1. Pontine infarction caused by medial branch injury of the basilar artery as a rare complication of cisternal drain placement.
- Author
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Horiuchi T, Yamamoto Y, Kuroiwa M, Rahmah NN, and Hongo K
- Subjects
- Aged, 80 and over, Aneurysm, Ruptured complications, Cisterna Magna surgery, Female, Humans, Intracranial Aneurysm complications, Spinal Stenosis complications, Vascular Surgical Procedures adverse effects, Venous Thrombosis complications, Aneurysm, Ruptured surgery, Basilar Artery pathology, Brain Stem Infarctions etiology, Intracranial Aneurysm surgery, Neurosurgical Procedures adverse effects, Pons pathology
- Abstract
We present a rare complication of cisternal drain placement during aneurysm surgery. A ruptured anterior communicating artery aneurysm was clipped through a right pterional approach. A cisternal drain was inserted from the retro-carotid to the prepontine cistern. Postoperatively, a left-sided paresis of the upper extremity had developed. A CT brain scan revealed that the drain was located between the pons and the basilar artery, resulting in a pontine infarction. Vascular neurosurgeons should keep this complication in mind when placing a cisternal drain tube. The drain tube should not be inserted too deep into the prepontine cistern., (Copyright © 2011 Elsevier Ltd. All rights reserved.) more...
- Published
- 2012
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