Intracranial stenting after tumor exeresis complicated by delayed kinking of the middle cerebral artery.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 30710240.
- Also identified by DOI 10.1007/s00701-019-03822-7.
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Abstract
During intracranial tumor resection, the delayed kinking of a major encased vessel has never been described in literature. We present a case which required urgent endovascular treatment performed through a stent positioning. A patient was hospitalized with symptomatic sphenoid meningioma in the left middle cranial fossa. Twelve days after surgery, right-sided hemiplegia and aphasia occurred. Digital subtraction arteriography revealed a kinking of the M1 segment of the left middle cerebral artery and diffuse vasospasm. At first, intra-arterial nimodipine has been administered, obtaining the remission of the vasospasm. Secondly, a stent was positioned to treat the kinking, achieving a complete flow restoration.
Medical subject headings
- Cerebral Revascularization
- Meningioma
- Middle Cerebral Artery
- Neurosurgical Procedures
- Postoperative Complications
- Vasospasm, Intracranial