[Recurrent cerebral aneurysm suggestive of misplaced clipping. Case report].

Neurologia Medico-chirurgica
Y MaedaM Kanoh

Abstract

A case of recurrent cerebral aneurysm after complete neck clipping is described. A 47-year-old male who presented with headache and nausea underwent neck clipping of a berry aneurysm of the left middle cerebral artery. Ten days later, angiographic findings suggested the presence of a second, large aneurysm adjacent to the first, which suggested misplaced clipping. Reoperation confirmed that a new aneurysm had formed next to the original aneurysm. A possible explanation of the recurrence is as follows. The M1 flowed into the M2 at a right angle. The aneurysmal neck was situated on the distal end of the M1 and the dome protruded antero-inferiorly at an angle of nearly 90 degrees to the long axis of the M1 opposite the origin of the M2. The parent artery bulged slightly, and its wall was thin and reddish, just distal to the aneurysmal neck. Proximal to the neck there was another small bulge, but the wall here was normal. These bulges were coated with Oxycel and Biobond at the time of aneurysmal neck clipping. After clipping, blood flow into the dome was interrupted, and the consequent hemodynamic stress caused the bulges to expand dramatically and form a new aneurysm. The authors conclude that there is a likelihood of early recurr...Continue Reading

Citations

May 29, 1999·Movement Disorders : Official Journal of the Movement Disorder Society·E D LouisH Andrews
May 1, 1996·Movement Disorders : Official Journal of the Movement Disorder Society·E D Louis
Feb 6, 1998·Movement Disorders : Official Journal of the Movement Disorder Society·E D LouisW A Hauser
Apr 16, 1998·Movement Disorders : Official Journal of the Movement Disorder Society·E D LouisB Bismuth

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

© 2022 Meta ULC. All rights reserved