The systolic BP percentile in the

clinical consultation w

The systolic BP percentile in the

clinical consultation was associated with BMI and birth weight. The diastolic BP in the selleckchem clinical consultation was associated with birth weight, age, and BMI. Weight excess, low birth weight and younger age were associated with a higher BP in normotensive children seen in a clinical setting. To our knowledge, this is the first study to describe the association between lower birth weight and a greater BP response to medical consultation. Our finding suggests that the tendency to higher white-coat effect is determined, at least to some extent, in intrauterine life. Copyright (C) 2009 S. Karger AG, Basel”
“G protein-coupled receptor kinase-interactor 2 (GM) is a signaling scaffold protein that also functions as GTPase-activating protein (GAPS) for ADP-ribosylation factor

(Arf) small GTP-binding proteins. GIT2 has been implicated in the regulation of G protein-coupled receptor trafficking and cell adhesion and migration. To evaluate possible neurobehavioral functions of GIT2 in vivo, we evaluated CIT2-knockout (KO) mice for abnormalities in emotionality and mood. Male and female GIT2-KO mice presented with anxiety-like behaviors in the zero-maze and light-dark emergence tests. Immobility times in tail suspension were reduced in GIT2-KO males, but were normal in GIT2-KO females. Hence, GIT2-KO mice display anxiety-like behavior in an absence AZD4547 solubility dmso of depressive-like responses. (C) 2008 Elsevier Ireland Ltd. All rights reserved.”
“Background: Recent studies indicate an SHP099 mouse increased mortality of anemic patients with renal failure when near-normal hemoglobin levels are aimed for by treatment with erythropoiesis stimulating agents. Aortic pulse wave velocity (aPWV) is a strong predictor of all-cause and cardiovascular

mortality in patients with end-stage renal disease. The relationships between aPWV, hemoglobin levels and erythropoiesis stimulating agent dosage have not been evaluated to date. Methods: In 75 patients, aPWV was measured by applanation tonometry. Associations of aPWV and a broad range of clinical, laboratory and therapeutic parameters were determined by stepwise linear regression analysis. Results: aPWV was positively correlated to age (r = 0.55, p < 0.001), whereas the association with hemoglobin was significant, but negative (r = -0.31, p = 0.01). Multivariate analysis determined age (beta = 0.513, p < 0.001), mean blood pressure (beta = 0.255, p = 0.01), the presence of heart failure (beta = 0.188, p = 0.03), hemoglobin (beta = -0.226, p = 0.01), daily calcium load (beta = -0.230, p = 0.01) and the presence of diabetes mellitus (beta = 0.179, p = 0.04) to have a significant and independent influence on aPWV. Conclusions: This study demonstrates that in hemodialysis patients, aPWV is significantly but negatively associated with the serum hemoglobin concentration, even after multiple adjustments for other covariates. Copyright (C) 2009 S.

Vis Neurosci 23:127-135] However, the mechanisms which limit the

Vis Neurosci 23:127-135]. However, the mechanisms which limit the frequency following through the APB sensitive and insensitive rod Off-pathways remain unknown. In the current study, whole-cell patch-clamp recordings were made from ganglion cells in dark and light adapted mouse retina to identify the mechanisms that limit the frequency following through the APB sensitive and insensitive rod Off-pathways. The results showed that the sites from All amacrine cells to Off cone

bipolar cells are PKC inhibitor the major mechanisms that limit the frequency following through the APB sensitive rod Off-pathway. In the APB insensitive rod Off-pathways, rods themselves limited the frequency following through these pathways. Moreover, ganglion cells were able to follow higher frequencies under photopic conditions than under scotopic conditions. The Off responses followed

lower frequencies than On responses under photopic conditions. This finding was observed in cells that yielded On or Off responses only as well as in On-Off cells. (C) 2009 IBRO. Published by Elsevier Ltd. All rights reserved.”
“A growing body of work has documented sex differences in many behavioral, neurochemical, and morphological responses to stress. Chronic stress alters morphology of dendrites in medial prefrontal cortex in male rats. However, potential sex differences in stress-induced selleck compound morphological changes in medial prefrontal cortex have not been examined. Thus, in Experiment 1 we assessed dendritic morphology in medial Tariquidar order prefrontal cortex in male and female rats after chronic stress. Male and female rats underwent either 3 hours of restraint daily for 1 week or were left unhandled except for weighing. On the final day of restraint, all rats were euthanized and

