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Related Experiment Videos

False aneurysm following intracranial surgery

M A Stoodley1, J B North, P L Reilly

  • 1Department of Neurosurgery, Royal Adelaide Hospital, South Australia.

British Journal of Neurosurgery
|January 1, 1994
PubMed
Summary

A rare false aneurysm of the pericallosal artery developed after colloid cyst removal. Postoperative CT scans showing a spherical hyperdense lesion may signal this complication.

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Area of Science:

  • Neurosurgery
  • Vascular Neurology
  • Neuroradiology

Background:

  • Colloid cysts are typically benign intracranial tumors.
  • Surgical resection is a common treatment for symptomatic colloid cysts.
  • Arterial complications following neurosurgery are infrequent but serious.

Observation:

  • A case of a false aneurysm of the pericallosal artery is presented following surgical resection of a colloid cyst.
  • The aneurysm is presumed to have arisen from intraoperative arterial damage.
  • A surgical defect in the corpus callosum may have contributed to aneurysm enlargement.

Findings:

  • Postoperative computed tomography (CT) revealed a spherical hyperdense lesion.
  • This finding is suggestive of a false aneurysm of the pericallosal artery.

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  • The false aneurysm developed as a delayed complication after colloid cyst removal.
  • Implications:

    • Early identification of false aneurysms is crucial for preventing catastrophic hemorrhage.
    • Spherical hyperdense lesions on postoperative CT warrant further investigation for vascular complications.
    • This case highlights the importance of meticulous surgical technique and vigilant postoperative monitoring in neurosurgery.