Unexpected Perioperative Complication of Aneurysm Surgery: Armored Arachnoiditis Case Report
Yükleniyor...
Dosyalar
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turkish Neuropsychiatry Assoc-Turk Noropsikiyatri Dernegi
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Numerous problems have been described during the aneurysm surgery. In this report, severe arachnoidal scarring (that is named as armored arachnoiditis) that made clipping of anterior communicating (ACom) aneurysm impossible in our case of study is presented. A case with recurrent hemorrhage is hospitalized in our institution. Initial diagnosis was meningitis in a local hospital. The patient was operated after recurrent intraventricular hemorrhage in late phase due to unavailability of endovascular options at our institution. At surgery, surprisingly all of the cisterns were obliterated and no cleavage plane was found. Every effort for taking CSF was unsuccessful. The corticectomy of gyrus rectus did not solve the problem. Neither aneurysm nor proximal and distal controls could be exposed in spite of any dissection techniques used. We felt that any further attempts to dissect aneurysm and ACom complex would result in a catastrophic injury and rupture. Since, the armored arachnoiditis could not be detected before the surgery, patients should be treated by endovascular techniques following the surgery in the presence of this type of arachnoiditis. In this report, the pertinent literature related to perioperative complications of aneurysm surgery is shortly reviewed. (Archives of Neuropsychiatry 2011; 48: 207-10)
Açıklama
WOS: 000295698900009
Anahtar Kelimeler
Aneurysm, arachnoiditis, surgery, complication, subarachnoid hemorrhage
Kaynak
Noropsikiyatri Arsivi-Archives Of Neuropsychiatry
WoS Q Değeri
Q4
Scopus Q Değeri
Q3
Cilt
48
Sayı
3
