Iatrogenic cortical aneurysm post-craniotomy

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Data

2010-04-01

Autores

Zanini, Marco Antonio [UNESP]
Borges, Rodrigo Almeida
Henrique, Gustavo
Aquino, Nunes
Freitas, Carlos Clayton Macedo de [UNESP]

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Taylor & Francis Ltd

Resumo

Taking into account the number of craniotomies performed every day around the world, iatrogenic aneurysm post-craniotomy is extremely rare with only anecdotal cases reported in literature. We report an iatrogenic aneurysm affecting a cortical vessel which probably developed during dural closure of a conventional craniotomy. The aneurysm was discovered 6 months after surgery on a routine control angiography. The patient was successfully treated by trapping the parent vessel and excising the aneurysm. Histopathological findings were compatible with a true type of traumatic aneurysm. The possibility of this rare condition occurring highlights the risk of arterial injury during craniotomy.</.

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British Journal of Neurosurgery. Abingdon: Taylor & Francis Ltd, v. 24, n. 2, p. 214-215, 2010.