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SIRSSd da Resposta Inflamatoacuteria Sistecircmica
Trata-se de grave causa de mortalidade em UTI condicionando disfunccedilatildeo sistecircmica colapsando
muacuteltiplos oacutergatildeos `a partir de resposta imunoloacutegica a agente infeccioso reconhecido (SEPSE) ou natildeo
American College of Chest PhysiciansSociety of Critical Care Medicine (1992) Crit Care Med 20 864ndash874
Stechmiller JK Treloar D and Allen N (1997) Am J Crit Care 6 204ndash209
Satildeo reconhecidas formas mais frequumlentes de desencadeamento o Trauma Grave pancreatite e Cacircncer na ausecircncia de infecccedilatildeo
These markers include cell adhesion molecules such as intercellular adhesion molecule-1 (ICAM-1) and selectins cytokines such as tumour necrosis factor alpha (TNF-1048577) and interleukin 6 (IL-6) chemokines such as IL-
8 and C-reactive protein (CRP)
SAOS e Ativaccedilatildeo da Inflamaccedilatildeo
Liberaccedilatildeo de Proteases
Moleacuteculas de Adesatildeo -- ICAM-1 e selectinas
SIRSO Sistema Imunoloacutegico Inato proporciona
combate imediato a insultos toacutexicos mediado por ceacutelulas fagociacuteticas e por
moleacuteculas de defesa incluindo receptores transmembrana reconhecedores de
padrotildees (PRR)
SIRS Sd da Resposta Inflamatoacuteria Sistecircmica
Resulta da amplificaccedilatildeoreverberaccedilatildeo de resposta imunoloacutegica desencadeando disfunccedilatildeo sistecircmica podendo evoluir para colapso de muacuteltiplos oacutergatildeos
Polymorphisms in Toll-like receptor 4 and the systemic inflammatory response syndrome NJA Child IA Yang 652 Biochemical Society Transactions (2003) Volume 31 part 3
SIRSDentre os PRR temos um importante receptor o TLR4 (Receptor Tipo Toll) um homodiacutemero em que se ligam LPS da membrana de bacteacuterias gram negativas cuja ativaccedilatildeo parece ser responsaacutevel
pela SIRS
Produtos de degradaccedilatildeo por Proteases (Trauma Infecccedilatildeo e Inflamaccedilatildeo pH - heparanase plaquetaacuteria) do Proteoglican
Sulfato de Heparan contribuem para sinalizar a
SIRS atraveacutes do TLR4
TLR4 pode ser ativado por Elastase (Marcador)
pancreaacutetica e neutrofiacutelica indutoras de Sulfato de
Heparan levando a SIRS e ARDS
RECEPTORES TIPO TOLL
SIRS e Reserva Funcional Vasomotora
CO2 10-14h
iNOs
Citoquinas 8-10h
Vasodilataccedilatildeo Microcirculatoacuteria Residual
+
+
Martin NA Patwardhan RV Alexander MJ Africk CZ Lee JH Shalmon E Hovda DA Becker DP (1997) Characterization of cerebral hemodynamic phases following severe head trauma hypoperfusion hyperemia and vasospasm J Neurosurg 879ndash19
Wong ML Rettori V al Shekhlee A Bongiorno PB Canteros G McCann SM Gold PW Licinio J (1996) Inducible nitric oxide synthase gene expression in the brain during systemic inflammation Nat Med 2581ndash584
SIRSFatores de piora ou resoluccedilatildeo podem se relacionar a SNP no Asp 299-- Gly Casos com evoluccedilatildeo fatal se relacionam a este polimorfismo que diminui a concentraccedilatildeo
de TLR4 nos tecidos A eficiecircncia da moleacutecula hiperativada tambeacutem parece ser
nociva
SIRS sem infecccedilatildeo
TVC
Siacutendrome da Resposta Inflamatoacuteria Sistecircmica
SIRS sem infecccedilatildeo
AVCI grave
Grau AJ Buggle F Ziegler C Schwarz W Meuser J Tasman A-J Buumlhler A Benesch C Becher H Hacke W Association between acute cerebrovascular ischemia and chronic and recurrent infection Stroke 1997281724-1729
SIRS sem infecccedilatildeo
TVC
SIRS sem infecccedilatildeo
HSA
Y Yoshimoto Y Tanaka K Hoya Acute Systemic Inflammatory Response Syndrome in Subarachnoid Hemorrhage J Neurol Neurosurh 18(2) June 8 2001
