FEVER AND CEREBRAL VASOSPASM IN RUPTURED INTRA-CRANICAL ANEURYSMS

  • 1 January 1980
    • journal article
    • research article
    • Vol. 14  (6) , 459-465
Abstract
The temperature curves of 262 patients affected by subarachnoid hemorrhage, including 107 arterial aneurysms, 26 arteriovenous malformations, 42 idiopathic subarachnoid hemorrhages and 87 cerebral hemorrhages, were observed and classified into 3 types: type I, absence of fever; type II, fever oscillating between 37-38.degree. C; and type III, fever with a plateau between 38-39.degree. C beginning on the 5th day at the latest and lasting an average of 9 days, with a decline over the next 3 days. Type III was observed in 3.8% of the patients with arteriovenous malformations, 7% of those with cerebral hemorrhages and 88.3% of those who had arterial aneurysms with severe angiographic vasospasm associated with delayed ischemic signs. The delayed fever evidently is not a simple sign of meningeal syndrome but a sign related to cerebral vasospasm.

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