title: Papaverine angioplasty to treat cerebral vasospasm following traumatic subarachnoid haemorrhage.
abstract: 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.
authors.affiliation: Intensive Therapy Unit, Royal North Shore Hospital, Sydney, New South Wales.
authors.forename: C J S
authors.initials: CJ
authors.lastname: Cairns
authors.forename: S R
authors.initials: SR
authors.lastname: Finfer
authors.forename: T J
authors.initials: TJ
authors.lastname: Harrington
authors.forename: R
authors.initials: R
authors.lastname: Cook
mesh_terms: 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*
chemical_list: D010208:Papaverine