Contralateral Intraparenchymal Hemorrhage Following Aneurysmal Clipping
Journal of Korean Neurosurgical Society
;
: 162-164, 2008.
Artigo
em Inglês
| WPRIM
| ID: wpr-191653
ABSTRACT
Post-clipping intraparenchymal hemorrhage of the contralateral hemisphere is a very unusual phenomenon in a patient with aneurysmal subarachnoid hemorrhage, unless there is an underlying condition. We report a complicated case of 47-year-old man, who underwent uneventful clipping of ruptured aneurysm and experienced vasospasm two weeks later. Vasospasm was treated by intra-arterial nimodipine and systemic hyperdynamic therapy. One week thereafter, he became unconscious due to intraparenchymal hemorrhage on the anterior border-zone of contalateral hemisphere, but intraoperative and pathologic findings failed to disclose any vascular anomaly. We suggest that the anti-spastic regimens cause local hemodynamic redistribution through the vasodilatory effect and in turn, resulted in such an unexpected bleeding.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Hemorragia Subaracnóidea
/
Inconsciente Psicológico
/
Nimodipina
/
Aneurisma Intracraniano
/
Aneurisma Roto
/
Hemodinâmica
/
Hemorragia
/
Aneurisma
Limite:
Humanos
Idioma:
Inglês
Revista:
Journal of Korean Neurosurgical Society
Ano de publicação:
2008
Tipo de documento:
Artigo
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