Cerebral vasospasm following clipping of unruptured middle cerebral artery aneurysms: a case report and literature review

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-09-08 DOI:10.1007/s00701-025-06596-3

Yusuke Otsu, Kohei Miyagi, Chihiro Takashima, Jin Kikuchi, Sosho Kajiwara, Tetsuya Negoto, Kimihiko Orito, Kiyohiko Sakata, Masaru Hirohata, Motohiro Morioka

引用次数: 0

Abstract

We report a 64-year-old woman who developed symptomatic vasospasm on postoperative day 7 after clipping of an unruptured right middle cerebral artery (MCA) aneurysm. Imaging revealed right MCA vasospasm, which resolved with oral antiplatelets and intravenous vasodilators. She was discharged without neurological deficits. Although a few reports describe vasospasm after clipping unruptured aneurysms, this is the first to detail the clinical course, radiological findings, and treatment response. Potential risk factors include female sex, age 40–60, smoking, trigeminal neuralgia, and complex aneurysms. This case underscores the need to consider vasospasm even without subarachnoid hemorrhage for timely intervention.

查看原文本刊更多论文

未破裂的大脑中动脉瘤夹闭后脑血管痉挛1例报告并文献复习

我们报告一位64岁的女性，在切除未破裂的右侧大脑中动脉（MCA）动脉瘤后第7天出现症状性血管痉挛。影像显示右MCA血管痉挛，口服抗血小板药物和静脉注射血管扩张剂解决。她出院时没有神经缺陷。虽然有一些报道描述了未破裂动脉瘤夹闭后的血管痉挛，但这是第一个详细描述临床过程、影像学表现和治疗反应的报道。潜在的危险因素包括女性、40-60岁、吸烟、三叉神经痛和复杂动脉瘤。本病例强调，即使没有蛛网膜下腔出血，也需要考虑血管痉挛，以便及时干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.