brains were stained using a Golgi-Cox procedure. Pyramidal neurons in layer II-III of medial prefrontal cortex were drawn in three dimensions, and morphology of apical and basilar arbors was quantified. In males, stress decreased apical dendritic branch number and length, whereas in females, stress increased apical dendritic length. In Experiment 2, we assessed whether estradiol mediates this stress-induced dendritic hypertrophy in females by assessing the effects of restraint stress on female rats that had received either ovariectomy with or without 17-beta-estradiol replacement or sham ovariectomy. Brains were processed and neurons reconstructed as described in Experiment 1. Both sham-operated and ovariectomized rats with estradiol implants showed stress-induced increases in apical dendritic material, whereas ovariectomy without estradiol replacement prevented the stress-induced increase.

Increased signal intensity in the SNc was apparently not influenc

Increased signal intensity in the SNc was apparently not influenced by iron deposition. Furthermore, a significant positive correlation between signal intensity and the density of neuromelanin-containing neurons was seen in the SNc.

Based on the direct correlation Gemcitabine molecular weight between postportem NmMRI and neuropathological findings,

signal intensity in the SNc is closely related to the quantity of neuromelanin-containing neurons but is not influenced by iron deposition.”
“Objectives: Lymph node metastasis is among the most important prognostic factors for patients with esophageal squamous cell carcinoma after curative esophagectomy; however, the extent of lymphadenectomy is still controversial. Selleck C59 wnt The objective of the present study was to determine the frequency of lymphatic metastases and to study the pattern of lymph node metastasis in a large study population.

Methods: The data from 1361 patients with thoracic esophageal squamous cell carcinoma who underwent curative R0 esophagectomy were retrospectively examined. Logistic regression analysis was used to identify the factors associated with lymph node metastasis.

Results:

Of the 1361 patients, 714 (52.5%) were found to have lymph node metastasis. The frequency of lymph node metastasis increased as the tumor invasion increased. Paratracheal nodes were the most frequent metastasis nodes (15.9%). most The frequency of lymph node metastasis was 9.8% in the neck, 18.0% in the upper mediastinum, 18.9% in the middle mediastinum, 11.8% in the lower mediastinum, and 28.4% in the abdomen. Of these 714 patients, 424 (31.2%) presented with 1 field involvement, 255 (18.7%) with 2 fields, and 35 (2.6%) with 3 fields involvement. Logistic regression analysis revealed tumor length (P < .001), tumor invasion (P < .001), tumor differentiation (P = .003), and lymphovascular invasion (P < .001) were risk factors for lymph node

metastasis. Tumor location (P < .001), tumor invasion (P = .003), lymphovascular invasion (P = .004), and paratracheal lymph node involvement (P = .002) were identified as risk factors for cervical lymph node metastasis.

Conclusions: Metastases were more frequent in the abdomen than in the neck. Total mediastinal and upper abdominal lymphadenectomy should be carefully conducted. Certain factors, such as tumor location, depth of tumor invasion, lymphovascular invasion, and paratracheal lymph node involvement, might be helpful in determining the need to perform cervical lymphadenectomy in individual patients. (J Thorac Cardiovasc Surg 2012; 144: 778-86)”
“Movement science faces the challenge of reconciling parallel sequences of discrete behavioral goals with observed fluid, context-sensitive motion. This challenge arises with a vengeance in the speech domain.

Analysis of different amphibian tryptophyllins revealed that PsT-

Analysis of different amphibian tryptophyllins revealed that PsT-1 exhibited a high degree of primary structural similarity to its homologs, PdT-1 and PdT-2, from the Mexican giant leaf frog, Pachymedusa dacnicolor. A synthetic replicate of PsT-1 was found to inhibit bradykinin-induced vasorelaxation of phenylephrine pre-constricted rat tail artery smooth muscle. It was also found that PsT-1 had an anti-proliferative effect on three different human prostate cancer cell lines (LNCaP/PC3/DU145), by use of an KIT assay coupled with direct cell counting

as measures of cell growth. These data indicate that PsT-1 is a likely bradykinin receptor antagonist and its biological effects are probably mediated through bradykinin receptors. As a BK antagonist, PST-1, with antagonistic R428 effects on BK in artery smooth muscle, inhibition of proliferation in prostate cancer cells and lack of undesirable side effects, may have potential in cardiovascular, inflammatory and anticancer therapy. (C) 2013 Elsevier B.V. All rights reserved.”
“Calcitonin gene-related peptide (CGRP) is a 37-amino acid neuropeptide derived from the calcitonin gene. CGRP is widely distributed in the central and peripheral neuronal systems. In the lung, CGRP could modulate dendritic cell function, stimulate proliferation of alveolar epithelial cells and mediate lung injury in mice. In this study, we investigated the effect of CGRP on the

