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Continuous intra-arterial nimodipine infusion in patients with severe refractory cerebral vasospasm after aneurysmal subarachnoid hemorrhage: a feasibility study and outcome results.

Sylvia BeleMartin A ProescholdtAndreas HochreiterGerhard SchuiererJudith ScheitzachChristina WendlMartin KieningerAndre SchneikerElisabeth BründlPetra SchödelKarl-Michael SchebeschAlexander Brawanski
Published in: Acta neurochirurgica (2015)
Continuous intra-arterial nimodipine infusion is an effective treatment for patients with severe cerebral vasospasm who fail to respond to HHT and oral nimodipine alone. Key to the effective administration of continuous intra-arterial nimodipine is multimodal neuromonitoring and the individual adaptation of dosage and time of infusion for each patient.
Keyphrases
  • subarachnoid hemorrhage
  • brain injury
  • cerebral ischemia
  • low dose
  • early onset
  • case report
  • pain management
  • blood brain barrier