Question

A patient with aneurysmal subarachnoid hemorrhage is admitted to the neuro-ICU after coil embolization. Which medication reduces the risk of delayed cerebral ischemia and is recommended for all such patients barring contraindication?

Accepted Answer

Oral nimodipine for 21 days

Answer

Phenytoin for 21 days

Answer

High-dose corticosteroids

Answer

Magnesium sulfate infusion (target supratherapeutic levels)

Answer

Prophylactic vasopressors to maintain MAP >110 mm Hg

Practice question

A patient with aneurysmal subarachnoid hemorrhage is admitted to the neuro-ICU after coil embolization. Which medication reduces the risk of delayed cerebral ischemia and is recommended for all such patients barring contraindication?