Vasoespasmo grave
AVC E FENOcircMENO INFLAMATOacuteRIO
SIRS
Name RZ gender - female age 46 years medical record No 8253 Systemic clinical diagnosis - Central vestibular syndrome- Leucoaraiosis- Dyslipidemia- Systolic hypertension- Angina pectoris
Fatores de piora do Prognoacutestico
Name SI gender - male age 47 years medical record No 8985 Systemic clinical diagnosis - Recurrent ischemic stroke- Right side cerebellum infarction- Atheromatosis of carotid artery system- Old septal myocardial infarction- Sinus bradycardia- Mixed dyslipidemia- Transient ischemic attack in vertebralbasilar artery system
These markers include cell adhesion molecules such as intercellular adhesion molecule-1 (ICAM-1) and selectins cytokines such as tumour necrosis factor alpha (TNF-1048577) and interleukin 6 (IL-6) chemokines such as IL-
8 and C-reactive protein (CRP)
SAOS e Ativaccedilatildeo da Inflamaccedilatildeo
Liberaccedilatildeo de Proteases
Moleacuteculas de Adesatildeo -- ICAM-1 e selectinas
SIRSO Sistema Imunoloacutegico Inato proporciona
combate imediato a insultos toacutexicos mediado por ceacutelulas fagociacuteticas e por
moleacuteculas de defesa incluindo receptores transmembrana reconhecedores de
padrotildees (PRR)
SIRS Sd da Resposta Inflamatoacuteria Sistecircmica
Resulta da amplificaccedilatildeoreverberaccedilatildeo de resposta imunoloacutegica desencadeando disfunccedilatildeo sistecircmica podendo evoluir para colapso de muacuteltiplos oacutergatildeos
Polymorphisms in Toll-like receptor 4 and the systemic inflammatory response syndrome NJA Child IA Yang 652 Biochemical Society Transactions (2003) Volume 31 part 3
SIRSDentre os PRR temos um importante receptor o TLR4 (Receptor Tipo Toll) um homodiacutemero em que se ligam LPS da membrana de bacteacuterias gram negativas cuja ativaccedilatildeo parece ser responsaacutevel
pela SIRS
Produtos de degradaccedilatildeo por Proteases (Trauma Infecccedilatildeo e Inflamaccedilatildeo pH - heparanase plaquetaacuteria) do Proteoglican
Sulfato de Heparan contribuem para sinalizar a
SIRS atraveacutes do TLR4
TLR4 pode ser ativado por Elastase (Marcador)
pancreaacutetica e neutrofiacutelica indutoras de Sulfato de
Heparan levando a SIRS e ARDS
RECEPTORES TIPO TOLL
SIRS e Reserva Funcional Vasomotora
CO2 10-14h
iNOs
Citoquinas 8-10h
Vasodilataccedilatildeo Microcirculatoacuteria Residual
+
+
Martin NA Patwardhan RV Alexander MJ Africk CZ Lee JH Shalmon E Hovda DA Becker DP (1997) Characterization of cerebral hemodynamic phases following severe head trauma hypoperfusion hyperemia and vasospasm J Neurosurg 879ndash19
Wong ML Rettori V al Shekhlee A Bongiorno PB Canteros G McCann SM Gold PW Licinio J (1996) Inducible nitric oxide synthase gene expression in the brain during systemic inflammation Nat Med 2581ndash584
SIRSFatores de piora ou resoluccedilatildeo podem se relacionar a SNP no Asp 299-- Gly Casos com evoluccedilatildeo fatal se relacionam a este polimorfismo que diminui a concentraccedilatildeo
de TLR4 nos tecidos A eficiecircncia da moleacutecula hiperativada tambeacutem parece ser
nociva
SIRS sem infecccedilatildeo
TVC
Siacutendrome da Resposta Inflamatoacuteria Sistecircmica
SIRS sem infecccedilatildeo
AVCI grave
Grau AJ Buggle F Ziegler C Schwarz W Meuser J Tasman A-J Buumlhler A Benesch C Becher H Hacke W Association between acute cerebrovascular ischemia and chronic and recurrent infection Stroke 1997281724-1729
SIRS sem infecccedilatildeo
TVC
SIRS sem infecccedilatildeo
HSA
Y Yoshimoto Y Tanaka K Hoya Acute Systemic Inflammatory Response Syndrome in Subarachnoid Hemorrhage J Neurol Neurosurh 18(2) June 8 2001
