A 52-year-old undergoes endovascular securing of a ruptured anterior communicating artery aneurysm. She is conscious and can swallow safely. Which dru...

Question

A 52-year-old undergoes endovascular securing of a ruptured anterior communicating artery aneurysm. She is conscious and can swallow safely. Which drug and route should be considered to reduce delayed cerebral ischaemia?

Accepted Answer

Start enteral nimodipine after aneurysm securing

Answer

Start continuous intravenous nimodipine as routine prophylaxis

Answer

Start oral modified-release nifedipine as routine prophylaxis

Answer

Start intravenous magnesium sulfate for seven days

Answer

Start intravenous dexamethasone for seven days

Neurology — MRCP Part 1 MCQ

A 52-year-old undergoes endovascular securing of a ruptured anterior communicating artery aneurysm. She is conscious and can swallow safely. Which drug and route should be considered to reduce delayed cerebral ischaemia?