- 【Updated on May 12, 2025】 Integration of CiNii Dissertations and CiNii Books into CiNii Research
- Trial version of CiNii Research Knowledge Graph Search feature is available on CiNii Labs
- Suspension and deletion of data provided by Nikkei BP
- Regarding the recording of “Research Data” and “Evidence Data”
Intracerebral Hemorrhage after Endovascular Treatment of Unruptured Intracerebral Aneurysm: A Case Report and Review of the Literature
-
- TUCKER Adam
- Department of Neurosurgery, Kitami Red Cross Hospital Department of Neurosurgery and Neuroendovascular Therapy, Osaka Medical College
-
- MIYACHI Shigeru
- Department of Neurosurgery and Neuroendovascular Therapy, Aichi Medical University
-
- OHNISHI Hiroyuki
- Ohnishi Neurosurgical Hospital
-
- HIRAMATSU Ryo
- Department of Neurosurgery and Neuroendovascular Therapy, Osaka Medical College
-
- KUROIWA Toshihiko
- Department of Neurosurgery and Neuroendovascular Therapy, Osaka Medical College
Bibliographic Information
- Other Title
-
- 大型未破裂脳動脈瘤に対する血管内治療術後の脳内出血の1例の検討
Search this article
Description
<p>Purpose: Intracerebral hemorrhage (ICH) that develops after treatment of unruptured intracerebral aneurysms is a rare complication. We present one case of ICH after endovascular treatment and discuss the possible pathophysiologic mechanisms and preventative strategies.</p><p>Patient Case: A 51-year-old woman with left homonymous hemianopsia and a large paraclinoid (internal carotid-ophthalmic) aneurysm underwent flow diversion (FD) using the PipelineTM Embolization Device and coiling. Several hours postoperatively, she had motor aphasia with mild right hemiparesis, and head computed tomography revealed an ipsilateral frontotemporal hematoma. Magnetic resonance angiography and digital subtraction angiography suggested a form of hyperperfusion syndrome, and conservative management resulted in almost complete resolution of symptoms.</p><p>Conclusions: The etiology of ICH acutely following FD may be multifactorial due to dual antiplatelet therapy (DAPT) hyper-response and flow modification related to hyperperfusion and the Windkessel effect. Conservative management resulted in a good outcome. However, for severe hemorrhagic cases, platelet transfusion, discontinuation of DAPT to single antiplatelet therapy, and surgical intervention should be considered. Perioperative monitoring indicating antiplatelet hyper-response or radiographic hyperperfusion should direct strict blood pressure control and risk reduction precautions.</p>
Journal
-
- Surgery for Cerebral Stroke
-
Surgery for Cerebral Stroke 48 (2), 129-133, 2020
The Japanese Society on Surgery for Cerebral Stroke
- Tweet
Keywords
Details 詳細情報について
-
- CRID
- 1390285697596372608
-
- NII Article ID
- 130007904699
-
- ISSN
- 18804683
- 09145508
-
- Text Lang
- en
-
- Data Source
-
- JaLC
- Crossref
- CiNii Articles
- OpenAIRE
-
- Abstract License Flag
- Disallowed