Document Detail

Operative open intra-aneurysmal thrombectomy for ruptured cerebral aneurysm and peripheral ischemia associated with vasospasm.
MedLine Citation:
PMID:  20122831     Owner:  NLM     Status:  MEDLINE    
The endovascular approach has become the standard treatment for ruptured aneurysms during the vasospasm risk period following subarachnoid hemorrhage; however, it may be disadvantageous under certain conditions. We report a patient with a ruptured middle cerebral artery aneurysm with severe vasospasm and thrombosis within the aneurysm immediately after angiography. Emergent operative open thrombectomy of the intra-aneurysmal thrombus restored blood flow to the ischemic penumbra territory demonstrated by single photon emission CT scan and diffusion-weighted MRI.
Kei Harada; Tetsu Kurokawa; Shoichi Kato; Hideyuki Ishihara; Makoto Saka; Fumiaki Oka; Hirosuke Fujisawa; Masami Fujii; Michiyasu Suzuki
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-02-01
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  17     ISSN:  1532-2653     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-08     Completed Date:  2010-06-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  517-20     Citation Subset:  IM    
Copyright Information:
(c) 2009 Elsevier Ltd. All rights reserved.
Department of Neurosurgery, Yamaguchi University Hospital, 1-1-1 Minami-Kogushi, Ube, Yamaguchi 755-8505, Japan.
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MeSH Terms
Aneurysm, Ruptured / complications,  pathology,  surgery*
Brain Ischemia / etiology,  pathology,  surgery*
Cerebral Angiography
Cerebrovascular Circulation
Intracranial Aneurysm / complications,  pathology,  surgery*
Middle Aged
Neurosurgical Procedures / methods
Thrombectomy / methods*
Tomography, X-Ray Computed
Vasospasm, Intracranial / etiology,  pathology,  surgery*

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