Delayed Emergence After Aneurysm Clipping

2013 ◽  
pp. 463-470
Author(s):  
Sun Choe Daly
Keyword(s):  
Aneurysm Clipping ◽  
Delayed Emergence

Risk Score Estimation: A new method to determine optimal timing of aneurysm clipping for improved management outcome

1998 ◽  
Vol 20 (3) ◽  
pp. 218-224 ◽  
Author(s):  
Due Duong ◽  
Sastry Kolluri ◽  
P.J. Spittaler ◽  
R.P. Sengupta
Keyword(s):  
Risk Score ◽  
New Method ◽  
Optimal Timing ◽  
Aneurysm Clipping

scholarly journals Anesthetic Challenges in the Management of Intracranial Aneurysm Clipping in a Patient with Hypertrophic Cardiomyopathy

2020 ◽  
Author(s):  
Sakshi Duggal ◽  
Priyanka Khurana ◽  
Pragati Ganjoo ◽  
Nilima Das
Keyword(s):  
Hypertrophic Cardiomyopathy ◽  
Perioperative Complications ◽  
Artery Aneurysm ◽  
Ventricular Outflow Tract ◽  
Left Ventricular ◽  
Anterior Communicating Artery ◽  
Drug Selection ◽  
Aneurysm Clipping ◽  
Left Ventricular Outflow ◽  
Life Threatening

AbstractAneurysmal surgeries are high-risk procedures due to potential for occurrence of fatal perioperative complications. This risk is exaggerated in the presence of co-existing hypertrophic cardiomyopathy (HCM). It involves asymmetrical hypertrophy of left ventricle with mitral valve dysfunction, leading to left ventricular outflow tract obstruction. Various perioperative factors may precipitate this obstruction resulting in life-threatening consequences. We report the management of a patient with HCM undergoing anterior communicating artery aneurysm clipping and discuss the anesthetic concerns. Comprehensive approach with careful drug selection, vigilant monitoring, and preparedness for complications enabled patient safety and a good neurological outcome.

Oculomotor Nerve Palsy Due To Posterior Communicating Artery Aneurysm: Clipping vs Coiling

2021 ◽  
Author(s):  
Alexandrina S. Nikova ◽  
Georgios S Sioutas ◽  
Katerina Sfyrlida ◽  
Grigorios Tripsianis ◽  
Michael Karanikas ◽  
...  
Keyword(s):  
Nerve Palsy ◽  
Artery Aneurysm ◽  
Oculomotor Nerve ◽  
Posterior Communicating Artery ◽  
Oculomotor Nerve Palsy ◽  
Aneurysm Clipping ◽  
Posterior Communicating Artery Aneurysm

EFFECTS OF TEMPERATURE AND SEED TUBER BUD POSITION ON SHOOT EMERGENCE OF THE POTATO CULTIVARS JEMSEG AND CONESTOGA

1987 ◽  
Vol 67 (2) ◽  
pp. 599-603 ◽  
Author(s):  
A. W. McKEOWN
Keyword(s):  
Seed Tuber ◽  
Potato Cultivars ◽  
Seed Tubers ◽  
Solatium Tuberosum ◽  
Delayed Emergence ◽  
Early Maturing ◽  
Basal Portion ◽  
Bud Position ◽  
Effects Of Temperature ◽  
Cut Seed

Shoots of the early-maturing potato (Solatium tuberosum L.) cultivar Jemseg often do not emerge uniformly when cut seed pieces are planted in cold soil. Under controlled temperatures of 10, 15 and 20 °C, shoots from whole tubers and basal portions of Jemseg tubers emerged later than those from apical portions of seed tubers. The delayed emergence of the basal portion was most pronounced at low temperatures and ranged from 5 to 17 d. Emergence from basal vs. apical portions of Conestoga was delayed by 10 d at 10 °C and by 4 d at 15 °C, only when seed tubers with a single dominant apical sprout were used. There was no delay at 20 °C. The variable time to emergence of shoots in the field can be explained by delayed emergence from basal buds on cut seed pieces.Key words: Potato, cultivars, emergence, bud position, temperature, seed tuber

