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Delayed Ischemic Neurological Deficit after Uneventful Elective Clipping of Unruptured Intracranial Aneurysms.
Brain Sciences ( IF 3.3 ) Pub Date : 2020-07-29 , DOI: 10.3390/brainsci10080495
Petr Vachata 1, 2 , Jan Lodin 1 , Aleš Hejčl 1 , Filip Cihlář 3 , Martin Sameš 1
Affiliation  

Cerebral vasospasm and subsequent delayed ischemic neurological deficit is a typical sequela of acute subarachnoid hemorrhage after aneurysm rupture. The occurrence of vasospasms after uncomplicated surgery of an unruptured aneurysm without history of suspected rupture is extremely rare. The pathogenesis and severity of cerebral vasospasms is typically correlated with the amount of blood breakdown products extravasated during subarachnoid hemorrhage. In rare cases, where vasospasms occur after unruptured aneurysm surgery, the pathogenesis is most likely multifactorial and unclear. We present two cases of vasospasms following uncomplicated clipping of middle cerebral artery (MCA) aneurysms and a review of literature. Early diagnosis and therapy of this rare complication are necessary to achieve optimal clinical outcomes.

中文翻译:

颅内动脉瘤的未发生的选择性刮除后迟发性缺血性神经功能缺损。

脑血管痉挛和随后的局部缺血性神经功能缺损是动脉瘤破裂后急性蛛网膜下腔出血的典型后遗症。在没有并发症的情况下对未破裂的动脉瘤进行简单手术后,血管痉挛的发生极为罕见。脑血管痉挛的发病机理和严重程度通常与蛛网膜下腔出血期间渗出的血液分解产物的数量有关。在极少数情况下,在动脉瘤手术未破裂后发生血管痉挛,其发病机制很可能是多因素的并且不清楚。我们介绍了两例血管痉挛继脑中动脉(MCA)动脉瘤的简单切除之后的情况,并复习了文献。这种罕见并发症的早期诊断和治疗对于实现最佳临床效果至关重要。
更新日期:2020-07-29
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