Document Detail

Laceration of the posterior inferior cerebellar artery by suboccipital puncture of the cisterna magna: case report.
MedLine Citation:
PMID:  15476089     Owner:  NLM     Status:  MEDLINE    
We report the case of a 27 year old man who presented to the emergency room of a hospital with headache, vomiting and an episode of loss of conciousness. A cranial CT scan was normal and the patient discharged. Ten hours later he came to the emergency room of our hospital with the same complaints. A technically difficult cisternal puncture in an anxious patient who moved during the needle introduction was done. The CSF sample showed 1600 intact red blood cells without other alterations. His headache worsened and after 6 hours he became drowsy, numb and exhibited decerebration signs. A new CT scan showed diffuse subarachnoid and intraventricular blood. An emergency angiogram demonstrated laceration of a left posterior-inferior cerebellar artery in its retrobulbar loop with a pseudoaneurysm. He was successfully treated by surgical clipping without injury. Sixteen days later he was discharged with a normal neurological exam.
Luiz Antonio Pezzi Portela; Valéria Souza; Félix Hendrick Pahl; Alberto Cappel Cardoso; Eduardo de Arnaldo Silva Vellutini; Eduardo Genaro Mutarelli; Luis dos Ramos Machado; José Antonio Livramento
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2004-10-05
Journal Detail:
Title:  Arquivos de neuro-psiquiatria     Volume:  62     ISSN:  0004-282X     ISO Abbreviation:  Arq Neuropsiquiatr     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-10-11     Completed Date:  2005-07-14     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0125444     Medline TA:  Arq Neuropsiquiatr     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  882-4     Citation Subset:  IM    
Hospital Alemão Oswaldo Cruz, São Paulo SP, Brazil.
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MeSH Terms
Aneurysm, False / etiology*,  surgery
Arteries / injuries
Cerebellum / blood supply*
Cerebral Angiography
Cisterna Magna
Lacerations / etiology*
Spinal Puncture / adverse effects*
Subarachnoid Hemorrhage / etiology*
Tomography, X-Ray Computed

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