非复杂择期前交通动脉瘤夹闭术后对侧血管痉挛
Contralateral Vasospasm in an Uncomplicated Elective Anterior Communicating Artery Aneurysm Clipping.
机构信息
Department of Neurosurgery and Stanford Stroke Center, Stanford University School of Medicine and Stanford Health Care, Stanford, California, USA.
Department of Neurosurgery and Stanford Stroke Center, Stanford University School of Medicine and Stanford Health Care, Stanford, California, USA.
出版信息
World Neurosurg. 2020 Jun;138:214-217. doi: 10.1016/j.wneu.2020.02.136. Epub 2020 Mar 4.
BACKGROUND
Cerebral vasospasm following clipping of an unruptured aneurysm is a rare phenomenon. When it does occur, cerebral vasospasm usually occurs on the side ipsilateral to the surgical intervention.
CASE DESCRIPTION
A 68-year-old man underwent right-sided pterional craniotomy for clipping of an unruptured anterior communicating artery aneurysm and experienced contralateral vasospasm 5 days later.
CONCLUSIONS
We further discuss the pathophysiology underlying vasospasm after uncomplicated craniotomy and nonhemorrhagic aneurysm clipping.
背景
夹闭未破裂的动脉瘤后发生脑血管痉挛是一种罕见现象。当它确实发生时，脑血管痉挛通常发生在手术干预的同侧。
病例描述
一名 68 岁男性因左侧前交通动脉未破裂动脉瘤而行右侧翼点开颅夹闭术，术后 5 天出现对侧血管痉挛。
结论
我们进一步讨论了单纯开颅术和非出血性动脉瘤夹闭术后血管痉挛的病理生理学基础。
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