Abstract
Background: Adverse outcomes after aneurysm clipping can be potentially reversible, when managed appropriately. Methods: This is a case report describing kinking of a perforator due to clipping of parent vessel aneurysm. Results: Complete recovery of a high-grade motor deficit was achieved after instant reintervention with application of smaller clips in combination with gelfoam soaked in papaverine. Conclusion: Use of evoked potentials and intraoperative digital subtraction angiography are recommended and may help in preclinical diagnosis. Knowledge of delayed perforator kinking as a complication may lead to a more rapid diagnosis and management.
Original language | English |
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Pages (from-to) | 473-476 |
Number of pages | 4 |
Journal | World Neurosurgery |
Volume | 128 |
DOIs | |
Publication status | Published - 1 Aug 2019 |
Keywords
- Clipping
- Kinked
- Perforator