Symptomatic Cerebral Air Embolism During Stent-assisted Coiling of an Unruptured Middle Cerebral Artery Aneurysm: Intraoperative Diagnosis and Management of a Rare Complication.
10.7461/jcen.2014.16.2.93
- Author:
Lee A TAN
1
;
Kiffon M KEIGHER
;
Demetrius K LOPES
Author Information
1. Department of Neurosurgery, Rush University Medical Center, Chicago, IL, United States. lee_tan@rush.edu
- Publication Type:Case Report
- Keywords:
Cerebral air embolism;
Cerebral angiography
- MeSH:
Aged;
Aneurysm;
Cerebral Angiography;
Diagnosis*;
Electroencephalography;
Embolism, Air*;
Evoked Potentials, Somatosensory;
Female;
Humans;
Intracranial Aneurysm*;
Middle Cerebral Artery
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2014;16(2):93-97
- CountryRepublic of Korea
- Language:English
-
Abstract:
Symptomatic cerebral air embolism during cerebral angiography is extremely rare. We report on the case of a 69-year-old woman undergoing elective stent-assisted coiling of an unruptured right middle cerebral artery (MCA) bifurcation aneurysm, who was found to have severe attenuation of somatosensory evoked potential (SSEP) and electroencephalography (EEG) during the procedure. Intra-operative DynaCT showed hypodense cortical vessels consistent with cerebral air embolism. Diagnostic and management strategies for this rare complication are reviewed.
