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Success of Intravenous Infusion of Verapamil for Refractory Vasospasm in aneurysmal Subarachnoid Hemorrhage (P2.291)
Conclusions:This report indicates that intravenous continuous infusion of verapamil may be used for rescue therapy in transiently responsive cerebral vasospasm to IA verapamil. This therapy did not seem to compromise hemodynamic stability or increase ICP.Disclosure: Dr. Mehta has nothing to disclose. Dr. Kulhari has nothing to disclose. Dr. Z Arango has nothing to disclose. Dr. Suhan has nothing to disclose. Dr. DeCarvalho has nothing to disclose. Dr. Patel has nothing to disclose. Dr. Kirmani has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Mehta, S., Kulhari, A., Arango, A., Suhan, L., DeCarvalho, B., Patel, A., Kirmani, J. F. Tags: Subarachnoid Hemorrhage, Intracranial Aneurysm, and Other Cerebrovascular Malformations Source Type: research

The detrimental clinical impact of severe angiographic vasospasm may be diminished by maximal medical therapy and intensive endovascular treatment
Conclusions An intensive endovascular approach of TBA and/or intra-arterial verapamil in combination with induced hypertension for severe aVSP may result in comparable clinical outcomes to those without vasospasm.
Source: Journal of NeuroInterventional Surgery - November 13, 2015 Category: Neurosurgery Authors: Mortimer, A. M., Steinfort, B., Faulder, K., Bradford, C., Finfer, S., Assaad, N., Harrington, T. Tags: Ischemic stroke Source Type: research

Recreational drug use and RCVS: should toxicity screens become standard in RCVS diagnostics? (P2.284)
CONCLUSIONS: As we transition into a new culture of researching marijuana derivatives to treat a multitude of neurologic diseases including pain syndromes, epilepsy, and multiple sclerosis we must also consider the vasoactive properties of the substance and potential vascular complications. This also raises the importance of improving drug screening in such patients with high suspicion of RCVS on admission and identifying high risk patients to prevent further vascular complications. Study Supported by:Disclosure: Dr. Mirchandani has nothing to disclose. Dr. Khan has nothing to disclose. Dr. Wajnsztajn has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Mirchandani, N., Khan, I., Wajnsztajn, F. Tags: Cerebrovascular Disease and Interventional Neurology: RCVS and Malignant Cerebral Edema Source Type: research

Low-dose intravenous heparin infusion in patients with aneurysmal subarachnoid hemorrhage: a preliminary assessment.
Conclusions In patients with Fisher Grade 3 aSAH whose aneurysm is secured, postprocedure use of a low-dose intravenous heparin infusion may be safe and beneficial. PMID: 24032706 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - September 13, 2013 Category: Neurosurgery Authors: Simard JM, Aldrich EF, Schreibman D, James RF, Polifka A, Beaty N Tags: J Neurosurg Source Type: research