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논문 기본 정보

자료유형
학술저널
저자정보
Kim Joong-Goo (Department of Neurology, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Korea.) Kang Chul-Hoo Sheen Jae Jon (Department of Neurosurgery, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea) Song Yunsun (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.) 임종국 (제주대학교)
저널정보
대한신경중재치료의학회 Neurointervention Neurointervention Vol.19 No.2
발행연도
2024.7
수록면
123 - 128 (6page)
DOI
https://doi.org/10.5469/neuroint.2024.00150

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초록· 키워드

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Delayed ischemic stroke associated with intractable vasospasm after clipping of unruptured intracranial aneurysms (UIAs) has been rarely reported. We report a patient with delayed ischemic stroke associated with intractable vasospasm following UIA clipping. A middle-aged female underwent surgery for unruptured middle cerebral artery bifurcation aneurysms. The patient tolerated the neurosurgical procedure well. Seven days postoperatively, the headache was unbearable; a postcraniotomy headache persisted and abruptly presented with global aphasia and right-sided hemiplegia after a nap. Emergency digital subtraction angiography showed severe luminal narrowing with segmental vasoconstriction, consistent with severe vasospasm. The patient’s neurological deficit improved after chemical angioplasty. Neurosurgeons should pay close attention to this treatable/preventive entity after neurological deterioration following UIA clipping, even in patients without subarachnoid hemorrhage.

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