Background: Adverse outcomes after aneurysm clipping can be potentially reversible, when managed appropriately.
Methods: This is a case report describing kinking of a perforator due to clipping of parent vessel aneurysm.
Results: Complete recovery of a high-grade motor deficit was achieved after instant reintervention with application of smaller clips in combination with gelfoam soaked in papaverine.
Conclusion: Use of evoked potentials and intraoperative digital subtraction angiography are recommended and may help in preclinical diagnosis. Knowledge of delayed perforator kinking as a complication may lead to a more rapid diagnosis and management.
Keywords: Clipping; Kinked; Perforator.
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