intraoperative rupture of unruptured cerebral aneurysm during craniotomy: a case report

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ID: 257132
2017
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Abstract
An unruptured aneurysm was incidentally found in the right middle cerebral artery in a 67-year-old woman. During an attempt to turn the temporalis muscle for surgical clipping, systolic blood pressure suddenly increased. After opening the dura mater, we found a subarachnoid hemorrhage and severe brain swelling. We promptly expanded the craniotomy area to reach the aneurysm while pulling part of the frontal lobe to apply a clip. We retrospectively analyzed the aneurysm using computational fluid dynamics. Our analysis suggests that the rupture of the aneurysm occurred at a location with very low wall shear stress.
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yoshiki2017caseintraoperative Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Kenji Yoshiki;Kouichi Misaki;Iku Nambu;Issei Fukui;Masanao Mohri;Naoyuki Uchiyama;Mitsutoshi Nakada
Journal journal of neuro-oncology
Year 2017
DOI
10.1159/000480425
URL
https://www.karger.com/Article/FullText/480425
Keywords
craniotomy clipping diseases of the nervous system intraoperative ruptureneurology

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