Toyota B D, Ferguson G G
Division of Neurosurgery, University Hospital, London, Ontario, Canada.
J Neurosurg. 1994 Jul;81(1):139-42. doi: 10.3171/jns.1994.81.1.0139.
Recurrent subarachnoid hemorrhage (SAH) in the early period following successful clipping of a cerebral aneurysm is unusual. The authors report a unique case of distal basilar artery dissection and fatal SAH on the 6th day postoperatively. It is concluded that this complication was related to vascular trauma inflicted by repositioning the aneurysm clips during a seemingly uneventful procedure for a basilar artery tip aneurysm.
在成功夹闭脑动脉瘤后的早期出现复发性蛛网膜下腔出血(SAH)并不常见。作者报告了一例独特的病例,即术后第6天发生基底动脉远端夹层分离并导致致命性SAH。得出的结论是,这一并发症与在看似顺利的基底动脉尖部动脉瘤手术过程中重新放置动脉瘤夹所造成的血管创伤有关。