دورية أكاديمية
A Case of Severe Delayed Vasospasm after Clipping Surgery for an Unruptured Intracranial Aneurysm.
| العنوان: | A Case of Severe Delayed Vasospasm after Clipping Surgery for an Unruptured Intracranial Aneurysm. |
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| المؤلفون: | Kim, Joong-Goo, Kang, Chul-Hoo, Sheen, Jae Jon, Song, Yunsun, Rhim, Jong-Kook |
| المصدر: | Neurointervention ; ISSN:2093-9043 ; Volume:19 ; Issue:2 |
| بيانات النشر: | M2PI |
| سنة النشر: | 2024 |
| المجموعة: | PubMed Central (PMC) |
| مصطلحات موضوعية: | Aneurysm, Angioplasty, Headache, Ischemic stroke |
| الوصف: | Delayed ischemic stroke associated with intractable vasospasm after clipping of unruptured intracranial aneurysms (UIAs) has been rarely reported. We report a patient with delayed ischemic stroke associated with intractable vasospasm following UIA clipping. A middle-aged female underwent surgery for unruptured middle cerebral artery bifurcation aneurysms. The patient tolerated the neurosurgical procedure well. Seven days postoperatively, the headache was unbearable; a postcraniotomy headache persisted and abruptly presented with global aphasia and right-sided hemiplegia after a nap. Emergency digital subtraction angiography showed severe luminal narrowing with segmental vasoconstriction, consistent with severe vasospasm. The patient's neurological deficit improved after chemical angioplasty. Neurosurgeons should pay close attention to this treatable/preventive entity after neurological deterioration following UIA clipping, even in patients without subarachnoid hemorrhage. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | https://doi.org/10.5469/neuroint.2024.00150Test; https://pubmed.ncbi.nlm.nih.gov/38871004Test |
| DOI: | 10.5469/neuroint.2024.00150 |
| الإتاحة: | https://doi.org/10.5469/neuroint.2024.00150Test https://pubmed.ncbi.nlm.nih.gov/38871004Test |
| رقم الانضمام: | edsbas.1DD3D981 |
| قاعدة البيانات: | BASE |
| DOI: | 10.5469/neuroint.2024.00150 |
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