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Case Reports
Kinked perforator due to clipping of parent vessel aneurysm - technical note and lessons learned.
- Jorn Van Der Veken, Michael J Mulcahy, Timothy J Harrington, and Nazih N Assaad.
- Department of Neurosurgery, Australian School of Advanced Medicine, Macquarie University, Sydney, New South Wales, Australia. Electronic address: JVanDerVeken@mqneurosurgery.com.
- World Neurosurg. 2019 Aug 1; 128: 473-476.
BackgroundAdverse outcomes after aneurysm clipping can be potentially reversible, when managed appropriately.MethodsThis is a case report describing kinking of a perforator due to clipping of parent vessel aneurysm.ResultsComplete recovery of a high-grade motor deficit was achieved after instant reintervention with application of smaller clips in combination with gelfoam soaked in papaverine.ConclusionUse 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.Copyright © 2019 Elsevier Inc. All rights reserved.
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