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Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
[Middle cerebral artery infarct after aneurysm coiling].
Bernd Turowski1, Hartmut Becker
1Institut für Radiologie, Neuroradiologie, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland.
Clinical Neuroradiology
|June 16, 2010
Summary
A patient developed neurological deficits after a middle cerebral artery aneurysm coiling procedure. Medical review found no improper treatment, concluding the infarct was not due to medical error.
Area of Science:
- Neurology
- Neurosurgery
- Vascular Neurology
Background:
- A 44-year-old female presented with an incidental left middle cerebral artery aneurysm.
- The patient underwent endovascular therapy using coiling for aneurysm treatment.
Observation:
- Post-extubation, the patient developed hemiparesis.
- Subsequent symptoms included speech disturbance and disorientation.
- Imaging revealed a left lenticular nucleus infarct.
Findings:
- Angiography demonstrated occlusion of a frontal opercular branch of the left middle cerebral artery.
- A medical liability fact-finding board reviewed the case.
- A neuroradiologic opinion was obtained.
Implications:
- The board concluded that the infarct and subsequent neurological deficits were not caused by improper medical treatment.
- The management of the complication was deemed adequate.
- This case highlights the importance of thorough neuroradiologic evaluation in post-procedural complications.
