ИСТИНА

The aim of the study was to analyze big series of ruptured brain aneurysms with subsequent vasospasm treated in the Acad N. Burdenko Institute of Neurosurgery. Methods In the period from 1997 to 2016 132 patients (133 aneurysms) in acute stage of SAH (21 days) were treated. Age of the patients from 2 to 79 years. Anterior circulation – 83 (62.87%), posterior circulation aneurysms – 49 (37.13). Intaarterial injection of verapamil for treatment of cerebral spasm was performed in 41 patients. Total 82 procedures after closing ruptured aneurysm in acute stage of SAH. Age from 12 to 79 years. Efficacy of intervention was evaluated by the administration of transcranial Doppler ultrasound and clinically by modified Rankin scale. Multiple treatments (2–5 times). Dynamic selection of a dose (5–40 mg).