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We use diffuse correlation spectroscopy (DCS) to measure changes in microvascular blood flow in subarachnoid hemorrhage patients treated with intrathecal nicardipine. Our results suggest that IT nicardipine achieves the desired effect of microvascular vasodilation in the majority of patients. The CBF response plateaus by day 3, indicative of steady state of drug concentration in the brain. Interestingly, those patients whose microvascular cerebral blood flow did not respond were the ones who went on to develop worse outcome in the form of a secondary stroke.
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