Nimodipine Prevent Vasospasm Complication in Anesthesia Management of Cerebral Aneurysm Clipping

Background: Subarachnoid haemorrhage (SAH) can be defined as a process of blood vessel rupture into the subarachnoid space in which the most common cause of SAHiscerebral aneurysm.The management of SAH since the initial diagnosis, emergency,surgical,and intensive care management, including calcium channel blocker (CCB) nimodipine therapy, mayaffect the outcomes and prevent SAH complications, such as vasospasm. Case Illustration: This case report reported three patients with aneurysmalSAH.Patient 1 was a 67 -year-old woman with a chief complaint of acute severe headache accompanied withright-sided hemiparesis and motoric aphasia. Patient 2 was a 68 -year-old woman with a chief complaint of loss of consciousness since 1 day before admissionaccompanied with right-sided hemiparesis. Patient 3 was a 65 -year-old man with a chief complaint of loss of consciousness since 4 hours before admission. All patients have a history of hypertension. Acraniotomy aneurysm clipping surgery was performedtoall patients, by placing a clip along the neck of the aneurysm, maintaining the main arteries and adjacent arteries, especially in cases of difficult intracranial aneurysms. Conclusion: Administration of nimodipine in anaesthesia management of cerebral aneurysm clipping showedexcellent results. The earlier administration of CCB nimodipin might resultin shorter length of stay.