Published in:
01-11-2008 | Technical Note
Continuous Intra-Arterial Nimodipine for the Treatment of Cerebral Vasospasm
Authors:
Thomas E. Mayer, Martin Dichgans, Andreas Straube, Tobias Birnbaum, Stephanie Müller-Schunk, Gerhard F. Hamann, Gernot Schulte-Altedorneburg
Published in:
CardioVascular and Interventional Radiology
|
Issue 6/2008
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Abstract
Two patients with refractory symptomatic cerebral vasospasm after aneurysmal subarachnoid hemorrhage (SAH) were treated by continuous intra-arterial nimodipine infusion via a catheter placed in the internal carotid artery or vertebral artery for 3 and 12 days, respectively. Recovery of the neurological deficits, normalization of MR perfusion, a decrease in the elevated mean flow velocity measured by transcranial duplex sonography, and angiographic recanalization were observed. Continuous intra-arterial nimodipine might be a treatment option in severe refractory vasospasm following SAH.