Vasoespasmo grave
AVC E FENOcircMENO INFLAMATOacuteRIO
SIRS
Name RZ gender - female age 46 years medical record No 8253 Systemic clinical diagnosis - Central vestibular syndrome- Leucoaraiosis- Dyslipidemia- Systolic hypertension- Angina pectoris
Fatores de piora do Prognoacutestico
Name SI gender - male age 47 years medical record No 8985 Systemic clinical diagnosis - Recurrent ischemic stroke- Right side cerebellum infarction- Atheromatosis of carotid artery system- Old septal myocardial infarction- Sinus bradycardia- Mixed dyslipidemia- Transient ischemic attack in vertebralbasilar artery system
SIRSO Sistema Imunoloacutegico Inato proporciona
combate imediato a insultos toacutexicos mediado por ceacutelulas fagociacuteticas e por
moleacuteculas de defesa incluindo receptores transmembrana reconhecedores de
padrotildees (PRR)
SIRS Sd da Resposta Inflamatoacuteria Sistecircmica
Resulta da amplificaccedilatildeoreverberaccedilatildeo de resposta imunoloacutegica desencadeando disfunccedilatildeo sistecircmica podendo evoluir para colapso de muacuteltiplos oacutergatildeos
Polymorphisms in Toll-like receptor 4 and the systemic inflammatory response syndrome NJA Child IA Yang 652 Biochemical Society Transactions (2003) Volume 31 part 3
SIRSDentre os PRR temos um importante receptor o TLR4 (Receptor Tipo Toll) um homodiacutemero em que se ligam LPS da membrana de bacteacuterias gram negativas cuja ativaccedilatildeo parece ser responsaacutevel
pela SIRS
Produtos de degradaccedilatildeo por Proteases (Trauma Infecccedilatildeo e Inflamaccedilatildeo pH - heparanase plaquetaacuteria) do Proteoglican
Sulfato de Heparan contribuem para sinalizar a
SIRS atraveacutes do TLR4
TLR4 pode ser ativado por Elastase (Marcador)
pancreaacutetica e neutrofiacutelica indutoras de Sulfato de
Heparan levando a SIRS e ARDS
RECEPTORES TIPO TOLL
SIRS e Reserva Funcional Vasomotora
CO2 10-14h
iNOs
Citoquinas 8-10h
Vasodilataccedilatildeo Microcirculatoacuteria Residual
+
+
Martin NA Patwardhan RV Alexander MJ Africk CZ Lee JH Shalmon E Hovda DA Becker DP (1997) Characterization of cerebral hemodynamic phases following severe head trauma hypoperfusion hyperemia and vasospasm J Neurosurg 879ndash19
Wong ML Rettori V al Shekhlee A Bongiorno PB Canteros G McCann SM Gold PW Licinio J (1996) Inducible nitric oxide synthase gene expression in the brain during systemic inflammation Nat Med 2581ndash584
SIRSFatores de piora ou resoluccedilatildeo podem se relacionar a SNP no Asp 299-- Gly Casos com evoluccedilatildeo fatal se relacionam a este polimorfismo que diminui a concentraccedilatildeo
de TLR4 nos tecidos A eficiecircncia da moleacutecula hiperativada tambeacutem parece ser
nociva
SIRS sem infecccedilatildeo
TVC
Siacutendrome da Resposta Inflamatoacuteria Sistecircmica
SIRS sem infecccedilatildeo
AVCI grave
Grau AJ Buggle F Ziegler C Schwarz W Meuser J Tasman A-J Buumlhler A Benesch C Becher H Hacke W Association between acute cerebrovascular ischemia and chronic and recurrent infection Stroke 1997281724-1729
SIRS sem infecccedilatildeo
TVC
SIRS sem infecccedilatildeo
HSA
Y Yoshimoto Y Tanaka K Hoya Acute Systemic Inflammatory Response Syndrome in Subarachnoid Hemorrhage J Neurol Neurosurh 18(2) June 8 2001
Vasoespasmo grave
AVC E FENOcircMENO INFLAMATOacuteRIO
SIRS
Name RZ gender - female age 46 years medical record No 8253 Systemic clinical diagnosis - Central vestibular syndrome- Leucoaraiosis- Dyslipidemia- Systolic hypertension- Angina pectoris
Fatores de piora do Prognoacutestico
