title: Operative open intra-aneurysmal thrombectomy for ruptured cerebral aneurysm and peripheral ischemia associated with vasospasm.
abstract: The endovascular approach has become the standard treatment for ruptured aneurysms during the vasospasm risk period following subarachnoid hemorrhage; however, it may be disadvantageous under certain conditions. We report a patient with a ruptured middle cerebral artery aneurysm with severe vasospasm and thrombosis within the aneurysm immediately after angiography. Emergent operative open thrombectomy of the intra-aneurysmal thrombus restored blood flow to the ischemic penumbra territory demonstrated by single photon emission CT scan and diffusion-weighted MRI.
authors.affiliation: Department of Neurosurgery, Yamaguchi University Hospital, 1-1-1 Minami-Kogushi, Ube, Yamaguchi 755-8505, Japan. keiharakeihara@yahoo.co.jp
authors.forename: Kei
authors.initials: K
authors.lastname: Harada
authors.forename: Tetsu
authors.initials: T
authors.lastname: Kurokawa
authors.forename: Shoichi
authors.initials: S
authors.lastname: Kato
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Ishihara
authors.forename: Makoto
authors.initials: M
authors.lastname: Saka
authors.forename: Fumiaki
authors.initials: F
authors.lastname: Oka
authors.forename: Hirosuke
authors.initials: H
authors.lastname: Fujisawa
authors.forename: Masami
authors.initials: M
authors.lastname: Fujii
authors.forename: Michiyasu
authors.initials: M
authors.lastname: Suzuki
mesh_terms: D017542:Aneurysm, Ruptured / Q000150:complications / Q000473:pathology / Q000601:surgery*; D002545:Brain Ischemia / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D002533:Cerebral Angiography; D002560:Cerebrovascular Circulation; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods; D017131:Thrombectomy / Q000379:methods*; D014057:Tomography, X-Ray Computed; D020301:Vasospasm, Intracranial / Q000209:etiology / Q000473:pathology / Q000601:surgery*