JNIS Podcast

Author: BMJ Group

The Journal of NeuroInterventional Surgery (JNIS) Podcast is your source for a comprehensive look at the latest scientific research and literature in the field of neurointerventional surgery. Hosted by Editor-in-Chief, Dr. Felipe C. Albuquerque, each episode features in-depth interviews with authors and leading experts. Stay informed on the latest neurointerventional techniques for the treatment of a range of neurological and vascular problems including stroke, aneurysms, brain tumours, and spinal disorders. Subscribe here or listen on your favourite podcast platform. JNIS - jnis.bmj.com - is published by BMJ on behalf of the Society of NeuroInterventional Surgery.
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Reducing opioid use after aneurysmal subarachnoid hemorrhage: the role of MMA infusion
Episode 102
Tuesday, 31 March, 2026

Headache affects up to 90% of patients following aneurysmal subarachnoid hemorrhage (aSAH), often requiring high-dose opioids that can complicate neurological monitoring. In this episode, JNIS Editor-in-Chief, Dr. Michael Chen, is joined by Professor Peter Kan¹ to discuss a prospective pilot study investigating a novel dural therapy: the infusion of lidocaine (with or without dexamethasone) via the middle meningeal artery (MMA) during aneurysm embolisation. They explore the safety of this targeted approach, its impact on Visual Analog Scale (VAS) pain scores, and its potential as an opioid-sparing strategy in the neuro-ICU. Link to the discussed paper: "Middle meningeal artery infusion for headaches after aneurysmal subarachnoid hemorrhage: a pilot study". Please subscribe to the JNIS podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/4aZmlpT) or Spotify (https://spoti.fi/3UKhGT5). We'd love to hear your feedback on social media - @JNIS_BMJ. (1) Department of Neurosurgery, The University of Texas Medical Branch at Galveston, Texas, USA