Name SI gender - male age 47 years medical record No 8985 Systemic clinical diagnosis - Recurrent ischemic stroke- Right side cerebellum infarction- Atheromatosis of carotid artery system- Old septal myocardial infarction- Sinus bradycardia- Mixed dyslipidemia- Transient ischemic attack in vertebralbasilar artery system
SIRS Sd da Resposta Inflamatoacuteria Sistecircmica
Resulta da amplificaccedilatildeoreverberaccedilatildeo de resposta imunoloacutegica desencadeando disfunccedilatildeo sistecircmica podendo evoluir para colapso de muacuteltiplos oacutergatildeos
Polymorphisms in Toll-like receptor 4 and the systemic inflammatory response syndrome NJA Child IA Yang 652 Biochemical Society Transactions (2003) Volume 31 part 3
SIRSDentre os PRR temos um importante receptor o TLR4 (Receptor Tipo Toll) um homodiacutemero em que se ligam LPS da membrana de bacteacuterias gram negativas cuja ativaccedilatildeo parece ser responsaacutevel
pela SIRS
Produtos de degradaccedilatildeo por Proteases (Trauma Infecccedilatildeo e Inflamaccedilatildeo pH - heparanase plaquetaacuteria) do Proteoglican
Sulfato de Heparan contribuem para sinalizar a
SIRS atraveacutes do TLR4
TLR4 pode ser ativado por Elastase (Marcador)
pancreaacutetica e neutrofiacutelica indutoras de Sulfato de
Heparan levando a SIRS e ARDS
RECEPTORES TIPO TOLL
SIRS e Reserva Funcional Vasomotora
CO2 10-14h
iNOs
Citoquinas 8-10h
Vasodilataccedilatildeo Microcirculatoacuteria Residual
+
+
Martin NA Patwardhan RV Alexander MJ Africk CZ Lee JH Shalmon E Hovda DA Becker DP (1997) Characterization of cerebral hemodynamic phases following severe head trauma hypoperfusion hyperemia and vasospasm J Neurosurg 879ndash19
Wong ML Rettori V al Shekhlee A Bongiorno PB Canteros G McCann SM Gold PW Licinio J (1996) Inducible nitric oxide synthase gene expression in the brain during systemic inflammation Nat Med 2581ndash584
SIRSFatores de piora ou resoluccedilatildeo podem se relacionar a SNP no Asp 299-- Gly Casos com evoluccedilatildeo fatal se relacionam a este polimorfismo que diminui a concentraccedilatildeo
de TLR4 nos tecidos A eficiecircncia da moleacutecula hiperativada tambeacutem parece ser
nociva
SIRS sem infecccedilatildeo
TVC
Siacutendrome da Resposta Inflamatoacuteria Sistecircmica
SIRS sem infecccedilatildeo
AVCI grave
Grau AJ Buggle F Ziegler C Schwarz W Meuser J Tasman A-J Buumlhler A Benesch C Becher H Hacke W Association between acute cerebrovascular ischemia and chronic and recurrent infection Stroke 1997281724-1729
SIRS sem infecccedilatildeo
TVC
SIRS sem infecccedilatildeo
HSA
Y Yoshimoto Y Tanaka K Hoya Acute Systemic Inflammatory Response Syndrome in Subarachnoid Hemorrhage J Neurol Neurosurh 18(2) June 8 2001
Vasoespasmo grave
AVC E FENOcircMENO INFLAMATOacuteRIO
SIRS
Name RZ gender - female age 46 years medical record No 8253 Systemic clinical diagnosis - Central vestibular syndrome- Leucoaraiosis- Dyslipidemia- Systolic hypertension- Angina pectoris
Fatores de piora do Prognoacutestico
Name SI gender - male age 47 years medical record No 8985 Systemic clinical diagnosis - Recurrent ischemic stroke- Right side cerebellum infarction- Atheromatosis of carotid artery system- Old septal myocardial infarction- Sinus bradycardia- Mixed dyslipidemia- Transient ischemic attack in vertebralbasilar artery system
SIRSDentre os PRR temos um importante receptor o TLR4 (Receptor Tipo Toll) um homodiacutemero em que se ligam LPS da membrana de bacteacuterias gram negativas cuja ativaccedilatildeo parece ser responsaacutevel
pela SIRS
Produtos de degradaccedilatildeo por Proteases (Trauma Infecccedilatildeo e Inflamaccedilatildeo pH - heparanase plaquetaacuteria) do Proteoglican
