Which calcium channel blocker has been demonstrated to improve outcome in ptients with aneurysmal subarachnoid hemorrhage?
0% 6% 94% 0% The correct answer is oral nimodipine.
The latest SAH guidelines endorse oral nimodipine for all patients with aneurysmal SAH, which improves neurological outcomes but not cerebral vasospasm. This recommendation was supported by 1 clinical trial published in NEJM and 1 meta-analysis of the Cochrane database.