wound healing of human bronchial epithelial AZD9291 datasheet cells (HBECs) in vitro. The results showed that CGRP accelerated the recovery of wound area of monolayer HBECs in a dose-dependent manner. CGRP inhibited

the lipopolysaccharide-induced apoptosis in HBECs. The percentage of S phase and G2/M phase was increased in HBECs after CGRP treatment. CGRP upregulated the expression of Ki67 in a dose-dependent manner. Some pathway inhibitors were used to investigate the signal pathway Oxalosuccinic acid in which CGRP was involved. We found out that PKC pathway inhibitor (H-7) and MAPK pathway inhibitor (PD98059) could partially attenuate the effect of CGRP, which indicated that CGRP might promote the wound healing of HBECs via PKC and/or MAPK dependent pathway by accelerating migration and proliferation, and inhibiting apoptosis. (C) 2013 Elsevier B.V. All rights reserved.”
“Background and aims: The ileocolonic brake is impaired in short bowel syndrome (SBS) patients with distal bowel resections. An attenuated meal-stimulated hormone secretion may cause gastric hypersecretion, rapid gastric and intestinal transit and a poor adaptation. Attempting to restore this ileocolonic brake, this study evaluated the acute effects of continuous intravenous administration of glucagon-like peptide (GLP) 1 and 2, alone or in combination, on gastrointestinal function in SBS patients.

Methods: SBS patients were admitted 4 times for identical 72-h balance studies, where infusions (1 pmol/kg/min) of GLP-1, placebo (saline), GLP-2 and GLP-1 + 2 (1 pmol/kg/min of each), were provided.

Comparisons were also made between localities with high (23% of c

Comparisons were also made between localities with high (23% of carotid procedures being selleck CAS) and lower (9% of carotid procedures being CAS) adoption rates of carotid stents during the coverage era.

Results: There were

no significant differences in 90-day mortality (2.2% vs; 2.2%; P = .79), 90-day combined outcomes (4.5% vs 4.3%; P = .13), or 270-day mortality (4.8% vs 4.6%; P = .17) between the coverage and pre-coverage eras, but there were more 270-day combined outcomes in the coverage era (7.7% vs 7.3%; P = .03). In localities with higher adoption of carotid stents, there was higher 90-day mortality (adjusted odds ratio [OR] 1.15; P = .16), 90-day combined outcomes (OR = 1.17; P = selleck chemical .03), 270-day mortality (OR = 1.13; P = .07), and 270-day combined outcomes (OR = 1.10; P = .09) in the coverage era. There were no differences in event rates between eras in areas with lower carotid stent adoption.

Conclusion: The adoption of carotid

stents for treatment of carotid stenosis was associated with increased rates of adverse clinical outcomes after carotid revascularization. (J Vasc Surg 2009;50:1040-8.)”
“OBJECTIVE: Stereotactic radiosurgery (SRS) of meningiomas is associated with posttreatment peritumoral edema (PTE). The purpose of this study was to evaluate the prevalence and risk factors of post-SRS PTE for intracranial meningiomas.

METHODS: A total of 163 patients with 182 meningiomas treated with SRS were retrospectively reviewed. Tumors were divided into 4 pre-SRS groups according to whether they had undergone previous surgery and whether they had preexisting PTE. Several risk

factors were investigated by univariate and multivariate analysis in all tumors, tumors without previous surgery, tumors without preexisting PTE, and preexisting PTE.

RESULTS: Of 182 tumors, 45 (24.7%) developed post-SRS PTE. Compared with tumors without preexisting PTE, the odds of developing post-SRS PTE in tumors with preexisting PTE were 6.0 times higher in all tumors, and 6.9 times higher in tumors without previous surgery. A 1-cm(2) increase in tumor-brain contact interface area increased the odds of developing post-SRS PTE by 17% in all tumors, 16% in tumors without previous surgery, and 26% in tumors without preexisting PTE. Of 118 tumors without previous surgery, 13 had preexisting PTE, www.selleck.cn/products/selonsertib-gs-4997.html the existence of which had a significant relationship to both tumor-brain contact interface area and tumor volume.

