1993•Neurologia medico-chirurgicaOpen access

Treatment of Severe Localized Cerebral Vasospasm Following Recurrent Hemorrhage from Middle Cerebral Artery Aneurysm —Case Report—

Kazuo Kataoka, Kazuhide Niiyama, Toshifumi Uejima, Ryotaro Kuroda, M Ioku, Kazuo Yamada, Mamoru Taneda, Tõru Hayakawa

Abstract

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.

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Available abstract

Key concepts: Medicine, Subarachnoid hemorrhage, Nicardipine, Middle cerebral artery, Cerebral vasospasm, Aneurysm, Papaverine, Vasospasm