Cited 0 times in
Neurological Deterioration after Decompressive Suboccipital Craniectomy in a Patient with a Brainstem-compressing Thrombosed Giant Aneurysm of the Vertebral Artery
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김용배 | - |
dc.contributor.author | 이우성 | - |
dc.contributor.author | 정준호 | - |
dc.date.accessioned | 2017-10-26T07:39:25Z | - |
dc.date.available | 2017-10-26T07:39:25Z | - |
dc.date.issued | 2016 | - |
dc.identifier.issn | 2234-8565 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/152337 | - |
dc.description.abstract | We experienced a case of neurological deterioration after decompressive suboccipital craniectomy (DSC) in a patient with a brainstem-compressing thrombosed giant aneurysm of the vertebral artery (VA). A 60-year-old male harboring a thrombosed giant aneurysm (about 4 cm) of the right vertebral artery presented with quadriparesis. We treated the aneurysm by endovascular coil trapping of the right VA and expected the aneurysm to shrink slowly. After 7 days, however, he suffered aggravated symptoms as his aneurysm increased in size due to internal thrombosis. The medulla compression was aggravated, and so we performed DSC with C1 laminectomy. After the third post-operative day, unfortunately, his neurologic symptoms were more aggravated than in the pre-DSC state. Despite of conservative treatment, neurological symptoms did not improve, and microsurgical aneurysmectomy was performed for the medulla decompression. Unfortunately, the post-operative recovery was not as good as anticipated. DSC should not be used to release the brainstem when treating a brainstem-compressing thrombosed giant aneurysm of the VA. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Korean Society of Cerebrovascular Surgeons | - |
dc.relation.isPartOf | Journal of Cerebrovascular and Endovascular Neurosurgery | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Neurological Deterioration after Decompressive Suboccipital Craniectomy in a Patient with a Brainstem-compressing Thrombosed Giant Aneurysm of the Vertebral Artery | - |
dc.type | Article | - |
dc.publisher.location | Korea | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Neurosurgery | - |
dc.contributor.googleauthor | Woosung Lee | - |
dc.contributor.googleauthor | Yeon Soo Choo | - |
dc.contributor.googleauthor | Yong Bae Kim | - |
dc.contributor.googleauthor | Joonho Chung | - |
dc.identifier.doi | 10.7461/jcen.2016.18.2.115 | - |
dc.contributor.localId | A05004 | - |
dc.contributor.localId | A03731 | - |
dc.contributor.localId | A00743 | - |
dc.relation.journalcode | J01307 | - |
dc.identifier.pmid | 27790402 | - |
dc.relation.journalbefore | 2012년에 대한내혈관외과,내과학회지 통합 | - |
dc.subject.keyword | Decompressive craniectomy | - |
dc.subject.keyword | Giant intracranial aneurysm | - |
dc.subject.keyword | Neurologic deficits | - |
dc.subject.keyword | Thrombosis | - |
dc.contributor.alternativeName | Kim, Yong Bae | - |
dc.contributor.alternativeName | Lee, Woo Sung | - |
dc.contributor.alternativeName | Chung, Joon Ho | - |
dc.contributor.affiliatedAuthor | Lee, Woo Sung | - |
dc.contributor.affiliatedAuthor | Chung, Joon Ho | - |
dc.contributor.affiliatedAuthor | Kim, Yong Bae | - |
dc.citation.volume | 18 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 115 | - |
dc.citation.endPage | 119 | - |
dc.identifier.bibliographicCitation | Journal of Cerebrovascular and Endovascular Neurosurgery, Vol.18(2) : 115-119, 2016 | - |
dc.date.modified | 2017-10-24 | - |
dc.identifier.rimsid | 48072 | - |
dc.type.rims | ART | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.