Abstract
BACKGROUND: This 42-year-old male presented with subarachnoid hemorrhage of Hunt and Kosnik Grade IV, complicated by neurogenic pulmonary edema, prolongation of the electrocardiographic Q-Q interval, and acute renal failure. METHODS: Surgical clipping was not indicated, so intra-aneurysmal embolization using Guglielmi detachable coils (GDCs) was performed followed by intrathecal infusion of tissue-type plasminogen activator (tPA) via spinal drainage. RESULTS: The patient made a complete recovery 2 1/4 months later except for partial third cranial nerve palsy. CONCLUSIONS: Intra-aneurysmal GDC embolization followed by intrathecal tPA via spinal drainage is an excellent method for treating aneurysms that are difficult to treat surgically.
Original language | English |
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Pages (from-to) | 144-147 |
Number of pages | 4 |
Journal | Surgical Neurology |
Volume | 47 |
Issue number | 2 |
DOIs | |
Publication status | Published - 1997 Feb |
Keywords
- Basilar artery aneurysm
- detachable coils
- embolization
- poor grade
- spinal drainage
- tissue type plasminogen activator
ASJC Scopus subject areas
- Surgery
- Clinical Neurology