Neurological deterioration after coil embolization of a giant basilar apex aneurysm with resolution following parent artery clip ligation. Case report and review of the literature

Stephen M Russell; P Kim Nelson; Jafar J Jafar

doi:10.3171/jns.2002.97.3.0705

Neurological deterioration after coil embolization of a giant basilar apex aneurysm with resolution following parent artery clip ligation. Case report and review of the literature

J Neurosurg. 2002 Sep;97(3):705-8. doi: 10.3171/jns.2002.97.3.0705.

Authors

Stephen M Russell¹, P Kim Nelson, Jafar J Jafar

Affiliation

¹ Department of Neurosurgery, New York University School of Medicine, New York 10016, USA.

PMID: 12296659
DOI: 10.3171/jns.2002.97.3.0705

Abstract

The authors present the case of a patient who suffered from progressive cranial nerve dysfunction, radiographically documented brainstem compression, and peduncular hallucinosis after undergoing endosaccular coil placement in a giant basilar apex aneurysm. Symptom resolution was achieved following clip ligation of the basilar artery. The pathogenesis of aneurysm mass effect due to coil placement is discussed and the pertinent literature is reviewed.

Publication types

Case Reports
Review

MeSH terms

Basilar Artery / surgery
Cerebral Angiography
Cranial Nerve Diseases / etiology*
Cranial Nerve Diseases / surgery
Embolization, Therapeutic / adverse effects*
Hallucinations / etiology
Hallucinations / surgery
Humans
Intracranial Aneurysm / complications
Intracranial Aneurysm / surgery*
Intracranial Aneurysm / therapy*
Ligation
Male
Middle Aged
Nerve Compression Syndromes / etiology
Nerve Compression Syndromes / surgery
Surgical Instruments