Treatment of severe localized cerebral vasospasm following recurrent hemorrhage from middle cerebral artery aneurysm--case report.
A 52-year-old female presented with localized but severe cerebral vasospasm induced by recurrent aneurysmal subarachnoid hemorrhage. The middle cerebral artery (MCA) aneurysm was clipped and the subarachnoid hematoma evacuated 1 day after recurrent hemorrhage. The cerebral vasospasm, localized in a region near the MCA aneurysm, was reduced by papaverine and nicardipine vasodilating agents delivered via an Ommaya cerebrospinal fluid reservoir placed at craniotomy.
Kataoka
K
K
Department of Neurosurgery, Kinki University School of Medicine, Osaka.
Niiyama
K
K
Uejima
T
T
Kuroda
R
R
Ioku
M
M
Yamada
K
K
Taneda
M
M
Hayakawa
T
T
D001921:Brain / Q000000981:diagnostic imaging / Q000503:physiopathology; D002533:Cerebral Angiography; D002536:Cerebral Arteries / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D002546:Ischemic Attack, Transient / Q000188:drug therapy* / Q000209:etiology / Q000503:physiopathology; D008875:Middle Aged; D009529:Nicardipine / Q000627:therapeutic use*; D010208:Papaverine / Q000627:therapeutic use*; D013345:Subarachnoid Hemorrhage / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology*; D014057:Tomography, X-Ray Computed
D009529:Nicardipine; D010208:Papaverine