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J. Philip Kistler, MD; Juan D. Vielma, MD; Kenneth R. Davis, MD; Stuart FitzGibbon; Robert S. Lees, MD; Robert M. Crowell, MD

Arch Neurol. 1982;39(10):631-634.

Abstract
• Nitroglycerin is widely used as a safe and effective dilator of the large coronary arteries in patients with ischemic heart disease. Little is known, however, about its effects on the intracranial arteries. We compared, in the monkey, the effects of intravenous (IV) nitroglycerin, alone and in combination with phenylephrine hydrochloride, on the diameter of the intracranial portion of the internal carotid artery, the middle cerebral artery, and the lingual branch of the external carotid artery; IV nitroglycerin increased the diameter of all three. These arteries remained dilated even when phenylephrine was added to the infusion to raise the mean arterial pressure by up to 29% above control values.

Author Affiliations
From the Departments of Neurology (Dr Kistler), Neurosurgery (Drs Vielma and Crowell), Neuroradiology (Dr Davis), and Medicine (Dr Lees), Massachusetts General Hospital, Harvard Medical School, and Amstar Corp (Mr FitzGibbon), Boston.

Footnotes
Accepted for publication Nov 8, 1981.

Reprint requests to Department of Neurology, Massachusetts General Hospital, Fruit Street, Boston, MA 02114 (Dr Kistler).

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