Role of endovascular super selective intra-arterial injection of CA channel blocker agent (nimodipine) in management of cerebral vasospasm following aneurysmal SAH: a single institution experience

Sultan, Ahmed; Gaber, Karim; Metwaly, Tamer Ibrahim

doi:10.1186/s41984-023-00191-3

Egyptian Journal of Neurosurgery

Table 2 Angiographic and clinical results

From: Role of endovascular super selective intra-arterial injection of CA channel blocker agent (nimodipine) in management of cerebral vasospasm following aneurysmal SAH: a single institution experience

No	Indication for angiography	Days after SAH	Vessel with spasm	Side	Spasm severity	Vessel infused	Nimodipine dose per session/mg	Angiograhic results	Clinical results	Modified Rankin score	GOS score
1	Disoriented /dysphasia	6	MCA/ACA	Rt	MILD	Rt ICA	6	Good	Improved	Grade 1	Grade 4
2	Decreased LOC	7	MCA/ACA	Rt	MILD	RT ICA	6	Good	Improved	Grade 1	Grade 4
3	Decreased LOC	8	LT MCA	Lt	Sever	LT ICA	6	Poor	Unchanged	Grade 3	Grade 2
4	Decreased LOC	6	LT MCA	Lt	Moderate	LT ICA	6	Good	Improved	Grade 2	Grade 4
5	Disoriented	8	Post circ		MILD	POST CIRC	6	Good	Improved	Grade 2	Grade 4
6	Decreased LOC	7	MCA/ACA	Rt / lt	Sever	RT/LT ICA	7	Good	Improved	Grade 2	Grade 4
7	Decreased LOC	10	MCA/ACA	Lt	Sever	LT ICA	8	Good	Improved	Grade 2	Grade 4
8	R-UPPER LIMB monoparesis	8	MCA/ACA	Lt	Moderate	LT ICA	5	Excellent	Improved	Grade 1	Grade 4
9	Decreased LOC	7	MCA/ACA	Lt	Sever	LT ICA	6	Good	Improved	Grade 2	Grade 4
10	Decreased LOC	8	ACA	Lt	Sever	LT ICA	6	Good	Improved	Grade 2	Grade 4
11	Decreased LOC	9	MCA/ACA	Lt	MILD	LT ICA	6	Good	Improved	Grade 2	Grade 4
12	Decreased LOC	8	MCA/ACA	Lt	MILD	LT ICA	6	Good	Improved	Grade 2	Grade 4
13	Decreased LOC	10	MCA/ACA	Lt	Sever	LT ICA	8	Good	Unchanged	DIED	DIED
14	Decreased LOC	9	Diffuse	Lt	Sever	LT ICA	8	Poor	Unchanged	Grade 3	Grade 2
15	Decreased LOC	10	MCA/ACA	Lt	Sever	LT ICA	5	Poor	Unchanged	Grade 3	Grade 2
16	Disoriented	11	MCA/ACA	Lt	Sever	LT ICA	6	Excellent	Improved	Grade 0	Grade 5
17	Decreased LOC	15	MCA	Lt	Sever	LT ICA	6	Poor	Unchanged	Grade 3	Grade 2
18	Decreased LOC	6	Diffuse	Rt	Sever	RT ICA	8	Poor	Unchanged	DIED	DIED
19	Decreased LOC	7	MCA	Lt	Sever	LT ICA	6	Poor	Unchanged	Grade 3	Grade 2
20	Decreased LOC	10	MCA	Rt	Sever	RT ICA	6	Poor	Unchanged	Grade 4	Grade 3
21	Decreased LOC	8	MCA/ACA	Lt	Sever	LT ICA	7	Poor	Unchanged	Grade 4	Grade 3
22	Decreased LOC	11	MCA/ACA	Lt	Sever	LT ICA	7	Poor	Unchanged	Grade 4	Grade 3
23	Decreased LOC	4	MCA/ACA	Rt	Sever	RT ICA	7	Poor	Unchanged	Grade 5	Grade 3
24	Decreased LOC	12	MCA/ACA	Rt	Moderate	RT ICA	7	Excellent	Improved	Grade 1	Grade 4
25	Decreased LOC	11	MCA/ACA	Lt	Sever	LT ICA	8	Poor	Unchanged	Grade 5	Grade 3
26	Decreased LOC	12	MCA/ACA	Rt	Sever	RT ICA	8	Poor	Unchanged	Grade 5	Grade 3
27	Decreased LOC	7	MCA/ACA	Lt	Sever	LT ICA	8	Poor	Unchanged	Grade 5	Grade 3
28	Decreased LOC	5	MCA/ACA	Rt	Moderate	RT ICA	7	Good	Improved	Grade 2	Grade 4
29	Decreased LOC	8	Diffuse	Lt	Sever	LT ICA	8	poor	Unchanged	DIED	DIED
30	Decreased LOC	10	MCA/ACA	Rt	Moderate	RT ICA	8	Good	Improved	Grade 1	Grade 4

ACA indicates anterior cerebral artery; BA basilar artery; GOS Glasgow Outcome Scale (1 indicates death); ICA internal carotid artery; LOC level of consciousness

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