Transient neurologic events associated with intraarterial papaverine infusion for subarachnoid hemorrhage-induced vasospasm.
نویسندگان
چکیده
This report describes three patients who experienced transient neurologic events associated with intraarterial papaverine infusion in the vertebrobasilar system. Two of these involved respiratory depression and underscore the need for careful monitoring and, when required, cardiopulmonary support.
منابع مشابه
Intraarterial papaverine for the treatment of vasospasm.
The authors describe the use of intraarterial papaverine to treat vasospasm following subarachnoid hemorrhage. Two cases are reported: a 40-year-old woman with a posterior communicating artery aneurysm and a 67-year-old man with a posterior cerebral artery aneurysm. Both patients developed symptomatic, angiographically demonstrated vasospasm that responded to papaverine infusion.
متن کاملIntraarterial papaverine infusion for cerebral vasospasm after subarachnoid hemorrhage.
PURPOSE To evaluate the techniques and efficacy of intracranial intraarterial papaverine infusion for symptomatic vasospasm after subarachnoid hemorrhage caused by aneurysm rupture. METHODS Papaverine was infused on 19 occasions in 14 patients, 6 hours to 2 days after spasm became apparent clinically. Sixty vascular territories were treated. Infusion was made into the supraclinoid internal ca...
متن کاملTransient severe brain stem depression during intraarterial papaverine infusion for cerebral vasospasm.
A 63-year-old woman had severe, symptomatic cerebral vasospasm secondary to subarachnoid hemorrhage. We initiated simultaneous infusions of papaverine into her left vertebral and left internal carotid arteries. Twenty-five minutes after the infusions had begun, the patient had a transient reaction of respiratory arrest followed by rapid, progressive loss of brain stem function.
متن کاملIntracranial pressure monitoring during intraarterial papaverine infusion for cerebral vasospasm.
PURPOSE Intraarterial papaverine infusions are performed to reverse cerebral arterial vasospasm resulting from subarachnoid hemorrhage, but such infusions may lead to increases in intracranial pressure (ICP). This study was undertaken to determine when ICP monitoring is indicated during papaverine treatment. METHODS Seventy-eight vessels were treated in 51 sessions in 28 patients with symptom...
متن کاملIntraarterial papaverine as an adjunct to transluminal angioplasty for vasospasm induced by subarachnoid hemorrhage.
Basilar artery vasospasm refractory to medical therapy was confirmed by clinical deterioration and angiography in a 47-year-old man; successful passage of a nondetachable balloon system and angioplasty were facilitated by intraarterial papaverine.
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ورودعنوان ژورنال:
- AJNR. American journal of neuroradiology
دوره 15 9 شماره
صفحات -
تاریخ انتشار 1994