Complications Associated with Intraarterial Administration of Papaverine for Vasospasm Following Subarachnoid Hemorrhage : Two Case Reports
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概要
- 論文の詳細を見る
Complications associated with intraarterial papaverine infusion occurred in two patients treated for vasospasm due to subarachnoid hemorrhage(SAH).A 42-year-old male with an anterior communicating artery aneurysm underwent craniotomy and aneurysm clipping.Five days after the SAH occurred, angiography demonstrated moderate vasospasm in spite of hypervolemic-hypertensive therapy.During papaverine infusion into the carotid artery, he suffered loss of consciousness due to a seizure for a few minutes.A 61-year-old female with a right internal carotid-posterior communicating artery aneurysm underwent clipping.Six days after the SAH occurred, angiography demonstrated severe vasospasm in spite of hypervolemic-hypertensive therapy.Angiography performed immediately after papaverine infusion into the carotid artery revealed exacerbation of the vasospasm.Finally she suffered cerebral infarction and died.Complications of intraarterial papaverine infusion are potentially dangerous.We recommend trial administration of papaverine with angiography and neurological examination before full dose infusion to avoid complications.
- 日本脳神経外科学会の論文
- 2000-02-15
著者
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KAMEZAKI Takao
Department of Neurosurgery, Tsukuba Memorial Hospital
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NOSE Tadao
Department of Neurosurgery, Institute of Clinical Medicine, University of Tsukuba
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HYODO Akio
Departments of Neurosurgery, University of the Ryukyus School of Medicine
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Kamezaki Takao
Department Of Neurological Surgery Institute Of Clinical Medicine University Of Tsukuba
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Kamezaki Takao
Department Of Neurosurgery Ibaraki Seinan Medical Center Hospital
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Hyodo Akio
Departments Of Neurosurgery Institute Of Clinical Medicine University Of Tsukuba
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Hyodo Akio
Department Of Neurological Surgery Institute Of Clinical Medicine
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TSURUSHIMA Hideo
Department of Neurosurgery, Institute of Clinical Medicine, University of Tsukuba
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Tsurushima Hideo
Department Of Neurosurgery Ibaraki Seinan Medical Center Hospital
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Tsurushima Hideo
Department Of Neurosurgery Institute Of Clinical Medicine University Of Tsukuba
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Nose Tadao
Department Of Neurosurgery Institute Of Clinical Medicine University Of Tsukuba
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Nose Tadao
Department Of Neurological Surgery Insititute Of Clinical Medicine University Of Tsukuba
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NAGATOMO Yasushi
Department of Neurosurgery, Ibaraki Seinan Medical Center Hospital
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Nagatomo Yasushi
Department Of Neurosurgery Ibaraki Seinan Medical Center Hospital
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