title: Oral verapamil in the prevention of recurrent cerebral ischaemia due to post-stent vasospasm.
abstract: OBJECTIVE
  Endovascular embolization of basilar tip aneurysms (BTA) is performed to prevent rupture, but little is known regarding post-procedural vasospasm and its consequences. We relate management of post-procedural vasospasm found in cardiovascular literature on this rare post-procedural intracranial complication.
  
  
  METHODS
  A 52-year-old man develops ischaemic strokes after undergoing posterior cerebral artery (PCA) stent-assisted coil embolization of BTA. Work-up suggested that vasospasm was the cause of his strokes.
  
  
  CONCLUSIONS
  Vasospasm after intracranial stenting may share similar pathophysiological features to coronary stenting, resulting in ischaemia. Verapamil should be considered an empiric therapy in prevention of stent-related vasospasm.
authors.affiliation: Department of Neurology, University of Florida College of Medicine, Gainesville, FL, USA.
authors.forename: V
authors.initials: V
authors.lastname: Rastogi
authors.affiliation: John Nasseff Neuroscience Institute and United Hospital, Allina Health, St. Paul, MN, USA.
authors.forename: G
authors.initials: G
authors.lastname: Asaithambi
authors.affiliation: Department of Neurology, University of Florida College of Medicine, Gainesville, FL, USA.
authors.forename: A
authors.initials: A
authors.lastname: Patel
authors.affiliation: Department of Neurology, University of Florida College of Medicine, Gainesville, FL, USA.
authors.forename: K
authors.initials: K
authors.lastname: Park
authors.affiliation: Department of Radiology, University of Florida College of Medicine, Gainesville, FL, USA.
authors.forename: S
authors.initials: S
authors.lastname: Bidari
authors.affiliation: Department of Neurology, University of New Mexico, Albuquerque, NM, USA.
authors.forename: V S
authors.initials: VS
authors.lastname: Hedna
keywords: calcium channel blocker; ischaemia; stent; stroke; vasospasm; verapamil