Adjuvant hyperbaric oxygen treatment of acute brain herniation after microsurgical clipping of a recurring cerebral aneurysm: a case report

2021 ◽  
pp. 373-375
Author(s):  
Yaling Liu ◽  
Keyword(s):  
Case Report ◽  
Cerebral Aneurysm ◽  
Hyperbaric Oxygen ◽  
Ct Images ◽  
Left Middle Cerebral Artery ◽  
Brain Herniation ◽  
Hyperbaric Oxygen Treatment ◽  
Aneurysm Clipping ◽  
Oxygen Treatment ◽  
Bifurcation Aneurysm

Introduction: Acute brain herniation is a life-threatening neurological condition that occasionally develops due to severe complications following cerebral aneurysm clipping. Strategies for managing acute brain herniation have not improved substantially during the past decade. Hyperbaric oxygen treatment (HBOT) may alleviate harmful effects of cerebral hypoxia, which is one of the most important pathophysiological features of acute brain herniation and, therefore, may be useful as an adjuvant therapy for acute brain herniation. A case treated with adjuvant HBOT is reported. Case report: A 60-year-old asymptomatic man presented with a recurring left middle cerebral artery bifurcation aneurysm with previous stent-assisted embolisation. After craniotomy for surgical clipping of the aneurysm, disturbance of consciousness and right hemiplegia occurred. Computed tomography (CT) images suggested simultaneous cerebral ischaemia and intracranial haemorrhage. Pharmacologic treatment resulted in no improvement. A CT scan acquired five days after surgery showed uncal and falcine herniation. HBOT was administered five days after surgery, and the patient’s condition dramatically improved. He became conscious, and his hemiplegia improved following seven sessions of HBOT. Simultaneously, CT images showed regression of the acute brain herniation. Conclusions: The patient had recovered completely at one year post-treatment. HBOT may be effective in the treatment of acute brain herniation following cerebral aneurysm clipping.

scholarly journals Level of headaches after surgical aneurysm clipping decreases significantly faster compared to endovascular coiled patients

2017 ◽  
Vol 7 (2) ◽  
Author(s):  
Athanasios K. Petridis ◽  
Jan F. Cornelius ◽  
Marcel A. Kamp ◽  
Sina Falahati ◽  
Igor Fischer ◽  
...  
Keyword(s):  
Aneurysm Rupture ◽  
Endovascular Coiling ◽  
Analog Scale ◽  
Surgical Clipping ◽  
Time Points ◽  
Ruptured Aneurysms ◽  
Aneurysm Clipping ◽  
Incidental Aneurysms ◽  
The Difference ◽  
Late Recovery

In incidental aneurysms, endovascular treatment can lead to post-procedural headaches. We studied the difference of surgical <em>clipping</em> <em>vs</em>. endovascular <em>coiling</em> in concern to post-procedural headaches in patients with ruptured aneurysms. Sixtyseven patients with aneurysmal subarachnoidal haemorrhage were treated in our department from September 1<sup>st</sup> 2015 - September 1<sup>st</sup> 2016. 43 Patients were included in the study and the rest was excluded because of late recovery or highgrade subarachnoid bleedings. Twenty-two were surgical treated and twenty-one were interventionally treated. We compared the post-procedural headaches at the time points of 24 h, 21 days, and 3 months after treatment using the visual analog scale (VAS) for pain. After surgical clipping the headache score decreased for 8.8 points in the VAS, whereas the endovascular treated population showed a decrease of headaches of 3.3 points. This difference was highly statistical significant and remained significant even after 3 weeks where the pain score for the surgically treated patients was 0.68 and for the endovascular treated 1.8. After 3 months the pain was less than 1 for both groups with surgically treated patients scoring 0.1 and endovascular treated patients 0.9 (not significant). Clipping is relieving the headaches of patients with aneurysm rupture faster and more effective than endovascular coiling. This effect stays significant for at least 3 weeks and plays a crucial role in stress relieve during the acute and subacute ICU care of such patients.

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