title: Cranial nerve pareses following wrapping of a ruptured dissecting vertebral artery aneurysm: a possible complication of cyanoacrylate glue--case report.
abstract: A 51-year-old female with a ruptured dissecting vertebral artery aneurysm underwent an uneventful wrapping technique using Biobond-soaked gauze through a unilateral suboccipital transcondyle approach. On the 3rd postoperative day, she developed pareses of the ipsilateral VII through XII cranial nerves. Daily intravenous administration of 300 mg of hydrocortisone was started. This treatment was continued and dosage was tapered until the 10th postoperative day. The cranial nerve pareses deteriorated until the 8th postoperative day, but slowly resolved by 3 weeks after surgery. The patient was discharged with slight hoarseness and dysphasia 5 weeks after surgery. She had only slight hoarseness at 6 months. This complication was probably due to a neural toxic response to the Biobond.
authors.affiliation: Department of Neurosurgery, Sakura Hospital, Toho University School of Medicine, Sakura, Chiba, Japan. neurosurg@sakura.med.toho-u.ac.jp
authors.forename: Takao
authors.initials: T
authors.lastname: Kuroki
authors.forename: Kazuya
authors.initials: K
authors.lastname: Aoki
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Aoki
authors.forename: Akio
authors.initials: A
authors.lastname: Nemoto
authors.forename: Takamasa
authors.initials: T
authors.lastname: Yamazaki
authors.forename: Mikiro
authors.initials: M
authors.lastname: Katsume
authors.forename: Nobuyoshi
authors.initials: N
authors.lastname: Takasu
mesh_terms: D017542:Aneurysm, Ruptured / Q000601:surgery*; D003389:Cranial Nerve Diseases / Q000209:etiology*; D003485:Cyanates / Q000009:adverse effects*; D003487:Cyanoacrylates / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010291:Paresis / Q000209:etiology*; D011183:Postoperative Complications; D014656:Vascular Surgical Procedures / Q000009:adverse effects*; D020217:Vertebral Artery Dissection / Q000601:surgery*
chemical_list: D003485:Cyanates; D003487:Cyanoacrylates; C010867:EDH adhesive