Kinked Perforator Due to Clipping of Parent Vessel Aneurysm: Technical Note and Lessons Learned.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 31132497.
- Also identified by DOI 10.1016/j.wneu.2019.05.131.
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Abstract
Adverse outcomes after aneurysm clipping can be potentially reversible, when managed appropriately. This is a case report describing kinking of a perforator due to clipping of parent vessel aneurysm. Complete recovery of a high-grade motor deficit was achieved after instant reintervention with application of smaller clips in combination with gelfoam soaked in papaverine. Use of evoked potentials and intraoperative digital subtraction angiography are recommended and may help in preclinical diagnosis. Knowledge of delayed perforator kinking as a complication may lead to a more rapid diagnosis and management.
Medical subject headings
- Intracranial Aneurysm
- Middle Cerebral Artery
- Postoperative Complications
- Surgical Instruments