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Aseptic meningitis after embolization of cerebral aneurysms using hydrogel-coated coils: report of three cases
AJNR. American Journal of Neuroradiology
|March 14, 2007
Abstract
Summary:
We report the development of aseptic meningitis in 3 patients with aneurysms treated with hydrogel-coated coils. Patients presented with febrile meningeal syndromes during the 24 hours following the procedures and responded to corticosteroids. One of them developed delayed hydrocephalus that required treatment with a ventriculoperitoneal shunt. Aseptic meningitis is one of the important complications related to hydrogel-coated coils that should be recognized. More information based on the posttreatment surveillance after use of hydrogel-coated coils is required.
Insights
Aseptic meningitis is a complication of hydrogel-coated coils used for aneurysm treatment. Patients developed symptoms within 24 hours and responded to steroids, but one needed a shunt for hydrocephalus.
Area of Science:
- Neurology
- Neurosurgery
- Medical Devices
Background:
- Endovascular treatment of cerebral aneurysms is a common neurosurgical procedure.
- Hydrogel-coated coils are increasingly used for aneurysm embolization.
- Potential complications associated with new medical devices require thorough investigation.
Observation:
- Three patients developed aseptic meningitis following treatment with hydrogel-coated coils for aneurysms.
- Symptoms included febrile meningeal syndromes presenting within 24 hours post-procedure.
- One patient experienced delayed hydrocephalus requiring a ventriculoperitoneal shunt.
Findings:
- Aseptic meningitis is a significant complication linked to the use of hydrogel-coated coils.
- Early recognition and management with corticosteroids can be effective.
- Hydrocephalus is a potential delayed complication.
Implications:
- Healthcare providers should be aware of aseptic meningitis as a complication of hydrogel-coated coils.
- Further post-treatment surveillance is necessary to fully understand the risks associated with these devices.
- This highlights the importance of ongoing research into the safety and efficacy of neurointerventional technologies.
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