Correction and Monitoring of Postoperative Cerebral Vasospasm

There have been several case reports in which various hypertension-inducing regimens have been used in the treat ment of postoperative cerebral vaso spasm. Regimens have included the use of metaraminal bitarate, norepineph rine with intravascular volume expan sion, and high-dose dopamine with mannit...

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Bibliographic Details
Published in:Angiology 1981-03, Vol.32 (3), p.212-216
Main Authors: Dalessandri, Kathie, John, James N. St, Carson, Stanley N.
Format: Article
Language:English
Subjects:
Blood Pressure
Dopamine - therapeutic use
Homeostasis
Humans
Hypertension - etiology
Ischemic Attack, Transient - diagnosis
Ischemic Attack, Transient - drug therapy
Male
Mannitol - therapeutic use
Middle Aged
Nervous System Diseases
Norepinephrine - therapeutic use
Tachycardia, Paroxysmal - etiology
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Summary:There have been several case reports in which various hypertension-inducing regimens have been used in the treat ment of postoperative cerebral vaso spasm. Regimens have included the use of metaraminal bitarate, norepineph rine with intravascular volume expan sion, and high-dose dopamine with mannitol and volume expansion. Clini cal response has been very favorable. Our patient improved markedly after administration of dopamine and intra vascular volume expansion. Little work has been done to docu ment vasospasm as the cause of the ischemia or to demonstrate increased cerebral blood flow following treat ment. We suggest that noninvasive Doppler flow velocity studies may be an ideal tool for the further assessment of these patients.
ISSN:0003-3197
1940-1574
DOI:10.1177/000331978103200309