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J Stroke Cerebrovasc Dis · Mar 2016
Case ReportsA Case of Unexpected Symptomatic Vasospasm after Clipping Surgery for an Unruptured Intracranial Aneurysm.
- Hiroaki Hashimoto, Masahiro Kameda, Takao Yasuhara, and Isao Date.
- Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
- J Stroke Cerebrovasc Dis. 2016 Mar 1; 25 (3): e25-7.
AbstractDelayed symptomatic vasospasm after clipping surgery for unruptured aneurysm is rarely reported. We report a case of a 62-year-old woman who presented with symptomatic vasospasm 11 days after clipping surgery for an unruptured aneurysm. We could not predict the existence of vasospasm until ischemic symptoms developed. We retrospectively found mild vasospasm in the computed tomography angiogram taken 8 days after the operation. The patient complained of a prolonged unexpected headache 1 week after the operation. We should recognize prolonged unexpected headache as a warning sign of vasospasm.Copyright © 2016 National Stroke Association. Published by Elsevier Inc. All rights reserved.
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