Sulfato de Heparan contribuem para sinalizar a
SIRS atraveacutes do TLR4
TLR4 pode ser ativado por Elastase (Marcador)
pancreaacutetica e neutrofiacutelica indutoras de Sulfato de
Heparan levando a SIRS e ARDS
RECEPTORES TIPO TOLL
SIRS e Reserva Funcional Vasomotora
CO2 10-14h
iNOs
Citoquinas 8-10h
Vasodilataccedilatildeo Microcirculatoacuteria Residual
+
+
Martin NA Patwardhan RV Alexander MJ Africk CZ Lee JH Shalmon E Hovda DA Becker DP (1997) Characterization of cerebral hemodynamic phases following severe head trauma hypoperfusion hyperemia and vasospasm J Neurosurg 879ndash19
Wong ML Rettori V al Shekhlee A Bongiorno PB Canteros G McCann SM Gold PW Licinio J (1996) Inducible nitric oxide synthase gene expression in the brain during systemic inflammation Nat Med 2581ndash584
SIRSFatores de piora ou resoluccedilatildeo podem se relacionar a SNP no Asp 299-- Gly Casos com evoluccedilatildeo fatal se relacionam a este polimorfismo que diminui a concentraccedilatildeo
de TLR4 nos tecidos A eficiecircncia da moleacutecula hiperativada tambeacutem parece ser
nociva
SIRS sem infecccedilatildeo
TVC
Siacutendrome da Resposta Inflamatoacuteria Sistecircmica
SIRS sem infecccedilatildeo
AVCI grave
Grau AJ Buggle F Ziegler C Schwarz W Meuser J Tasman A-J Buumlhler A Benesch C Becher H Hacke W Association between acute cerebrovascular ischemia and chronic and recurrent infection Stroke 1997281724-1729
SIRS sem infecccedilatildeo
TVC
SIRS sem infecccedilatildeo
HSA
Y Yoshimoto Y Tanaka K Hoya Acute Systemic Inflammatory Response Syndrome in Subarachnoid Hemorrhage J Neurol Neurosurh 18(2) June 8 2001
Vasoespasmo grave
AVC E FENOcircMENO INFLAMATOacuteRIO
SIRS
Name RZ gender - female age 46 years medical record No 8253 Systemic clinical diagnosis - Central vestibular syndrome- Leucoaraiosis- Dyslipidemia- Systolic hypertension- Angina pectoris
Fatores de piora do Prognoacutestico
Name SI gender - male age 47 years medical record No 8985 Systemic clinical diagnosis - Recurrent ischemic stroke- Right side cerebellum infarction- Atheromatosis of carotid artery system- Old septal myocardial infarction- Sinus bradycardia- Mixed dyslipidemia- Transient ischemic attack in vertebralbasilar artery system
RECEPTORES TIPO TOLL
SIRS e Reserva Funcional Vasomotora
CO2 10-14h
iNOs
Citoquinas 8-10h
Vasodilataccedilatildeo Microcirculatoacuteria Residual
+
+
Martin NA Patwardhan RV Alexander MJ Africk CZ Lee JH Shalmon E Hovda DA Becker DP (1997) Characterization of cerebral hemodynamic phases following severe head trauma hypoperfusion hyperemia and vasospasm J Neurosurg 879ndash19
Wong ML Rettori V al Shekhlee A Bongiorno PB Canteros G McCann SM Gold PW Licinio J (1996) Inducible nitric oxide synthase gene expression in the brain during systemic inflammation Nat Med 2581ndash584
SIRSFatores de piora ou resoluccedilatildeo podem se relacionar a SNP no Asp 299-- Gly Casos com evoluccedilatildeo fatal se relacionam a este polimorfismo que diminui a concentraccedilatildeo
de TLR4 nos tecidos A eficiecircncia da moleacutecula hiperativada tambeacutem parece ser
nociva
SIRS sem infecccedilatildeo
TVC
Siacutendrome da Resposta Inflamatoacuteria Sistecircmica
SIRS sem infecccedilatildeo
AVCI grave
Grau AJ Buggle F Ziegler C Schwarz W Meuser J Tasman A-J Buumlhler A Benesch C Becher H Hacke W Association between acute cerebrovascular ischemia and chronic and recurrent infection Stroke 1997281724-1729
SIRS sem infecccedilatildeo
TVC
SIRS sem infecccedilatildeo
HSA
Y Yoshimoto Y Tanaka K Hoya Acute Systemic Inflammatory Response Syndrome in Subarachnoid Hemorrhage J Neurol Neurosurh 18(2) June 8 2001
Vasoespasmo grave
