Neurological deterioration after coil embolization of a giant basilar apex aneurysm with resolution following parent artery clip ligation. Case report and review of the literature.
The authors present the case of a patient who suffered from progressive cranial nerve dysfunction, radiographically documented brainstem compression, and peduncular hallucinosis after undergoing endosaccular coil placement in a giant basilar apex aneurysm. Symptom resolution was achieved following clip ligation of the basilar artery. The pathogenesis of aneurysm mass effect due to coil placement is discussed and the pertinent literature is reviewed.
Russell
Stephen M
SM
Department of Neurosurgery, New York University School of Medicine, New York 10016, USA.
Nelson
P Kim
PK
Jafar
Jafar J
JJ
D001488:Basilar Artery / Q000601:surgery; D002533:Cerebral Angiography; D003389:Cranial Nerve Diseases / Q000209:etiology* / Q000601:surgery; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D006212:Hallucinations / Q000209:etiology / Q000601:surgery; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000601:surgery* / Q000628:therapy*; D008026:Ligation; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000209:etiology / Q000601:surgery; D013525:Surgical Instruments