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 |
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container_title | Journal of stroke and cerebrovascular diseases |
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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 |
format | Article |
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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. 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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.</description><subject>Aneurysm, Ruptured - complications</subject><subject>Aneurysm, Ruptured - diagnostic imaging</subject><subject>Aneurysm, Ruptured - surgery</subject><subject>Cardiovascular</subject><subject>clipping</subject><subject>Female</subject><subject>headache</subject><subject>Humans</subject><subject>Intracranial Aneurysm - complications</subject><subject>Intracranial Aneurysm - diagnostic imaging</subject><subject>Intracranial Aneurysm - surgery</subject><subject>Magnetic Resonance Angiography</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Neurosurgical Procedures - adverse effects</subject><subject>Surgical Instruments - adverse effects</subject><subject>Unruptured aneurysm</subject><subject>vasospasm</subject><subject>Vasospasm, Intracranial - diagnostic imaging</subject><subject>Vasospasm, Intracranial - etiology</subject><issn>1052-3057</issn><issn>1532-8511</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkk2L1EAQhoMo7of-BemjCIldnXTSuQjjoO7CgIdxvTadTmXp2aQ7VieL-fcmzOpBvAgFVYe33qp6qCR5BzwDDuX7U3aKE4UHtEjYUHg0sXUxExxkBpBxUT9LLkHmIlUS4PlacynSnMvqIrmK8cQ5gFTyZXIhykpIEOoycTu2NxFZ6Nidx58j2glbdlyGcQqDmZxl300McTRxYKabkNi-d-Po_D07znSPtLAuEDN-bad5nGZa22_9RMaS8c70bOdxpiUOr5IXnekjvn7K18nd50_f9jfp4euX2_3ukFpZyymtVI5tUazr1VA0EqqaN1J2Nc9F3ha8UFvUUhYKywLaukGQIldgeKdaW-b5dfL27DtS-DFjnPTgosW-Nx7DHDVUFVcKSrFJP56llkKMhJ0eyQ2GFg1cb8j1Sf8Lud6QawC9Il9N3jzNm5sB2z8WvxmvgsNZgOvVjw5JR-vQW2wdrbh1G9z_zfvwl53tnXfW9A-4YDyFmfzKV4OOQnN93J5g-wGQnJey4PkvQSy1Yg</recordid><startdate>20160301</startdate><enddate>20160301</enddate><creator>Hashimoto, Hiroaki, MD</creator><creator>Kameda, Masahiro, MD, PhD</creator><creator>Yasuhara, Takao, MD, PhD</creator><creator>Date, Isao, MD, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160301</creationdate><title>A Case of Unexpected Symptomatic Vasospasm after Clipping Surgery for an Unruptured Intracranial Aneurysm</title><author>Hashimoto, Hiroaki, MD ; Kameda, Masahiro, MD, PhD ; Yasuhara, Takao, MD, PhD ; Date, Isao, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c595t-783ed44251914b51790b55f90323d4048048095548e641d9be152381a0f8dc633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aneurysm, Ruptured - complications</topic><topic>Aneurysm, Ruptured - diagnostic imaging</topic><topic>Aneurysm, Ruptured - surgery</topic><topic>Cardiovascular</topic><topic>clipping</topic><topic>Female</topic><topic>headache</topic><topic>Humans</topic><topic>Intracranial Aneurysm - complications</topic><topic>Intracranial Aneurysm - diagnostic imaging</topic><topic>Intracranial Aneurysm - surgery</topic><topic>Magnetic Resonance Angiography</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Neurosurgical Procedures - adverse effects</topic><topic>Surgical Instruments - adverse effects</topic><topic>Unruptured aneurysm</topic><topic>vasospasm</topic><topic>Vasospasm, Intracranial - diagnostic imaging</topic><topic>Vasospasm, Intracranial - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hashimoto, Hiroaki, MD</creatorcontrib><creatorcontrib>Kameda, Masahiro, MD, PhD</creatorcontrib><creatorcontrib>Yasuhara, Takao, MD, PhD</creatorcontrib><creatorcontrib>Date, Isao, MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of stroke and cerebrovascular diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hashimoto, Hiroaki, MD</au><au>Kameda, Masahiro, MD, PhD</au><au>Yasuhara, Takao, MD, PhD</au><au>Date, Isao, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Case of Unexpected Symptomatic Vasospasm after Clipping Surgery for an Unruptured Intracranial Aneurysm</atitle><jtitle>Journal of stroke and cerebrovascular diseases</jtitle><addtitle>J Stroke Cerebrovasc Dis</addtitle><date>2016-03-01</date><risdate>2016</risdate><volume>25</volume><issue>3</issue><spage>e25</spage><epage>e27</epage><pages>e25-e27</pages><issn>1052-3057</issn><eissn>1532-8511</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26725128</pmid><doi>10.1016/j.jstrokecerebrovasdis.2015.11.029</doi></addata></record> |
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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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