infection is called neurogenic fever or centrally mediated fever, and is often observed. Injury of the thermoregulatory center in the hypothalamus raises the body temperature. Hemorrhage in the cerebrospinal fluid space leads to production of prostaglandin E2 which causes a physiological temperature increase. Acute cardiac dysfunction in patients after stroke is also often observed. Abnormal reactions of the autonomic nerves and catecholamine surges can cause myocardial damage. The risk of myocardial damage is high if the insular cortex was damaged. The pathophysiological mechanisms of vasospasm with subarachnoid hemorrhage have not yet been elucidated. Delayed cerebral ischemia is caused not only by major cerebrovascular spasm, but also by microcirculatory disorders and other factors.


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基本情報

18834833.12.1.jpg
INTENSIVIST
12巻1号 (2020年1月)
電子版ISSN 2186-7852 印刷版ISSN 1883-4833 メディカル・サイエンス・インターナショナル

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