Contralateral Intraparenchymal Hemorrhage Following Aneurysmal Clipping.
10.3340/jkns.2008.43.3.162
- Author:
Jae Hoon KIM
1
;
Hyeong Joong YI
Author Information
1. Department of Neurosurgery, Nowon Eulji Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Border-zone;
Cerebral aneurysm;
Hyperdynamic therapy;
Intraparenchymal hemorrhage (Intra-arterial) Nimodipine injection;
Vasospasm
- MeSH:
Aneurysm;
Aneurysm, Ruptured;
Hemodynamics;
Hemorrhage;
Humans;
Intracranial Aneurysm;
Middle Aged;
Nimodipine;
Subarachnoid Hemorrhage;
Unconscious (Psychology)
- From:Journal of Korean Neurosurgical Society
2008;43(3):162-164
- CountryRepublic of Korea
- Language:English
-
Abstract:
Post-clipping intraparenchymal hemorrhage of the contralateral hemisphere is a very unusual phenomenon in a patient with aneurysmal subarachnoid hemorrhage, unless there is an underlying condition. We report a complicated case of 47-year-old man, who underwent uneventful clipping of ruptured aneurysm and experienced vasospasm two weeks later. Vasospasm was treated by intra-arterial nimodipine and systemic hyperdynamic therapy. One week thereafter, he became unconscious due to intraparenchymal hemorrhage on the anterior border-zone of contalateral hemisphere, but intraoperative and pathologic findings failed to disclose any vascular anomaly. We suggest that the anti-spastic regimens cause local hemodynamic redistribution through the vasodilatory effect and in turn, resulted in such an unexpected bleeding.
