[Middle cerebral artery infarct after aneurysm coiling].
The report concerns a 44-year-old female patient with incidental left middle cerebral artery aneurysm. After endovascular therapy by coiling, a hemiparesis was observed following extubation. Disturbance of speech and disorientation added later. An infarct of the lenticular nucleus was found. The angiography showed an occlusion of a frontal opercular branch of the left middle cerebral artery. The fact-finding board for medical liability should investigate, if the infarct with continuous neurological deficits is explained by improper treatment and if the following management of complication was adequate. A neuroradiologic opinion was requested. Based on that, the board came to the result that no incorrect medical treatment was done.
Turowski
Bernd
B
Institut für Radiologie, Neuroradiologie, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland.
Becker
Hartmut
H
D000328:Adult; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D004621:Embolization, Therapeutic / Q000009:adverse effects* / Q000295:instrumentation*; D005260:Female; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000000981:diagnostic imaging* / Q000209:etiology*; D002532:Intracranial Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D016896:Treatment Outcome