Delayed Enhancing White Matter Lesions, a Rare Complication After Stent-Assisted Coil Embolization: A Case Report.

Kochan Kizilkilic, Esra; Unkun, Rumeysa; Karadeniz, Kağan Gökdeniz; Korkmazer, Bora; Kizilkilic, Osman; Delil, Sakir · World Neurosurg · 2024

case_report · Level V

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Abstract

Delayed enhancing white matter lesions are a rare complication that develops after endovascular treatment of cerebral aneurysms, the etiology of which remains unclear. We present a 52-year-old female patient who was symptomatic with a seizure-like condition and showed reversible cranial parenchymal changes with high-dose cortisone treatment after endovascular stent-assisted coil embolization for an unruptured aneurysm in the internal cerebral artery. Clinicians should be alert to this rare complication and should follow patients for a long time due to its fluctuating and long-term course.

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