AVC E FENOcircMENO INFLAMATOacuteRIO
SIRS
Name RZ gender - female age 46 years medical record No 8253 Systemic clinical diagnosis - Central vestibular syndrome- Leucoaraiosis- Dyslipidemia- Systolic hypertension- Angina pectoris
Fatores de piora do Prognoacutestico
Name SI gender - male age 47 years medical record No 8985 Systemic clinical diagnosis - Recurrent ischemic stroke- Right side cerebellum infarction- Atheromatosis of carotid artery system- Old septal myocardial infarction- Sinus bradycardia- Mixed dyslipidemia- Transient ischemic attack in vertebralbasilar artery system
SIRS e Reserva Funcional Vasomotora
CO2 10-14h
iNOs
Citoquinas 8-10h
Vasodilataccedilatildeo Microcirculatoacuteria Residual
+
+
Martin NA Patwardhan RV Alexander MJ Africk CZ Lee JH Shalmon E Hovda DA Becker DP (1997) Characterization of cerebral hemodynamic phases following severe head trauma hypoperfusion hyperemia and vasospasm J Neurosurg 879ndash19
Wong ML Rettori V al Shekhlee A Bongiorno PB Canteros G McCann SM Gold PW Licinio J (1996) Inducible nitric oxide synthase gene expression in the brain during systemic inflammation Nat Med 2581ndash584
SIRSFatores de piora ou resoluccedilatildeo podem se relacionar a SNP no Asp 299-- Gly Casos com evoluccedilatildeo fatal se relacionam a este polimorfismo que diminui a concentraccedilatildeo
de TLR4 nos tecidos A eficiecircncia da moleacutecula hiperativada tambeacutem parece ser
nociva
SIRS sem infecccedilatildeo
TVC
Siacutendrome da Resposta Inflamatoacuteria Sistecircmica
SIRS sem infecccedilatildeo
AVCI grave
Grau AJ Buggle F Ziegler C Schwarz W Meuser J Tasman A-J Buumlhler A Benesch C Becher H Hacke W Association between acute cerebrovascular ischemia and chronic and recurrent infection Stroke 1997281724-1729
SIRS sem infecccedilatildeo
TVC
SIRS sem infecccedilatildeo
HSA
Y Yoshimoto Y Tanaka K Hoya Acute Systemic Inflammatory Response Syndrome in Subarachnoid Hemorrhage J Neurol Neurosurh 18(2) June 8 2001
Vasoespasmo grave
AVC E FENOcircMENO INFLAMATOacuteRIO
SIRS
Name RZ gender - female age 46 years medical record No 8253 Systemic clinical diagnosis - Central vestibular syndrome- Leucoaraiosis- Dyslipidemia- Systolic hypertension- Angina pectoris
Fatores de piora do Prognoacutestico
Name SI gender - male age 47 years medical record No 8985 Systemic clinical diagnosis - Recurrent ischemic stroke- Right side cerebellum infarction- Atheromatosis of carotid artery system- Old septal myocardial infarction- Sinus bradycardia- Mixed dyslipidemia- Transient ischemic attack in vertebralbasilar artery system
SIRSFatores de piora ou resoluccedilatildeo podem se relacionar a SNP no Asp 299-- Gly Casos com evoluccedilatildeo fatal se relacionam a este polimorfismo que diminui a concentraccedilatildeo
de TLR4 nos tecidos A eficiecircncia da moleacutecula hiperativada tambeacutem parece ser
nociva
SIRS sem infecccedilatildeo
TVC
Siacutendrome da Resposta Inflamatoacuteria Sistecircmica
SIRS sem infecccedilatildeo
AVCI grave
Grau AJ Buggle F Ziegler C Schwarz W Meuser J Tasman A-J Buumlhler A Benesch C Becher H Hacke W Association between acute cerebrovascular ischemia and chronic and recurrent infection Stroke 1997281724-1729
SIRS sem infecccedilatildeo
TVC
SIRS sem infecccedilatildeo
HSA
Y Yoshimoto Y Tanaka K Hoya Acute Systemic Inflammatory Response Syndrome in Subarachnoid Hemorrhage J Neurol Neurosurh 18(2) June 8 2001
Vasoespasmo grave
AVC E FENOcircMENO INFLAMATOacuteRIO
SIRS
Name RZ gender - female age 46 years medical record No 8253 Systemic clinical diagnosis - Central vestibular syndrome- Leucoaraiosis- Dyslipidemia- Systolic hypertension- Angina pectoris
