A Case of Unexpected Symptomatic Vasospasm after Clipping Surgery for an Unruptured Intracranial Aneurysm

被引：14

作者：

Hashimoto, Hiroaki ^{[1
]}

Kameda, Masahiro ^{[1
]}

Yasuhara, Takao ^{[1
]}

Date, Isao ^{[1
]}

机构：

[1] Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Neurol Surg, Kita Ku, 2-5-1 Shikata Cho, Okayama 7008558, Japan

来源：

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES | 2016年 / 25卷 / 03期

基金：

日本学术振兴会;

关键词：

Unruptured aneurysm; vasospasm; headache; clipping; GENE-RELATED PEPTIDE; CEREBRAL VASOSPASM; VESSELS;

D O I：

10.1016/j.jstrokecerebrovasdis.2015.11.029

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Delayed symptomatic vasospasm after clipping surgery for unruptured aneurysm is rarely reported. We report a case of a 62-year-old woman who presented with symptomatic vasospasm 11 days after clipping surgery for an unruptured aneurysm. We could not predict the existence of vasospasm until ischemic symptoms developed. We retrospectively found mild vasospasm in the computed tomography angiogram taken 8 days after the operation. The patient complained of a prolonged unexpected headache 1 week after the operation. We should recognize prolonged unexpected headache as a warning sign of vasospasm.

引用

页码：E25 / E27

页数：3

共 10 条

[1] DEPLETION OF CALCITONIN GENE-RELATED PEPTIDE IN PERIVASCULAR NERVES DURING ACUTE PHASE OF POSTHEMORRHAGIC VASOSPASM IN THE RABBIT [J].