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Early recanalization and vasospasm after endovascular treatment in a case of ruptured vertebral artery dissecting aneurysm associated with COVID-19

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has caused significant structural changes in acute care hospitals. COVID-19-associated stroke has gained attention, with abnormal coagulation and vascular endothelial damage being recognized. While ischemic cases are commonly reported, hem...

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Autores principales: Nakamura, Yukihiko, Takashima, Chihiro, Nonaka, Takahisa, Ohkubo, Taku, Kawano, Takayuki, Okura, Akira, Kondou, Daisuke, Sonoda, Kazutaka, Hirohata, Masaru, Morioka, Motohiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10559379/
https://www.ncbi.nlm.nih.gov/pubmed/37810293
http://dx.doi.org/10.25259/SNI_517_2023
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author Nakamura, Yukihiko
Takashima, Chihiro
Nonaka, Takahisa
Ohkubo, Taku
Kawano, Takayuki
Okura, Akira
Kondou, Daisuke
Sonoda, Kazutaka
Hirohata, Masaru
Morioka, Motohiro
author_facet Nakamura, Yukihiko
Takashima, Chihiro
Nonaka, Takahisa
Ohkubo, Taku
Kawano, Takayuki
Okura, Akira
Kondou, Daisuke
Sonoda, Kazutaka
Hirohata, Masaru
Morioka, Motohiro
author_sort Nakamura, Yukihiko
collection PubMed
description BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has caused significant structural changes in acute care hospitals. COVID-19-associated stroke has gained attention, with abnormal coagulation and vascular endothelial damage being recognized. While ischemic cases are commonly reported, hemorrhagic cases have also been reported. This report presents a case of ruptured vertebral artery dissection aneurysm associated with COVID-19, resulting in subarachnoid hemorrhage (SAH). The treatment course, challenges in managing cerebral vasospasm, and early recanalization achieved through endovascular therapy are described. CASE DESCRIPTION: A 67-year-old male patient was brought to our hospital for emergency treatment of impaired consciousness that occurred while recovering from COVID-19. He underwent endovascular internal trapping using coils, and although the rupture did not recur, he required long-term tracheal management, which resulted in a cerebral infarction caused by cerebral vasospasm. In addition, early recanalization was seen, which required retreatment. CONCLUSION: This case highlights the challenges in managing COVID-19-associated SAH and emphasizes the need for infection control measures and proper postoperative care. Establishing protocols for detecting and managing cerebral vasospasm is essential.
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spelling pubmed-105593792023-10-08 Early recanalization and vasospasm after endovascular treatment in a case of ruptured vertebral artery dissecting aneurysm associated with COVID-19 Nakamura, Yukihiko Takashima, Chihiro Nonaka, Takahisa Ohkubo, Taku Kawano, Takayuki Okura, Akira Kondou, Daisuke Sonoda, Kazutaka Hirohata, Masaru Morioka, Motohiro Surg Neurol Int Case Report BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has caused significant structural changes in acute care hospitals. COVID-19-associated stroke has gained attention, with abnormal coagulation and vascular endothelial damage being recognized. While ischemic cases are commonly reported, hemorrhagic cases have also been reported. This report presents a case of ruptured vertebral artery dissection aneurysm associated with COVID-19, resulting in subarachnoid hemorrhage (SAH). The treatment course, challenges in managing cerebral vasospasm, and early recanalization achieved through endovascular therapy are described. CASE DESCRIPTION: A 67-year-old male patient was brought to our hospital for emergency treatment of impaired consciousness that occurred while recovering from COVID-19. He underwent endovascular internal trapping using coils, and although the rupture did not recur, he required long-term tracheal management, which resulted in a cerebral infarction caused by cerebral vasospasm. In addition, early recanalization was seen, which required retreatment. CONCLUSION: This case highlights the challenges in managing COVID-19-associated SAH and emphasizes the need for infection control measures and proper postoperative care. Establishing protocols for detecting and managing cerebral vasospasm is essential. Scientific Scholar 2023-09-08 /pmc/articles/PMC10559379/ /pubmed/37810293 http://dx.doi.org/10.25259/SNI_517_2023 Text en Copyright: © 2023 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Nakamura, Yukihiko
Takashima, Chihiro
Nonaka, Takahisa
Ohkubo, Taku
Kawano, Takayuki
Okura, Akira
Kondou, Daisuke
Sonoda, Kazutaka
Hirohata, Masaru
Morioka, Motohiro
Early recanalization and vasospasm after endovascular treatment in a case of ruptured vertebral artery dissecting aneurysm associated with COVID-19
title Early recanalization and vasospasm after endovascular treatment in a case of ruptured vertebral artery dissecting aneurysm associated with COVID-19
title_full Early recanalization and vasospasm after endovascular treatment in a case of ruptured vertebral artery dissecting aneurysm associated with COVID-19
title_fullStr Early recanalization and vasospasm after endovascular treatment in a case of ruptured vertebral artery dissecting aneurysm associated with COVID-19
title_full_unstemmed Early recanalization and vasospasm after endovascular treatment in a case of ruptured vertebral artery dissecting aneurysm associated with COVID-19
title_short Early recanalization and vasospasm after endovascular treatment in a case of ruptured vertebral artery dissecting aneurysm associated with COVID-19
title_sort early recanalization and vasospasm after endovascular treatment in a case of ruptured vertebral artery dissecting aneurysm associated with covid-19
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10559379/
https://www.ncbi.nlm.nih.gov/pubmed/37810293
http://dx.doi.org/10.25259/SNI_517_2023
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