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Role of nitric oxide and mechanisms involved in cerebral injury after subarachnoid hemorrhage: is nitric oxide a possible answer to cerebral vasospasm?

Abstract
Cerebral vasospasm represents the most critical event that could occur after subarachnoid hemorrhage (SAH). Therapy is only partially effective because cerebral arterial constriction is not fully understood yet. One of the most important biological messenger associated to SAH is nitric oxide (NO), that is considered local regulator of cerebral blood flow. Different nitric oxide synthase (NOS) forms play a role in different biological processes, one of which is to link neuronal activity to blood flow in cerebral cortex. We performed a reassessment of the literature to summarize the role of NO as the main inflammatory pathway activated after SAH to clarify its importance for treatment of vasospasm.
AuthorsEmanuela Crobeddu, Giulia Pilloni, Valentina Tardivo, Marco M Fontanella, Pier P Panciani, Giannantonio Spena, Riccardo Fornaro, Roberto Altieri, Alessandro Agnoletti, Marco Ajello, Francesco Zenga, Alessandro Ducati, Diego Garbossa
JournalJournal of neurosurgical sciences (J Neurosurg Sci) Vol. 60 Issue 3 Pg. 385-91 (Sep 2016) ISSN: 1827-1855 [Electronic] Italy
PMID25600552 (Publication Type: Journal Article, Review)
Chemical References
  • Nitric Oxide
  • Nitric Oxide Synthase
Topics
  • Animals
  • Brain Injuries (complications, metabolism)
  • Cerebrovascular Circulation (physiology)
  • Humans
  • Nitric Oxide (metabolism)
  • Nitric Oxide Synthase (metabolism)
  • Subarachnoid Hemorrhage (complications, metabolism)
  • Vasospasm, Intracranial (metabolism)

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