TABLE 2:

Data in 25 patients treated with intra-arterial nimodipine for symptomatic cerebral vasospasm after SAH

Pt/No. of TxIndication for AngiographyDays after SAHSymptom Onset after Spasm, hVessel with SpasmSideSpasm SeverityVessel InfusedNimodipine Dose per Session, mgSAP Change, mm HgAngio-graphic ResultsClinical ResultsGOS ScoreModified Rankin Score
1/1Decreased LOC618tICA, MCARModerateICA R1.00GoodImproved22
2/1Decreased LOC718tICA, MCA, ACALSevereICA L1.0−10ExcellentImproved11
3/1Decreased LOC624tICA, MCA, ACAR/LModerateICA R/L3.0−15PoorUnchanged33
4/1R hemiparesis718tICA, MCA, ACALModerateICA L2.0−10PoorImproved10
5/1L hemiparesis824ACARMildICA R1.00GoodImproved22
6/2L MCA > 200 cm/s76tICA, MCA, ACALSevereICA L2.0−20PoorUnchanged
6*R hemiparesis924tICA, MCA, ACALSevereICA L3.0−20GoodUnchanged*33
7/1Dysphasia1012MCALMildICA L3.0−15PoorImproved10
8/1Disorientation924tICA, MCA, ACALSevereICA L2.0−20PoorImproved10
9/1Decreased LOC518tICA, MCALModerateICA L1.010GoodImproved33
10/1R-leg monoparesis1518ACALMildICA L2.0−15GoodImproved10
11/1Decreased LOC624tICA, ACARModerateICA R2.0−30GoodImproved22
12/2L hemiparesis712DiffuseR/LSevereICA R/L, VA L3.0−20PoorUnchanged
12*L hemiparesis824DiffuseR/LSevereICA R/L, VA L5.0−30GoodImproved*56
13/1Decreased LOC412tICA, MCA, ACAR/LModerateICA R/L3.0−30PoorUnchanged56
14/2Cranial nerve III paresis1118BA, PCARModerateVA L3.0−20PoorUnchanged
14*Cranial nerve III paresis1224BA, PCARModerateVA L2.0−25PoorImproved*10
15/1Dysphasia, temp >38°C712MCA, ACAR/LModerateICA R/L2.0−10PoorUnchanged22
16/1Decreased LOC, disorientation512DiffuseR/LSevereICA R/L, VA3.0−20GoodImproved22
17/1Decreased LOC disorientation1024tICA, MCA, ACARModerateICA R2.00GoodImproved11
18/1R/L MCA > 190 cm/s1118tICA, MCA, ACALModerateICA L2.0−20PoorUnchanged33
19/1Decreased LOC1024DiffuseR/LSevereICA R/L VA5.0−35ExcellentImproved22
20/3Decreased LOC412tICA, MCA, ACALModerateICA L2.0−30PoorUnchanged
20*Decreased LOC, L MCA > 140 cm/s524tICA, MCA, ACALModerateICA L3.0−25PoorUnchanged*
20Decreased LOC, L MCA > 160 cm/s648tICA, MCA, ACALSevereICA L3.0−40PoorImproved10
21/1L hemiparesis824tICA, MCARModerateICA R3.0−10PoorImproved22
22/1Decreased LOC512ACARSevereICA R3.0−15GoodImproved22
23/1Decreased LOC66tICA, ACARModerateICA R3.0−25PoorImproved10
24/1Decreased LOC1024tICA, ACALModerateICA L2.0−30PoorUnchanged33
25/1Decreased LOC512tICA, MCA, ACALSevereICA L3.0−20GoodImproved22
  • Note.—ACA indicates anterior cerebral artery; BA, basilar artery; GOS, Glasgow Outcome Scale (5 indicates death); ICA, internal carotid artery; LOC, level of consciousness; PCA, posterior cerebral artery; SAP, systolic artery pressure; Tx, treatment; and VA, vertebral artery.

  • * Second treatment.

  • Third treatment.