A Case of Unexpected Symptomatic Vasospasm after Clipping Surgery for an Unruptured Intracranial Aneurysm

Delayed symptomatic vasospasm after clipping surgery for unruptured aneurysm is rarely reported. We report a case of a 62-year-old woman who presented with symptomatic vasospasm 11 days after clipping surgery for an unruptured aneurysm. We could not predict the existence of vasospasm until ischemic...

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Veröffentlicht in:Journal of stroke and cerebrovascular diseases 2016-03, Vol.25 (3), p.e25-e27
Hauptverfasser: Hashimoto, Hiroaki, MD, Kameda, Masahiro, MD, PhD, Yasuhara, Takao, MD, PhD, Date, Isao, MD, PhD
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container_end_page e27
container_issue 3
container_start_page e25
container_title Journal of stroke and cerebrovascular diseases
container_volume 25
creator Hashimoto, Hiroaki, MD
Kameda, Masahiro, MD, PhD
Yasuhara, Takao, MD, PhD
Date, Isao, MD, PhD
description Delayed symptomatic vasospasm after clipping surgery for unruptured aneurysm is rarely reported. We report a case of a 62-year-old woman who presented with symptomatic vasospasm 11 days after clipping surgery for an unruptured aneurysm. We could not predict the existence of vasospasm until ischemic symptoms developed. We retrospectively found mild vasospasm in the computed tomography angiogram taken 8 days after the operation. The patient complained of a prolonged unexpected headache 1 week after the operation. We should recognize prolonged unexpected headache as a warning sign of vasospasm.
doi_str_mv 10.1016/j.jstrokecerebrovasdis.2015.11.029
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subjects Aneurysm, Ruptured - complications
Aneurysm, Ruptured - diagnostic imaging
Aneurysm, Ruptured - surgery
Cardiovascular
clipping
Female
headache
Humans
Intracranial Aneurysm - complications
Intracranial Aneurysm - diagnostic imaging
Intracranial Aneurysm - surgery
Magnetic Resonance Angiography
Middle Aged
Neurology
Neurosurgical Procedures - adverse effects
Surgical Instruments - adverse effects
Unruptured aneurysm
vasospasm
Vasospasm, Intracranial - diagnostic imaging
Vasospasm, Intracranial - etiology
title A Case of Unexpected Symptomatic Vasospasm after Clipping Surgery for an Unruptured Intracranial Aneurysm
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