• J Clin Anesth · May 2011

    Review Case Reports

    Association of acute onset hypertension and tachycardia following intracisternal papaverine administration during intracranial aneurysm surgery: a case report and review of the literature.

    • Vinit K Srivastava, Sanjay Agrawal, and Sandeep Sahu.
    • Department of Anaesthesia, Apollo Hospital, Bilaspur, Chhattisgarh, India.
    • J Clin Anesth. 2011 May 1;23(3):224-6.

    AbstractSubarachnoid hemorrhage is associated with a number of cerebral insults as a result of cerebral vasospasm. Various pharmacological and non-pharmacological techniques are used for relief of cerebral vasospasm. Papaverine, either intraarterially or intracisternally, is advocated for management of vasospasm; however, its use is associated with a number of complications. The case of a patient with an anterior communicating artery aneurysm, who received intracisternal papaverine by instillation after aneurysm clipping, is reported. It was associated with hypertension and tachycardia that was not responsive to usual treatment.Copyright © 2011 Elsevier Inc. All rights reserved.

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