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 journalArticle

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

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Keywords

  • Clipping
  • Kinked
  • Perforator

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