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were often criticized as being inadequate to study vasospasm ( 50 ),
may be very helpful in studying mechanisms other than aSAH-
related vasospasm and help to elucidate their role in evoking neu-
robehavioral changes. Furthermore, neurobehavioral testing of
nonhuman primates after clot placement or other methods of SAH
can provide the best distinction between SAH- and vasospasm-
related neurobehavioral changes as well as be a reliable transla-
tional tool to address the changes observed in patients.
Nevertheless, several limitations of translating experimental results
to the patient population and vice versa have to be recognized early
and properly addressed while developing adequate models. Among
the crucial limitations is the vast diffi culty in studying early versus
delayed effects of SAH, their occurrence with or without vasospasm,
or behavioral effects of surgical versus endovascular intervention.
Although there are numerous potential limitations that must
be kept fi rmly in mind, we believe that systematic research with
animal models including non human primate model will continue
to play a critical role in understanding and assessing the effects of
cerebral vasospasm on cognitive and behavioral function to help
the patients like Ms. CD whose medical history provided inspira-
tion for this chapter.
Acknowledgement
This research was partially supported by the Intramural Research
Program of the NIH, NINDS.
References
1. Dandy WE (1938) Intracranial aneurysm of
the internal carotid artery: cured by operation.
Ann Surg 107(5):654-659
2. Tong FC, Cloft HJ, Dion JE (2000)
Endovascular treatment of intracranial aneu-
rysms with Guglielmi detachable coils: empha-
sis on new techniques. J Clin Neurosci 7(3):
244-253
3. Hunt W, Hess R (1968) Surgical risk as related
to time of intervention in the repair of intrac-
ranial aneurysms. J Neurosurg 28:14
4. Gilsbach JM, Harders AG, Eggert HR,
Hornyak ME (1988) Early aneurysm surgery:
a 7 year clinical practice report. Acta Neurochir
(Wien) 90(3-4):91-102
5. Jennett B, Bond M (1975) Assessment of
outcome after severe brain damage. Lancet
1(7905):480-484
6. Suarez J, Tarr R, Selman W (2005) Aneurysmal
subarachnoid hemorrhage. New Engl J Med
354:387-396
7. Gotoh O, Tamura A, Yasui N, Suzuki A,
Hadeishi H, Sano K (1996) Glasgow Coma
Scale in the prediction of outcome after early
aneurysm surgery. Neurosurgery 39(1):
19-24; discussion 24-15
8. Hutter BO, Gilsbach JM (1993) Which neu-
ropsychological defi cits are hidden behind a
good outcome (Glasgow = I) after aneurysmal
subarachnoid hemorrhage? Neurosurgery
33(6):999-1005; discussion 1005-1006
9. Kreitschmann-Andermahr I, Poll E, Hutter
BO et al (2007) Quality of life and psychiatric
sequelae following aneurysmal subarachnoid
haemorrhage: does neuroendocrine dysfunc-
tion play a role? Clin Endocrinol (Oxf)
66(6):833-837
10. Fiddick L, Spampinato MV, Grafman J (2005)
Social contracts and precautions activate
different neurological systems: an fMRI inves-
tigation of deontic reasoning. Neuroimage
28(4):778-786
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