J Korean Neurosurg Soc.  2011 Feb;49(2):112-115. 10.3340/jkns.2011.49.2.112.

Vasogenic Edema of the Basal Ganglia after Intra-Arterial Administration of Nimodipine for Treatment of Vasospasm

Affiliations
  • 1Department of Radiology, Stroke and Neurological Disorders Centre, East-West Neo Medical Hospital, Kyung Hee University School of Medicine, Seoul, Korea.
  • 2Department of Neurosurgery, Stroke and Neurological Disorders Centre, East-West Neo Medical Hospital, Kyung Hee University School of Medicine, Seoul, Korea. neurokoh@hanmail.net
  • 3Department of Ophthalmology, Medical Center, Kyung Hee University School of Medicine, Seoul, Korea.
  • 4Department of Radiology, Medical Center, Kyung Hee University School of Medicine, Seoul, Korea.

Abstract

The intra-arterial administration of nimodipine (IAN) is commonly used for cerebral vasospasm refractory to medical treatments. We report two cases of vasogenic edema after IAN. Our patients with aneurismal subarachnoid hemorrhage presented with vasospasm, which was treated by IAN. Consequently, vasogenic edema developed in the basal ganglia. Reperfusion following IAN for vasospasm may have the potential for inciting vasogenic edema in the ischemic brain.

Keyword

Brain edema; Chemical angioplasty; Nimodipine; Vasospasm

MeSH Terms

Basal Ganglia
Brain
Brain Edema
Edema
Humans
Nimodipine
Reperfusion
Subarachnoid Hemorrhage
Vasospasm, Intracranial
Nimodipine
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