Simonato Davide, Gabrieli Joseph Domenico, Cester Giacomo, Della Puppa Alessandro, Causin Francesco
Institute of Radiology, University of Padua, Via Giustiniani 2, 35128, Padua, Italy.
Neuroradiology Unit, University Hospital of Padova, Padua, Italy.
Acta Neurochir (Wien). 2019 Mar;161(3):593-596. doi: 10.1007/s00701-019-03822-7. Epub 2019 Feb 2.
During intracranial tumor resection, the delayed kinking of a major encased vessel has never been described in literature. We present a case which required urgent endovascular treatment performed through a stent positioning. A patient was hospitalized with symptomatic sphenoid meningioma in the left middle cranial fossa. Twelve days after surgery, right-sided hemiplegia and aphasia occurred. Digital subtraction arteriography revealed a kinking of the M1 segment of the left middle cerebral artery and diffuse vasospasm. At first, intra-arterial nimodipine has been administered, obtaining the remission of the vasospasm. Secondly, a stent was positioned to treat the kinking, achieving a complete flow restoration.
在颅内肿瘤切除术中，文献中从未描述过被包裹的主要血管出现延迟扭结的情况。我们报告一例需要通过支架置入进行紧急血管内治疗的病例。一名因左侧中颅窝症状性蝶骨嵴脑膜瘤住院的患者。术后12天，出现右侧偏瘫和失语。数字减影血管造影显示左侧大脑中动脉M1段扭结和弥漫性血管痉挛。首先，给予动脉内尼莫地平，血管痉挛得到缓解。其次，置入支架治疗扭结，实现血流完全恢复。