Fatores de piora do Prognoacutestico
Name SI gender - male age 47 years medical record No 8985 Systemic clinical diagnosis - Recurrent ischemic stroke- Right side cerebellum infarction- Atheromatosis of carotid artery system- Old septal myocardial infarction- Sinus bradycardia- Mixed dyslipidemia- Transient ischemic attack in vertebralbasilar artery system
SIRS sem infecccedilatildeo
TVC
Siacutendrome da Resposta Inflamatoacuteria Sistecircmica
SIRS sem infecccedilatildeo
AVCI grave
Grau AJ Buggle F Ziegler C Schwarz W Meuser J Tasman A-J Buumlhler A Benesch C Becher H Hacke W Association between acute cerebrovascular ischemia and chronic and recurrent infection Stroke 1997281724-1729
SIRS sem infecccedilatildeo
TVC
SIRS sem infecccedilatildeo
HSA
Y Yoshimoto Y Tanaka K Hoya Acute Systemic Inflammatory Response Syndrome in Subarachnoid Hemorrhage J Neurol Neurosurh 18(2) June 8 2001
Vasoespasmo grave
AVC E FENOcircMENO INFLAMATOacuteRIO
SIRS
Name RZ gender - female age 46 years medical record No 8253 Systemic clinical diagnosis - Central vestibular syndrome- Leucoaraiosis- Dyslipidemia- Systolic hypertension- Angina pectoris
Fatores de piora do Prognoacutestico
Name SI gender - male age 47 years medical record No 8985 Systemic clinical diagnosis - Recurrent ischemic stroke- Right side cerebellum infarction- Atheromatosis of carotid artery system- Old septal myocardial infarction- Sinus bradycardia- Mixed dyslipidemia- Transient ischemic attack in vertebralbasilar artery system
Siacutendrome da Resposta Inflamatoacuteria Sistecircmica
SIRS sem infecccedilatildeo
AVCI grave
Grau AJ Buggle F Ziegler C Schwarz W Meuser J Tasman A-J Buumlhler A Benesch C Becher H Hacke W Association between acute cerebrovascular ischemia and chronic and recurrent infection Stroke 1997281724-1729
SIRS sem infecccedilatildeo
TVC
SIRS sem infecccedilatildeo
HSA
Y Yoshimoto Y Tanaka K Hoya Acute Systemic Inflammatory Response Syndrome in Subarachnoid Hemorrhage J Neurol Neurosurh 18(2) June 8 2001
Vasoespasmo grave
AVC E FENOcircMENO INFLAMATOacuteRIO
SIRS
Name RZ gender - female age 46 years medical record No 8253 Systemic clinical diagnosis - Central vestibular syndrome- Leucoaraiosis- Dyslipidemia- Systolic hypertension- Angina pectoris
Fatores de piora do Prognoacutestico
Name SI gender - male age 47 years medical record No 8985 Systemic clinical diagnosis - Recurrent ischemic stroke- Right side cerebellum infarction- Atheromatosis of carotid artery system- Old septal myocardial infarction- Sinus bradycardia- Mixed dyslipidemia- Transient ischemic attack in vertebralbasilar artery system
SIRS sem infecccedilatildeo
AVCI grave
Grau AJ Buggle F Ziegler C Schwarz W Meuser J Tasman A-J Buumlhler A Benesch C Becher H Hacke W Association between acute cerebrovascular ischemia and chronic and recurrent infection Stroke 1997281724-1729
SIRS sem infecccedilatildeo
TVC
SIRS sem infecccedilatildeo
HSA
Y Yoshimoto Y Tanaka K Hoya Acute Systemic Inflammatory Response Syndrome in Subarachnoid Hemorrhage J Neurol Neurosurh 18(2) June 8 2001
Vasoespasmo grave
AVC E FENOcircMENO INFLAMATOacuteRIO
SIRS
Name RZ gender - female age 46 years medical record No 8253 Systemic clinical diagnosis - Central vestibular syndrome- Leucoaraiosis- Dyslipidemia- Systolic hypertension- Angina pectoris
Fatores de piora do Prognoacutestico
Name SI gender - male age 47 years medical record No 8985 Systemic clinical diagnosis - Recurrent ischemic stroke- Right side cerebellum infarction- Atheromatosis of carotid artery system- Old septal myocardial infarction- Sinus bradycardia- Mixed dyslipidemia- Transient ischemic attack in vertebralbasilar artery system
