title: [Nebivolol in treatment of multiple cerebral aneurysms].
abstract: BACKGROUND
  We examined the effect of nebivolol on blood pressure control after subarachnoidal hemorrhage in three patients with multiple aneurysms.
  
  
  METHODS
  Endovascular intervention was applied to treat the bleeding aneurysms of all patients, and the silent aneurysms were followed-up. In all patients nebivolol was used as long-term anti-hypertensive medication.
  
  
  RESULTS
  With nebivolol treatment the blood pressure in our patients was maintained in the normal range with no unexpected shoot-ups. The size of the silent aneurysms did not increase and the endovascularly treated aneurysms demonstrated acceptable morphology on follow-up catheter-angiography.
  
  
  CONCLUSIONS
  After endovascular treatment of the bleeding aneurysm, strict blood pressure control is essential in those with multiple aneurysms to prevent the rupture of silent aneurysms. Antihypertensive medications with a 24-hour effect are preferable. Nebivolol seemed to be an appropriate medication for this purpose in all of our patients.
authors: Borsod-Abaúj-Zemplén Megyei Kórház es Egyetemi Oktató Kórház, Idegsebészeti Osztály, Miskolc. olahcs@gmail.com
authors: Csaba
authors: C
authors: Oláh
authors: Béla
authors: B
authors: Demeter
authors: Alex
authors: A
authors: Szólics
authors: István
authors: I
authors: Lázár
mesh_terms: D017542:Aneurysm, Ruptured / Q000517:prevention & control*; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001578:Benzopyrans / Q000627:therapeutic use*; D001794:Blood Pressure / Q000187:drug effects; D002533:Cerebral Angiography; D057510:Endovascular Procedures; D004983:Ethanolamines / Q000627:therapeutic use*; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D000068577:Nebivolol; D016896:Treatment Outcome
chemical_list: D000959:Antihypertensive Agents; D001578:Benzopyrans; D004983:Ethanolamines; D000068577:Nebivolol