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Verapamil-induced breakdown of the blood-brain barrier presenting as a transient right middle cerebral artery syndrome.
- Source :
-
Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences [Interv Neuroradiol] 2017 Dec; Vol. 23 (6), pp. 601-604. Date of Electronic Publication: 2017 Sep 28. - Publication Year :
- 2017
-
Abstract
- A middle-aged patient presented for elective embolization of an incidentally found right internal carotid aneurysm. An angiogram was performed, during which the left internal carotid artery was visualized to evaluate a second, small aneurysm. During the embolization of the right internal carotid artery aneurysm, a catheter-induced vasospasm was identified that prompted treatment with intra-arterial verapamil. The procedure was uncomplicated; a postoperative rotational flat-panel computed tomography scan was performed on the angiography table that demonstrated right hemisphere contrast staining. The patient developed a right middle cerebral artery (MCA) syndrome after extubation with repeat cerebral angiography negative for occlusion and magnetic resonance imaging negative for stroke. The patient was observed for 48 hours, during which time the patient had slowly improved. At a six-week follow up visit, the patient had fully recovered. We present an interesting case of a verapamil-induced breakdown of the blood-brain barrier and self-limited right MCA syndrome.
- Subjects :
- Cerebral Angiography
Contrast Media
Electroencephalography
Humans
Middle Aged
Syndrome
Blood-Brain Barrier drug effects
Carotid Artery, Internal diagnostic imaging
Computed Tomography Angiography
Embolization, Therapeutic methods
Infarction, Middle Cerebral Artery diagnostic imaging
Intracranial Aneurysm diagnostic imaging
Intracranial Aneurysm therapy
Middle Cerebral Artery diagnostic imaging
Vasodilator Agents adverse effects
Verapamil adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 2385-2011
- Volume :
- 23
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences
- Publication Type :
- Academic Journal
- Accession number :
- 28956514
- Full Text :
- https://doi.org/10.1177/1591019917729822