CONCLUSION: Post-SRS PTE is common in patients with meningioma. Tumor-brain contact interface area and preexisting PTE were the most significant risk factors for post-SRS PTE. Tumor volume and tumor-brain contact interface area were significant risk factors for the development of preexisting PTE.”
“Background The aim of this study was to determine the risk factors for conversion from a normal to either a low or high ankle-brachial index (ABI).

Methods.

Multivariate analysis was performed to assess the relationships

Multivariate analysis was performed to assess the relationships

between preoperative presence of metabolic syndrome and postoperative outcomes.

Results: Metabolic syndrome was present in 551 (46.6%) patients and absent in 632 (53.4%). Postoperative stroke occurred in 4.7% of patients with metabolic syndrome and 2.1% of patients without metabolic syndrome (P < .0001). Postoperative acute renal failure occurred in 3.8% of patients with metabolic syndrome and 1.1% of patients without metabolic syndrome. On multivariate analysis, metabolic syndrome had odds ratios of 2.47 (95% confidence interval 1.22-4.99; P = .012) for postoperative Selleck PU-H71 stroke and 3.81 (95% confidence interval 1.42-10.3; P = .008) for postoperative acute renal failure.

Conclusions: This study showed the clinical importance of metabolic syndrome with respect to postoperative stroke and acute renal failure in patients having coronary artery bypass grafting. Like many established risk factors for postoperative complications, metabolic syndrome should be recognized as a novel risk factor for adverse events.”
“Objective: Endoscopic thoracic sympathectomy is performed to treat primary hyperhidrosis. The second and third sympathetic thoracic ganglia excised also innervate the heart. Some studies have shown decreased heart rate but have not been conclusive regarding other cardiac

effects of sympathectomy. We studied the cardiac autonomic SHP099 supplier effects of endoscopic thoracic sympathectomy in a group of patients with primary hyperhidrosis. Heart rate variability is a simple, noninvasive electrocardiographic marker reflecting the activity and balance of the sympathetic and vagal components of the autonomous nervous system.

Methods: We performed a prospective study in 38 patients with primary hyperhidrosis with 24-hour Holter recordings obtained before endoscopic thoracic sympathectomy and 6 months later.

Results: We found statistically significant differences (P < .05) in

THZ1 ic50 both time and frequency domains. Parameters that evaluate global cardiac autonomic activity (total power, SD of normal R-R intervals, SD of average normal RR intervals) and vagal activity (rhythm corresponding to percentage of normal R-R intervals with cycle greater than 50 ms relative to previous interval, square root of mean squared differences of successive normal R-R intervals, high-frequency power, high-frequency power in normalized units) were statistically significantly increased after sympathectomy. Low-frequency power in normalized units, reflecting sympathetic activity, was statistically significantly decreased after sympathectomy. Low-/high-frequency power ratio also showed a significant decrease, indicating relative decrease in sympathetic activity and increase in vagal activity.

, 2009) Therefore, we hypothesized that PD patients would have d

, 2009). Therefore, we hypothesized that PD patients would have difficulty switching from one saccade response to the other, with particular impairment in switching from a pro to an antisaccade. Here, we not only confirmed this prediction, but also showed that PD patients performed better than controls in switching from an anti to a prosaccade. This

suggests that task switching deficits in PD are particularly pronounced when more automatic behavior needs to be overridden with alternative behavior. We suggest that this Paclitaxel mw occurs primarily at the level of establishing the appropriate task set, which is an internalized rule that governs how to respond. (C) 2010 Elsevier Ltd. All rights reserved.”
“Placebo has been shown to be a powerful analgesic with corresponding reduction in the activation

of the pain matrix in the brain. However, the response to placebo treatment is highly variable. It is unclear how anticipatory and pain-evoked potentials are affected by the treatment and how reproducible the response is. Laser stimulation was used to induce moderate pain in healthy volunteers. We induced placebo analgesia by conditioning subjects to expect see more pain reduction by applying a sham anaesthetic cream on one arm in conjunction with a reduced laser stimulus. Pain ratings were assessed before, during and after treatment. Using lectroencephalography (EEG) we measured anticipatory neural responses and pain-evoked potentials to laser heat to determine how expectation of analgesia affected the response to a placebo manipulation. This was a reproducibility study JQ-EZ-05 and as such the experimental procedure was repeated after a minimum gap of 2 weeks. Significant reductions in pain-evoked potentials were shown after treatment.

