Symptomatic Cerebral Air Embolism During Stent-assisted Coiling of an Unruptured Middle Cerebral Artery Aneurysm: Intraoperative Diagnosis and Management of a Rare Complication

Symptomatic cerebral air embolism during cerebral angiography is extremely rare. We report on the case of a 69-year-old woman undergoing elective stent-assisted coiling of an unruptured right middle cerebral artery (MCA) bifurcation aneurysm, who was found to have severe attenuation of somatosensory...

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Autores principales: Tan, Lee A., Keigher, Kiffon M., Lopes, Demetrius K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Cerebrovascular Surgeons; Society of Korean Endovascular Neurosurgeons 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4102756/
https://www.ncbi.nlm.nih.gov/pubmed/25045648
http://dx.doi.org/10.7461/jcen.2014.16.2.93
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author Tan, Lee A.
Keigher, Kiffon M.
Lopes, Demetrius K.
author_facet Tan, Lee A.
Keigher, Kiffon M.
Lopes, Demetrius K.
author_sort Tan, Lee A.
collection PubMed
description Symptomatic cerebral air embolism during cerebral angiography is extremely rare. We report on the case of a 69-year-old woman undergoing elective stent-assisted coiling of an unruptured right middle cerebral artery (MCA) bifurcation aneurysm, who was found to have severe attenuation of somatosensory evoked potential (SSEP) and electroencephalography (EEG) during the procedure. Intra-operative DynaCT showed hypodense cortical vessels consistent with cerebral air embolism. Diagnostic and management strategies for this rare complication are reviewed.
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spelling pubmed-41027562014-07-18 Symptomatic Cerebral Air Embolism During Stent-assisted Coiling of an Unruptured Middle Cerebral Artery Aneurysm: Intraoperative Diagnosis and Management of a Rare Complication Tan, Lee A. Keigher, Kiffon M. Lopes, Demetrius K. J Cerebrovasc Endovasc Neurosurg Case Report Symptomatic cerebral air embolism during cerebral angiography is extremely rare. We report on the case of a 69-year-old woman undergoing elective stent-assisted coiling of an unruptured right middle cerebral artery (MCA) bifurcation aneurysm, who was found to have severe attenuation of somatosensory evoked potential (SSEP) and electroencephalography (EEG) during the procedure. Intra-operative DynaCT showed hypodense cortical vessels consistent with cerebral air embolism. Diagnostic and management strategies for this rare complication are reviewed. Korean Society of Cerebrovascular Surgeons; Society of Korean Endovascular Neurosurgeons 2014-06 2014-06-30 /pmc/articles/PMC4102756/ /pubmed/25045648 http://dx.doi.org/10.7461/jcen.2014.16.2.93 Text en © 2014 Journal of Cerebrovascular and Endovascular Neurosurgery http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Tan, Lee A.
Keigher, Kiffon M.
Lopes, Demetrius K.
Symptomatic Cerebral Air Embolism During Stent-assisted Coiling of an Unruptured Middle Cerebral Artery Aneurysm: Intraoperative Diagnosis and Management of a Rare Complication
title Symptomatic Cerebral Air Embolism During Stent-assisted Coiling of an Unruptured Middle Cerebral Artery Aneurysm: Intraoperative Diagnosis and Management of a Rare Complication
title_full Symptomatic Cerebral Air Embolism During Stent-assisted Coiling of an Unruptured Middle Cerebral Artery Aneurysm: Intraoperative Diagnosis and Management of a Rare Complication
title_fullStr Symptomatic Cerebral Air Embolism During Stent-assisted Coiling of an Unruptured Middle Cerebral Artery Aneurysm: Intraoperative Diagnosis and Management of a Rare Complication
title_full_unstemmed Symptomatic Cerebral Air Embolism During Stent-assisted Coiling of an Unruptured Middle Cerebral Artery Aneurysm: Intraoperative Diagnosis and Management of a Rare Complication
title_short Symptomatic Cerebral Air Embolism During Stent-assisted Coiling of an Unruptured Middle Cerebral Artery Aneurysm: Intraoperative Diagnosis and Management of a Rare Complication
title_sort symptomatic cerebral air embolism during stent-assisted coiling of an unruptured middle cerebral artery aneurysm: intraoperative diagnosis and management of a rare complication
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4102756/
https://www.ncbi.nlm.nih.gov/pubmed/25045648
http://dx.doi.org/10.7461/jcen.2014.16.2.93
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