SIRS sem infecccedilatildeo
TVC
SIRS sem infecccedilatildeo
HSA
Y Yoshimoto Y Tanaka K Hoya Acute Systemic Inflammatory Response Syndrome in Subarachnoid Hemorrhage J Neurol Neurosurh 18(2) June 8 2001
Vasoespasmo grave
AVC E FENOcircMENO INFLAMATOacuteRIO
SIRS
Name RZ gender - female age 46 years medical record No 8253 Systemic clinical diagnosis - Central vestibular syndrome- Leucoaraiosis- Dyslipidemia- Systolic hypertension- Angina pectoris
Fatores de piora do Prognoacutestico
Name SI gender - male age 47 years medical record No 8985 Systemic clinical diagnosis - Recurrent ischemic stroke- Right side cerebellum infarction- Atheromatosis of carotid artery system- Old septal myocardial infarction- Sinus bradycardia- Mixed dyslipidemia- Transient ischemic attack in vertebralbasilar artery system
SIRS sem infecccedilatildeo
HSA
Y Yoshimoto Y Tanaka K Hoya Acute Systemic Inflammatory Response Syndrome in Subarachnoid Hemorrhage J Neurol Neurosurh 18(2) June 8 2001
Vasoespasmo grave
AVC E FENOcircMENO INFLAMATOacuteRIO
SIRS
Name RZ gender - female age 46 years medical record No 8253 Systemic clinical diagnosis - Central vestibular syndrome- Leucoaraiosis- Dyslipidemia- Systolic hypertension- Angina pectoris
Fatores de piora do Prognoacutestico
Name SI gender - male age 47 years medical record No 8985 Systemic clinical diagnosis - Recurrent ischemic stroke- Right side cerebellum infarction- Atheromatosis of carotid artery system- Old septal myocardial infarction- Sinus bradycardia- Mixed dyslipidemia- Transient ischemic attack in vertebralbasilar artery system
AVC E FENOcircMENO INFLAMATOacuteRIO
SIRS
Name RZ gender - female age 46 years medical record No 8253 Systemic clinical diagnosis - Central vestibular syndrome- Leucoaraiosis- Dyslipidemia- Systolic hypertension- Angina pectoris
Fatores de piora do Prognoacutestico
Name SI gender - male age 47 years medical record No 8985 Systemic clinical diagnosis - Recurrent ischemic stroke- Right side cerebellum infarction- Atheromatosis of carotid artery system- Old septal myocardial infarction- Sinus bradycardia- Mixed dyslipidemia- Transient ischemic attack in vertebralbasilar artery system
SIRS
Name RZ gender - female age 46 years medical record No 8253 Systemic clinical diagnosis - Central vestibular syndrome- Leucoaraiosis- Dyslipidemia- Systolic hypertension- Angina pectoris
Fatores de piora do Prognoacutestico
Name SI gender - male age 47 years medical record No 8985 Systemic clinical diagnosis - Recurrent ischemic stroke- Right side cerebellum infarction- Atheromatosis of carotid artery system- Old septal myocardial infarction- Sinus bradycardia- Mixed dyslipidemia- Transient ischemic attack in vertebralbasilar artery system
Name RZ gender - female age 46 years medical record No 8253 Systemic clinical diagnosis - Central vestibular syndrome- Leucoaraiosis- Dyslipidemia- Systolic hypertension- Angina pectoris
Fatores de piora do Prognoacutestico
Name SI gender - male age 47 years medical record No 8985 Systemic clinical diagnosis - Recurrent ischemic stroke- Right side cerebellum infarction- Atheromatosis of carotid artery system- Old septal myocardial infarction- Sinus bradycardia- Mixed dyslipidemia- Transient ischemic attack in vertebralbasilar artery system
Name SI gender - male age 47 years medical record No 8985 Systemic clinical diagnosis - Recurrent ischemic stroke- Right side cerebellum infarction- Atheromatosis of carotid artery system- Old septal myocardial infarction- Sinus bradycardia- Mixed dyslipidemia- Transient ischemic attack in vertebralbasilar artery system