The anticipatory responses did not change after treatment for the control and sham-treatment groups in the first session but were significantly lower in the repeat session relative to the first session in the sham-treatment group only. A significant correlation was found between the reduction in state anxiety in the repeat session relative to the first and the reduction in the anticipatory response in the sham-treatment group. Receiving a placebo treatment appears to cause a lasting change in the cognitive processing of pain for at least 6 weeks. This cognitive change may be facilitated by a change in state anxiety. (C) 2010 Elsevier Ltd. All rights reserved.”
“We used event-related potentials (ERPs) to examine the time-course of processing metaphorical and literal sentences in the brain. ERPs were measured to sentence-final (Experiment 1) and mid-sentence (Experiment 2) critical words (CWs) as participants read and made plausibility judgments about familiar nominal metaphors (“”A is a B”") as well as literal and semantically anomalous sentences of the same form.

5% (w/v) sodium lauroyl sarcosinate as solubilizing agent and sub

5% (w/v) sodium lauroyl sarcosinate as solubilizing agent and subsequent purification by affinity chromatography using a glutathione agarose column. The removal of the GST tag by Factor Xa enzymatic cleavage and purification by HPLC yielded as much as similar to 7 mg and similar to 1.5 Batimastat mg of unlabeled A beta(1-40) and uniformly N-15- and/or C-13-protein A beta(1-40) from 1 L of the cell culture, respectively. Mass spectroscopy of unlabeled and labeled A beta and H-1/N-15 HSQC solution NMR spectrum of the obtained N-15-labeled A beta in the monomeric form confirmed the expression of native A beta(1-40). It was also confirmed

by electron micrography and solid-state NMR analysis that the purified A beta(1-40) self-assembles into beta-sheet rich amyloid fibrils. To the best of our knowledge, our protocol offers the highest yields among published protocols for production of recombinant A beta(1-40) samples that are amendable for an NMR-based structural analysis. The protocol may be applied to efficient preparation of other amyloid-forming proteins and peptides that are C-13- and N-15-labeled for NMR experiments. (C) 2011

Elsevier Inc. All rights reserved.”
“Barnacles, which are sedentary XAV 939 marine crustaceans, have diverse sexual systems that include simultaneous hermaphroditism, androdioecy (coexistence of hermaphrodites and males) and dioecy (females and males). In dioecious and androdioecious species, the males are very small and are thus called dwarf males. These sexual systems are defined by two factors: sex allocation of non-dwarf individuals and the presence or absence of dwarf males. We constructed an ESS model treating sex allocation see more and life history simultaneously to explain sexual systems in barnacles. We analyzed the evolutionarily stable size-dependent resource allocation strategy to male reproductive function, female reproductive function and growth in non-dwarf barnacles, and the ESS proportion of dwarf males, under conditions

of varying mortality and food availability. Sex allocation in non-dwarf individuals (hermaphrodites or females) is affected by mate availability and the proportion of dwarf males. When hermaphrodites appear, all hermaphrodites become protandric simultaneous hermaphrodites. Furthermore, high mortality and poor resource availability favor dwarf males because of their early maturation and weakened sperm competition. In conclusion, we showed that combining sex allocation and life history theories is a useful way to understand various sexual systems in barnacles and perhaps in other organisms as well. (c) 2012 Elsevier Ltd. All rights reserved.”
“Membrane-bound pyrophosphatases (M-PPases) are enzymes that couple the hydrolysis of inorganic pyrophosphate to pumping of protons or sodium ions.

60 min rotenone (0 1-10 mu M) pretreatment decreased dopamine con

60 min rotenone (0.1-10 mu M) pretreatment decreased dopamine content and [H-3]dopamine uptake, as well as ATP level and energy charge of the slices.

In addition, a robust potentiation of H2O2-evoked [H-3]dopamine AP26113 mouse efflux and the formation of dopamine quinone in the effluent was detected. L-DOPA (200 mu M) markedly elevated resting but not 100 mu M H2O2-evoked and electrically-induced [H-3]dopamine efflux. Furthermore, L-DOPA promoted the formation of dopamine quinone. Ropinirole (100 nM) did not affect resting and H2O2-evoked [H-3]dopamine efflux and inhibited the electrically evoked release only in untreated slices. L-deprenyl, at concentration of 0.01 mu M potentiated, Selleckchem Vorinostat whilst between 1 and 50 mu M diminished

