2017
Intraoperative Rupture of Unruptured Cerebral Aneurysm during Craniotomy: A Case Report
Case Reports in Neurology
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- Volume
- 9
- Number
- 3
- First page
- 261
- Last page
- 266
- Language
- Publishing type
- Research paper (scientific journal)
- DOI
- 10.1159/000480425
An unruptured aneurysm was incidentally found in the right middle cerebral artery in a 67-year-old woman. During an attempt to turn the temporalis muscle for surgical clipping, systolic blood pressure suddenly increased. After opening the dura mater, we found a subarachnoid hemorrhage and severe brain swelling. We promptly expanded the craniotomy area to reach the aneurysm while pulling part of the frontal lobe to apply a clip. We retrospectively analyzed the aneurysm using computational fluid dynamics. Our analysis suggests that the rupture of the aneurysm occurred at a location with very low wall shear stress.
- Link information
- ID information
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- DOI : 10.1159/000480425
- ISSN : 1662-680X
- Pubmed ID : 29422847
- SCOPUS ID : 85049916159