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Treatment of postoperative vasospasm with intraarterial verapamil after removal of intracranial tumor: patient seriesстатья
Статья опубликована в высокорейтинговом журнале
Статья опубликована в журнале из списка Web of Science и/или ScopusДата последнего поиска статьи во внешних источниках: 23 сентября 2021 г.
- Авторы: Mikeladze K., Konovalov A., Bykanov A., Vinogradov E., Yakovlev S.
- Журнал: Journal of Neurosurgery
- Том: 1
- Номер: 11
- Год издания: 2021
- Издательство: American Association of Neurological Surgeons
- Местоположение издательства: United States
- Первая страница: 1
- Последняя страница: 6
- Номер статьи: 20126
- DOI: 10.3171/CASE20126
- Аннотация: BACKGROUNDThe authors report on four clinical cases with intraarterial verapamil administration to resolve vasospasm in patients who underwent surgery for intracranial tumors. Iatrogenic subarachnoid hemorrhage after tumor resection and subsequent vasospasm (an increase in the systolic linear velocity of blood flow through the M1 segment of the middle cerebral artery of more than 250 cm/sec; Lindegaard index: 4.1) were observed in four patients during the early postoperative period after the removal of intracerebral tumors. Each vasospasm case was confirmed by angiography data, was clinically significant, and manifested as the development of a neurological deficit.OBSERVATIONSResolution of vasospasm with the intraarterial administration of verapamil was achieved in all four cases as confirmed by angiographic data in all four cases and complete regression of neurological symptoms in two cases. In all four presented cases, vasospasm was resolved; unfortunately, the resolution did not always lead to significant clinical improvement. However, lethal outcomes were avoided in two cases, and almost full recoveries were achieved in the other two.LESSONSThe authors believe that the removal of intracranial tumors can cause expected and potential complications, such as cerebral vasospasm, which must be diagnosed and treated in a timely manner.ABBREVIATIONS ACA = anterior cerebral artery; CT = computed tomography; DSA = digital subtraction angiography; EVD = external ventricular drain; ICA = internal carotid artery; ICP = intracranial pressure; MCA = middle cerebral artery; MRI = magnetic resonance imaging; mRS = modified Rankin Scale; OD = oculus dextrus; OS = oculus sinister; SAH = subarachnoid hemorrhage; TC = transcranial.https://thejns.org/caselessons/view/journals/j-neurosurg-case-lessons/1/11/article-CASE20126.xml
- Добавил в систему: Коновалов Антон Николаевич
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