Papaverine angioplasty to treat cerebral vasospasm following traumatic subarachnoid haemorrhage.
The management of vasospasm associated with traumatic subarachnoid haemorrhage presents many challenges. We present a 20-year-old male admitted after sustaining a closed head injury complicated by a Fisher grade III traumatic subarachnoid haemorrhage. Despite treatment with intravenous nimodipine he developed a delayed ischaemic neurological deficit due to cerebral arterial vasospasm. The vasospasm was successfully managed with serial papaverine angioplasty.
Cairns
C J S
CJ
Intensive Therapy Unit, Royal North Shore Hospital, Sydney, New South Wales.
Finfer
S R
SR
Harrington
T J
TJ
Cook
R
R
D000328:Adult; D000800:Angioplasty, Balloon; D006259:Craniocerebral Trauma / Q000150:complications*; D006801:Humans; D008297:Male; D010208:Papaverine / Q000627:therapeutic use*; D011859:Radiography; D020206:Subarachnoid Hemorrhage, Traumatic / Q000150:complications* / Q000209:etiology / Q000503:physiopathology; D020301:Vasospasm, Intracranial / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*
D010208:Papaverine