Vasospasm: Causes & Reasons

Possible Causes for Vasospasm

Upper extremity and hand angiography within 16 h of the insult showed thrombotic occlusive disease and vasospasm. [ncbi.nlm.nih.gov]

[…] perfusion deficits in severely frostbitten digits and treated these lesions with intraarterial infusion of thrombolytic agents, usually combined with papaverine to reduce vasospasm [ncbi.nlm.nih.gov]

Vascular stasis – In this phase there is thrombosis in small vessels and blood vessels may fluctuate between vasospasm and vasodilation, which causes vascular shunting and [awls.org]

Raynaud Syndrome

Vasospasm Specialty Cardiology, neurosurgery Vasospasm refers to a condition in which an arterial spasm leads to vasoconstriction. [en.wikipedia.org]

Here, we will refer to both conditions as vasospasm. Vasospasm can also occur in nipples. In fact, it is much more common than generally believed. [breastfeedinginc.ca]

[…] a spasm in the blood vessels (vasospasm). [pumpstation.com]

Raynaud Disease

Vasospasm implies reversible vasoconstriction that may diminish blood flow to supplied tissues. [jamanetwork.com]

Cigarette smoking contains nicotine, which is known to cause vasospasm. [podiatrynetwork.com]

Raynaud's phenomenon has the same findings, as Raynaud's disease except it there is an underlying disease associated with the vasospasm. [ahni.com]

Acute Amphetamine Intoxication

MI - coronary vasospasm placental infarction - vasospasm of placental vessels nasal septum perforation - Kiesselbach's plexus vasospasm stroke - CVA stereotyped behavior [medbullets.com]

The vasoconstrictive properties of the drugs can lead to hypertension and/or coronary vasospasm. [7] Serotonergic action of amphetamines on peripheral vasculature can lead [emedicine.medscape.com]

[…] grandiosity, hallucinations (including tactile), paranoid ideations sympathetic activation ↓ appetite, tachycardia, pupillary dilation, hypertension, angina can cause severe vasospasm [medbullets.com]

Variant Angina Pectoris

In many cases, coronary artery vasospasm can occur spontaneously without an identifiable cause. [emedicine.medscape.com]

Coronary-artery vasospasm. N Engl J Med. 2017 Jun 22. 376(25):e52. [Medline]. [Full Text]. [emedicine.medscape.com]

Overall, Japanese patients are much more likely to develop coronary artery vasospasm than Caucasian patients. [emedicine.medscape.com]

Subarachnoid Hemorrhage

The vasospasm is a multifactorial disorder and can lead to delayed cerebral ischemia (DCI). [ncbi.nlm.nih.gov]

Every patient with severe vasospasm manifested delayed symptoms and signs. [dx.doi.org]

When the patient survives it can lead to permanent incapacity especially if the patient develops vasospasm. [ncbi.nlm.nih.gov]

Apical Myocardial Infarction

If the reduced blood flow in her distal left anterior descending coronary artery was induced by coronary vasospasm and the vasospasm was relieved before the coronary angiogram [ncbi.nlm.nih.gov]

If the reduced blood flow in the distal LAD artery was induced by coronary vasospasm and the vasospasm was relieved before CAG was performed, this case must be diagnosed as [ncbi.nlm.nih.gov]

For this pathophysiology, we have to make a differential diagnosis between coronary vasospasm and SCAD [14,15]. [ncbi.nlm.nih.gov]

Ruptured Cerebral Aneurysm

When HN ranged from 68 to 73, the incidence of vasospasm was 50%. When HN was 73 or more, vasospasm occurred in all cases. [ncbi.nlm.nih.gov]

The aneurysm was finally disclosed and operated successfully on the 49th day when cerebral vasospasm had disappeared completely. [ncbi.nlm.nih.gov]

In conclusion, cerebral vasospasm resulting from minor leaks due to an unrecognized cerebral aneurysm rupture is rare. [neurointervention.org]

Cerebral Aneurysm

[…] of vasospasm with anti-inflammatory agents. [doi.org]

BACKGROUND: One of the complications aneurysms subarachnoid hemorrhage is the development of vasospasm, which is the leading cause of disability and death from ruptured cerebral [ncbi.nlm.nih.gov]

A Doppler ultrasound device is used to monitor the degree of vasospasm. [skullbaseinstitute.com]

Kounis Syndrome

[…] traditional medicine allergy and vasospasm. [bmccardiovascdisord.biomedcentral.com]

Eosinophilia and coronary vasospasm. Heart Lung Circ. 2008; 17: 488-496 Kounis NG Koniari I Velissaris D et al. [jcvaonline.com]

ST segment alteration is related to coronary vasospasm. [clinmedjournals.org]

Normal-Tension Glaucoma

The frequent occurrence of vasospasm in the nailfold capillaries and of visual field deterioration after a cold-water test demonstrates that vasospasm is an expression of [ncbi.nlm.nih.gov]

