Kinked perforator due to clipping of parent vessel aneurysm: technical note and lessons learned

Jorn Van Der Veken*, Michael J. Mulcahy, Timothy J. Harrington, Nazih N. Assaad

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    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 languageEnglish
    Pages (from-to)473-476
    Number of pages4
    JournalWorld Neurosurgery
    Volume128
    DOIs
    Publication statusPublished - 1 Aug 2019

    Keywords

    • Clipping
    • Kinked
    • Perforator

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