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

Kazuo KATAOKA; Kazuhide NIIYAMA; Toshifumi UEJIMA; Ryotaro KURODA; Masahiko IOKU; Kazuo YAMADA; Mamoru TANEDA; Toru HAYAKAWA

doi:10.2176/nmc.33.830

Kazuo KATAOKA, Kazuhide NIIYAMA, Toshifumi UEJIMA, Ryotaro KURODA, Masahiko IOKU, Kazuo YAMADA, Mamoru TANEDA, Toru HAYAKAWA

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Keywords: cerebral aneurysm, middle cerebral artery, Ommaya reservoir, subarachnoid hemorrhage, vasospasm

JOURNAL FREE ACCESS

1993 Volume 33 Issue 12 Pages 830-832

DOI https://doi.org/10.2176/nmc.33.830

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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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