This study was designed to evaluate the effect of vasospasm on ocular pulse amplitude (OPA) in low tension glaucoma (LTG) patients. [ncbi.nlm.nih.gov]

One potential mechanism is vasospasm. [webeye.ophth.uiowa.edu]

Embolic Mesenteric Infarction

[…] ischemia includes occlusive disease secondary to atherosclerotic occlusion with thrombosis, embolism, mesenteric venous thrombosis, and nonocclusive mesenteric ischemia due to vasospasm [accessmedicine.mhmedical.com]

[…] and Sympathetic-induced vasoconstriction.  Most Lethal - Because once arterial vasospasm is initiated, it may persist even after correction of the initiating event.  Prognosis [slideshare.net]

Nonocclusive Ischemia: 20-30% of cases - Pathogenesis involves splanchnic hypoperfusion and vasoconstriction, often with vasospasm. [errolozdalga.com]

Takotsubo Cardiomyopathy

Coronary vasospasm-related Takotsubo cardiomyopathy. A serial echocardiographic study. [ncbi.nlm.nih.gov]

Sufficient attention to persistent abnormalities on electrocardiography is warranted, even after improvements in cardiac wall motion and the vasospasm period. [ncbi.nlm.nih.gov]

The pathophysiology of the disorder remains to be elucidated but may involve catecholamine excess and vasospasm. [ncbi.nlm.nih.gov]

Thunderclap Headache

Both cases demonstrated the potential for reversible intracranial vasospasm without intracranial aneurysm or SAH and a benign clinical outcome. [ncbi.nlm.nih.gov]

[…] with a subsequent thunderclap headache, then continuous or near continuous cerebral artery vasospasm leading to a persistent daily headache. [ncbi.nlm.nih.gov]

Vasospasm can be provoked by mechanical, biochemical, and neurogenic stimuli. [doi.org]

Paroxysmal Nocturnal Hemoglobinuria

John C. Pui, M.D., Richard Schreitzenmeir, B.S., and Jonni S. Moore, Ph.D. Clinical Flow Cytometry Laboratory, Department of Pathology and Laboratory Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA Contents Pathogenesis Diagnostic Tests: Flow Cytometry Cell Lineages Antigen Choice Clinical Examples[…] [cyto.purdue.edu]

Berry Aneurysm

Administration of vasodilating agents to prevent vasospasm, management of blood pressure and other supportive measures are equally important in managing patients. [symptoma.com]

Aneurysms 415 Endovascular Treatment of Supraclinoid Internal Carotid Artery Aneurysms 425 Endovascular Management of Anterior Communicating Artery Aneurysms 437 Cerebral Vasospasm [books.google.it]

Controlling vasospasm Five to 10 days after a SAH, the patient may develop vasospasm. [mayfieldclinic.com]

Acute Mesenteric Ischemia

This catastrophic intra-abdominal sequela of thrombosis or vasospasm occurs predominantly in the geriatric patient. [einstein.pure.elsevier.com]

[…] ischemia (NOMI) is a rare complication that occurs in about 0.05% of patients after openheart surgery, and NOMI refers to the mesenteric ischemia that's caused by splanchnic vasospasm [koreascience.or.kr]

MESENTERIC ISCHEMIA -↓ intestinal blood flow -> ischemia & reperfusion injury -SMA/Celiac axis/IMA Acute: -Thrombosis/Emboli/ HypOtension/ Shock / time vasoconstriction ( vasospasm [usmleforum.com]

Acrocyanosis

Unlike the vasospasm seen in Raynaud's disease which may last several minutes to several hours, the vasospasm in acrocyanosis is more persistent. [ahni.com]

Vasospasm is also seen in Raynaud’s disease, and may last several minutes to several hours. However, the vasospasm in acrocyanosis is more persistent. [almawiclinic.com]

[…] diagnosis, and treatment of this condition. acrocyanosis arterial occlusive disease arteries blood flow velocity capillaries chilblains cyanosis ischemia vascular diseases vasospasm [mayoclinic.pure.elsevier.com]

Aneurysm

Controlling vasospasm Five to 10 days after a SAH, the patient may develop vasospasm. [mayfieldclinic.com]

Harvey Memorial Chair of Research, a $25,000 grant to help fund his research - The Effect of Minocycline on Cerebral Vasospasm After Aneurysmal Subarachnoid Hemorrhage. • [web.archive.org]

Vasospasm is defined as angiographic narrowing that can lead to delayed ischemia. [emedicine.medscape.com]

Ergotism

Abstract Vasospasm related to ergot intoxication is unusual. [ncbi.nlm.nih.gov]

This is believed to be the first documented case of mesenteric vasospasm due to ergotism. [ncbi.nlm.nih.gov]

No amputation was required in this series in spite of severe and prolonged vasospasms. [ncbi.nlm.nih.gov]

Acute Hypertensive Retinopathy

The optic disc edema seen in this case was caused by local ischemia, as a result of intensive vasospasm of the posterior ciliary arteries supplying its head. [dovepress.com]

