| Unusual delayed hydrocephalus after bare platinum coil embolization of an unruptured aneurysm. | |
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MedLine Citation:
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PMID: 20671386 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 69-year-old woman developed hydrocephalus after the embolization of an incidentally detected unruptured large internal carotid artery aneurysm with bare platinum coils. Endovascular embolization resulted in near-total aneurysm occlusion. She complained of mild headache 18 hours after the procedure and magnetic resonance (MR) imaging performed on the 6(th) post-treatment day revealed wall enhancement and perianeurysmal brain edema. Follow-up MR imaging showed recanalization of the aneurysm and gradual ventricular enlargement. She presented with typical symptoms of hydrocephalus including disorientation, gait disturbance, and urine incontinence at 7 months post-embolization. We removed 30 ml of cerebrospinal fluid by lumbar tap, which improved her condition without symptom recurrence for 2 months. She did not require shunt placement. Post-interventional hydrocephalus is known in patients with unruptured aneurysms embolized with bioactive second-generation coils. This case shows that hydrocephalus can occur after aneurysm embolization with bare platinum coils without intracranial hemorrhage. |
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Authors:
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Kouichi Misaki; Naoyuki Uchiyama; Masanao Mohri; Yuichi Hirota; Yutaka Hayashi; Jun-ichiro Hamada |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Neurologia medico-chirurgica Volume: 50 ISSN: 1349-8029 ISO Abbreviation: Neurol. Med. Chir. (Tokyo) Publication Date: 2010 |
Date Detail:
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Created Date: 2010-07-30 Completed Date: 2010-12-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0400775 Medline TA: Neurol Med Chir (Tokyo) Country: Japan |
Other Details:
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Languages: eng Pagination: 581-5 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Graduate School of Medical Science, Kanazawa University, Kanazawa, Ishikawa, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aneurysm / diagnosis, therapy* Brain Edema / diagnosis, therapy Carotid Artery Diseases / diagnosis, therapy* Carotid Artery, Internal* Cerebral Ventricles / pathology Embolization, Therapeutic* Female Humans Hydrocephalus / diagnosis, etiology*, therapy Incidental Findings Magnetic Resonance Imaging Platinum* Recurrence Spinal Puncture |
| Chemical | |
Reg. No./Substance:
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7440-06-4/Platinum |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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