Bilateral Infarction of the Recurrent Arteries of Heubner Following Clipping of an Anterior Communicating Artery Aneurysm
Journal of Cerebrovascular and Endovascular Neurosurgery
;
: 28-34, 2018.
Artigo
em Inglês
| WPRIM
| ID: wpr-713250
ABSTRACT
A 50-year-old woman reported to the emergency department with thunderclap headache and vomiting. Non-enhanced brain computed tomography (CT) showed a subarachnoid hemorrhage of Hunt-Hess Grade II and Fisher Grade III. Brain angiography CT and transfemoral cerebral angiography (TFCA) revealed an aneurysm of the anterior communicating artery. A direct neck clipping was performed using the pterional approach. The post-operation CT was uneventful. Six days postoperatively, the patient became lethargic. The mean velocity (cm/s) of the middle cerebral artery peaked at 173 cm/s on the right side and 167 cm/s on the left. A TFCA revealed decreased perfusion in both recurrent arteries of Heubner (RAH), but no occlusion in either. Intra-arterial nimodipine injection was administered. On the 7th postoperative day, CT demonstrated a newly developed low-density lesion in the RAH territory bilaterally. The cause of the infarction was attributed to decreased perfusion caused by cerebral vasospasm. The patient was discharged with no definite neurologic deficit except for mild cognitive disorder.
Texto completo:
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Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Perfusão
/
Artérias
/
Hemorragia Subaracnóidea
/
Vômito
/
Encéfalo
/
Angiografia Cerebral
/
Angiografia
/
Nimodipina
/
Aneurisma Intracraniano
/
Artéria Cerebral Média
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Journal of Cerebrovascular and Endovascular Neurosurgery
Ano de publicação:
2018
Tipo de documento:
Artigo
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