The acute effects of systemic arterial hypertension are a result of vasospasm to autoregulate perfusion. [omicsonline.org]

In patients with SAH, a cerebroselective calcium channel blocker, such as nimodipine, is used to decrease cerebral vasospasm. [medicineonlinepk.blogspot.com]

Cerebral Angiitis

[…] granulomatous angiitis with multiple cerebral infarcts, both old and recent. 2 articles feature images from this case Reversible cerebral vasoconstriction syndrome Cerebral vasospasm [radiopaedia.org]

Serdaru MChiras JCujas MLhermitte F Isolated benign cerebral vasculitis or migrainous vasospasm? [jamanetwork.com]

[…] endovascular treatment and management of conditions that include tumors and vascular malformations of the head and neck, cerebral vasculitis, intracranial aneurysms, cerebral vasospasm [medical-dictionary.thefreedictionary.com]

Livedo Reticularis

Prolonged vasospasm, thrombosis or hyperviscosity can cause the pathological skin changes of livedo racemosa. [dermnetnz.org]

Prolonged vasospasm, thrombosis or hyperviscosity can cause the pathological skin changes of livedo racemosa. Who gets livedo reticularis? [dermnetnz.org]

Among the acquired, we highlight the physiological livedo reticularis and the idiopathic livedo by vasospasm; the latter configures the most common cause. [ncbi.nlm.nih.gov]

Pituitary Apoplexy

Vasospasm is the most likely underlying cause of the infarction in this case secondary to transdiaphragmatic rupture of the sella tumour into the subarachnoid space. [ncbi.nlm.nih.gov]

Cerebral infarction Pituitary apoplexy Ptosis Subarachnoid haemorrhage Vasospasm Cite this Apa Standard Harvard Vancouver BIBTEX RIS Muhammed, A. [ukm.pure.elsevier.com]

We report a patient with pituitary apoplexy in whom cerebral infarction developed, possibly secondary to vasospasm. [ncbi.nlm.nih.gov]

Ergotamine Withdrawal

Because CYP 3A4 inhibition elevates the serum levels of ergotamine tartrate, the risk for vasospasm leading to cerebral ischemia and/or ischemia of the extremities is increased [ergomar.com]

There is a potential risk for serious ergot-related toxicity including vasospasm when these drugs are used with ergotamine. [pdr.net]

Because CYP 3A4 inhibition elevates the serum levels of ergotamine tartrate and caffeine, the risk for vasospasm leading to cerebral ischemia and/or ischemia of the extremities [migergot.com]

Intracranial Hemorrhage

Monitoring and regulation of CNS metabolism following TBI/ICH-induced vasospasm may play an important adjunct role to the primary prevention of vasospasm. [ncbi.nlm.nih.gov]

Post-operatively, the patient was treated to prevent vasospasm. [ncbi.nlm.nih.gov]

Vasospasm after subarachnoid hemorrhage is common, predictable and can cause cerebral infarction if untreated. [pulmccm.org]

Anterior Cerebral Artery Occlusion

In comparison, the frequency of dissection (1.8%–4.5%), vasospasm (3%–22.5%, including asymptomatic vasospasm), and symptomatic intracranial hemorrhage (5%–10.9%) was reported [ajnr.org]

Rarely, they are also seen as a complication of severe midline shift, where the ACA is occluded by mass effect or severe vasospasm. [radiopaedia.org]

Although fenestration, duplication or triplication has a protective mechanism for any kind of occlusion or vasospasm, however, the azygous vessel is more prone to produce [omicsonline.org]

Migrainous Stroke

The Lindegaard ratio (LR) of 5.3 was indicative of vasospasm. [dovepress.com]

Additional studies must be conducted in order to clarify the role of vasospasm in migraines and the occurrence of MI, according to the authors. [ajmc.com]

Although a variety of processes, alone or in combination, may contribute to migrainous stroke, extracranial and/or intracranial vasospasm appears to play a major role in at [ncbi.nlm.nih.gov]

Ischemic Bowel Disease

Consequently, prolonged vasospasm causes intestinal ischemia [ 5 ]. [omicsonline.org]

Both conditions may be caused by arterial thromboembolism, non-occlusive ischaemia (due to hypoperfusion, vasospasm) and venous thrombosis, and may be acute or chronic. [aci.health.nsw.gov.au]

Moderate and Severe Traumatic Cerebral Edema

Dantrolene for cerebral vasospasm after subarachnoid haemorrhage: a randomised double blind placebo-controlled safety trial. [profiles.umassmed.edu]

[…] decrease in intracellular magnesium may contribute to calcium influx leads to neuronal degeneration and poor outcome Intracranial seizure delayed haematoma or rebleed SAH vasospasm [lifeinthefastlane.com]

The underlying causes are intracranial hypertension, vascular compression from herniations, vasospasm, traumatic vascular tears, dissecting hematomas and other vascular lesions [neuropathology-web.org]