H2O2-evoked [H-3]dopamine efflux. Rasagiline (0.01-50 mu M) slightly inhibited H2O2-evoked [H-3]dopamine efflux, and it was able to prevent the generation of dopamine quinone. Neither of the drugs was able to suppress both the pathological H2O2-evoked [H-3]dopamine efflux and the formation of dopamine quinone with simultaneous augmentation of electrically evoked [H-3]dopamine release what should be a future concept of antiparkinsonian drug-design. (C) 2009 Elsevier Ltd. All rights reserved.”
“We introduce and analyse a simple model for two non-excitable cells that are dynamically coupled by a gap junction, a plaque of https://www.selleck.cn/products/ag-881.html aqueous channels that electrically couple the cells. The gap junction channels have a low and high conductance

state, and the transition rates between these states are voltage dependent. We show that the number and stability of steady states of the system has a simple relationship with the determinant of the Jacobian matrix. For the case that channel opening rates decrease with increasing trans-junctional voltage, and closing rates increase with increasing trans-junctional voltage, we show that the system is monotone, with tridiagonal Jacobian matrix, and hence every initial condition evolves to a steady state, but that there may be multiple steady states. (C) 2009 Elsevier Ltd. All rights reserved.”
“Orexin knockout (KO) mice and orexin/ataxin-3 mice (which have a different pathophysiological background in orexin deficiency) exhibit a phenotype that is similar to human narcolepsy. Although the interactions between the monoaminergic and orexinergic systems are not entirely clear, indirect monoamine-receptor agonists (especially psychostimulants) may contribute to the treatment of narcolepsy. The present study was designed to investigate the interaction between brain orexinergic and monoaminergic neurons as measured by the status of monoaminergic systems and monoamine-related behaviors using orexin-deficient mice.

Notwithstanding the poor information available on buffalo genome,

Notwithstanding the poor information available on buffalo genome, Poziotinib supplier identification of protein isoforms corresponding to 72 genes was achieved by a combined approach based on 2-DE/MALDI-TOF PMF and 1-DE/mu LC-ESI-IT-MS-MS.

Major protein components, i.e. alpha(-)(S1), alpha(-)(S2), beta(-), kappa-caseins, alpha-lactalbumin and beta-lactoglobulin, were characterized for PTM, providing a scientific basis to coagulation/cheese making processes used in dairy productions. Minor proteins detected emphasized the multiple functions of milk, which besides affording nutrition to the newborn through its major components, also promotes development and digestive tract protection in the neonate, and ensures optimal mammary gland function in the mother. Defense against pathogens is guaranteed by an arsenal of antimicrobial/immunomodulatory proteins, which are directly released in milk or occur on the surface of secreted milk-lipid droplets. Proteins associated with cell signaling or membrane/protein trafficking functions were also identified, providing putative insights into major secretory pathways in mammary epithelial cells.”
“BACKGROUND: The yield of repeat catheter angiography in patients with subarachnoid hemorrhage

(SAH) who have negative initial catheter and computed tomography (CT) angiograms is not well understood.

OBJECTIVE: To determine the yield of repeat catheter angiography in a prospective cohort of patients with SAH and negative initial catheter and CT angiograms.

METHODS: From January 1, 2005, Entinostat mw until September 1, 2010, we instituted a prospective protocol in which patients with SAH documented Pritelivir ic50 by noncontrast CT (NCCT) or cerebrospinal fluid (CSF) xanthochromia and negative initial catheter and CT angiograms were evaluated with repeat catheter angiography 7 days and 3 months after presentation to assess for causative vascular abnormalities.

RESULTS: Seventy-two patients were included, with a mean age of 53.1 years (median, 53.5 years; range, 19-88 years). Forty-six

patients were female (63.9%) and 26 male (36.1%). Thirty-nine patients had nonperimesencephalic SAH (54.2%), 29 patients had perimesencephalic SAH (40.3%), and 4 patients had CSF xanthochromia (5.5%). The first repeat catheter angiogram performed 7 days after presentation demonstrated a causative vascular abnormality in 3 patients (yield of 4.2%), 2 of which had nonperimesencephalic SAH (yield of 5.1%), and 1 had perimesencephalic SAH (yield of 3.4%). The second repeat catheter angiogram performed in 43 patients (59.7%) did not demonstrate any causative vascular abnormalities. No causative abnormalities were found in patients with CSF xanthochromia.

CONCLUSION: Repeat catheter angiography performed 7 days after presentation is valuable in the evaluation of patients with SAH who have negative initial catheter and CT angiograms, demonstrating a causative vascular abnormality in 4.2% of patients.