Contralateral Vasospasm in an Uncomplicated Elective Anterior Communicating Artery Aneurysm Clipping

James A Knight 2nd; Mark G Bigder; Mauricio Mandel; Yiping Li; Gary K Steinberg

doi:10.1016/j.wneu.2020.02.136

Contralateral Vasospasm in an Uncomplicated Elective Anterior Communicating Artery Aneurysm Clipping

World Neurosurg. 2020 Jun:138:214-217. doi: 10.1016/j.wneu.2020.02.136. Epub 2020 Mar 4.

Authors

James A Knight 2nd¹, Mark G Bigder¹, Mauricio Mandel¹, Yiping Li¹, Gary K Steinberg²

Affiliations

¹ Department of Neurosurgery and Stanford Stroke Center, Stanford University School of Medicine and Stanford Health Care, Stanford, California, USA.
² Department of Neurosurgery and Stanford Stroke Center, Stanford University School of Medicine and Stanford Health Care, Stanford, California, USA. Electronic address: [email protected].

PMID: 32145422
DOI: 10.1016/j.wneu.2020.02.136

Abstract

Background: Cerebral vasospasm following clipping of an unruptured aneurysm is a rare phenomenon. When it does occur, cerebral vasospasm usually occurs on the side ipsilateral to the surgical intervention.

Case description: A 68-year-old man underwent right-sided pterional craniotomy for clipping of an unruptured anterior communicating artery aneurysm and experienced contralateral vasospasm 5 days later.

Conclusions: We further discuss the pathophysiology underlying vasospasm after uncomplicated craniotomy and nonhemorrhagic aneurysm clipping.

Keywords: Anterior communicating artery aneurysm; Cerebral vasospasm; Clipping.

Publication types

Case Reports

MeSH terms

Aged
Functional Laterality / physiology*
Humans
Intracranial Aneurysm / surgery*
Male
Neurosurgical Procedures / adverse effects*
Postoperative Complications / etiology*
Surgical Instruments
Vasospasm, Intracranial / etiology*