Abstract | OBJECTIVE AND IMPORTANCE: We report a case of intra-operative aneurysm rupture during endovascular therapy and document the effects of rupture on cerebral transit times and neurophysiologic monitoring. The effects of early ventriculostomy are clearly documented. CLINICAL PRESENTATION: INTERVENTION: Endovascular therapy was complicated by intraprocedural aneurysm rupture. Changes in cerebral transit time and electroencephalography along with somatosensory evoked potentials were documented as were improvement in these parameters following aneurysm obliteration and ventriculostomy placement. The patient awoke without deficit and was discharged 2 weeks later with a grossly normal examination. CONCLUSION:
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Authors | M B Horowitz, D Crammond, J Balzer, C Jungreis, A B Kassam |
Journal | Minimally invasive neurosurgery : MIN
(Minim Invasive Neurosurg)
Vol. 46
Issue 5
Pg. 300-5
(Oct 2003)
ISSN: 0946-7211 [Print] Germany |
PMID | 14628247
(Publication Type: Case Reports, Journal Article)
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Topics |
- Adult
- Aneurysm, Ruptured
(etiology, physiopathology, surgery)
- Angioplasty
(adverse effects)
- Blood Flow Velocity
(physiology)
- Cerebrovascular Circulation
(physiology)
- Embolization, Therapeutic
(adverse effects)
- Humans
- Intracranial Aneurysm
(physiopathology, surgery)
- Male
- Monitoring, Intraoperative
- Time Factors
- Ventriculostomy
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