Department of Radiology, University of California, San Francisco, 94143-0628, USA.
AJNR Am J Neuroradiol. 2011 Nov-Dec;32(10):E184-7. doi: 10.3174/ajnr.A2341. Epub 2011 Jan 27.
We report a case of severe RCVS treated with a combination of selective intra-arterial verapamil infusions and intracranial angioplasty, resulting in angiographic and clinical improvement. Endovascular techniques more commonly used in the treatment of SAH-induced vasospasm are potentially important adjuncts to systemic drug therapy in the management of severe RCVS.
我们报告了一例严重的 RCVS 病例,采用选择性动脉内维拉帕米输注和颅内血管成形术联合治疗,结果显示血管造影和临床改善。血管内技术在治疗蛛网膜下腔出血引起的血管痉挛方面更为常用,在严重 RCVS 的治疗中,它们可能是全身药物治疗的重要辅助手段。