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...

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Veröffentlicht in:	Anaesthesia and intensive care 2003-02, Vol.31 (1), p.87-91
Hauptverfasser:	CAIRNS, C. J. S, FINFER, S. R, HARRINGTON, T. J, COOK, R
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Angioplasty, Balloon Biological and medical sciences Craniocerebral Trauma - complications Humans Injuries of the nervous system and the skull. Diseases due to physical agents Male Medical sciences Papaverine - therapeutic use Radiography Subarachnoid Hemorrhage, Traumatic - complications Subarachnoid Hemorrhage, Traumatic - etiology Subarachnoid Hemorrhage, Traumatic - physiopathology Traumas. Diseases due to physical agents Vasospasm, Intracranial - diagnostic imaging Vasospasm, Intracranial - etiology Vasospasm, Intracranial - therapy
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Zusammenfassung:	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.
ISSN:	0310-057X 1448-0271
DOI:	10.1177/0310057x0303100117