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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… Click to show full abstract
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.
Journal Title: World neurosurgery
Year Published: 2019
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