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Contralateral Vasospasm in an Uncomplicated Elective Anterior Communicating Artery Aneurysm Clipping.

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BACKGROUND Cerebral vasospasm (CVS) following clipping of an unruptured aneurysm is a rare phenomenon. When it does occur, CVS usually occurs on the side ipsilateral to the surgical intervention. CASE… Click to show full abstract

BACKGROUND Cerebral vasospasm (CVS) following clipping of an unruptured aneurysm is a rare phenomenon. When it does occur, CVS usually occurs on the side ipsilateral to the surgical intervention. CASE DESCRIPTION Here, we report the case of a 68-year-old male who underwent right-sided pterional craniotomy for clipping of an unruptured, anterior communicating artery aneurysm and experienced contralateral vasospasm five days later. CONCLUSIONS We further discuss the pathophysiology underlying vasospasm after uncomplicated craniotomy and non-hemorrhagic aneurysm clipping.

Keywords: aneurysm; vasospasm; contralateral vasospasm; artery aneurysm; communicating artery; anterior communicating

Journal Title: World neurosurgery
Year Published: 2020

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