一例未破裂颅内动脉瘤夹闭术后意外发生的症状性血管痉挛病例。
A Case of Unexpected Symptomatic Vasospasm after Clipping Surgery for an Unruptured Intracranial Aneurysm.
作者信息
Hashimoto Hiroaki, Kameda Masahiro, Yasuhara Takao, Date Isao
机构信息
Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
出版信息
J Stroke Cerebrovasc Dis. 2016 Mar;25(3):e25-7. doi: 10.1016/j.jstrokecerebrovasdis.2015.11.029. Epub 2015 Dec 24.
Delayed 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.
未破裂动脉瘤夹闭术后迟发性症状性血管痉挛鲜有报道。我们报告一例62岁女性，她在未破裂动脉瘤夹闭术后11天出现症状性血管痉挛。在缺血症状出现之前，我们无法预测血管痉挛的存在。我们回顾性地发现在术后8天的计算机断层血管造影中有轻度血管痉挛。患者在术后1周出现了持续时间较长的意外头痛。我们应将持续时间较长的意外头痛视为血管痉挛的警示信号。
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