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Pre-operative micro-angioplasty of refractory vasospasm secondary to subarachnoid hemorrhage
J E Dion1, G R Duckwiler, F Viñuela
1Department of Radiological Sciences, UCLA School of Medicine.
A patient with subarachnoid hemorrhage secondary to a basilar artery aneurysm developed severe bilateral middle and anterior cerebral artery vasospasm with extensive neurologic deficits. Microangioplasty of the middle cerebral artery segments bilaterally led to reversal of the neurologic deficits, allowing early operative treatment of the aneurysm in a previously inoperable patient.
A patient with subarachnoid hemorrhage secondary to a basilar artery aneurysm developed severe bilateral middle and anterior cerebral artery vasospasm with extensive neurologic deficits. Microangioplasty of the middle cerebral artery segments bilaterally led to reversal of the neurologic deficits, allowing early operative treatment of the aneurysm in a previously inoperable patient.