症 例
未破裂脳動脈瘤クリッピング術後に遅発性症候性脳血管攣縮をきたした1例
2019 年 47 巻 3 号 p. 207-212
詳細
2019 年 47 巻 3 号 p. 207-212
Although intracranial arterial vasospasm commonly occurs after subarachnoid hemorrhage, delayed symptomatic vasospasm rarely occurs after surgical clipping of unruptured intracranial aneurysms. We report the case of a 67-year-old woman who presented with symptomatic vasospasm 10 days after surgical clipping of an unruptured middle cerebral artery aneurysm. On the 10th operative day, the patient presented mild aphasia. Angiography revealed a vasospasm at the left middle cerebral artery. We performed chemical angioplasty and observed an immediate anatomical improvement and clinical recovery. The patient was discharged without deficit.
