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Kaixuan YAN, MD, Department of Neurosurgery, The Affiliated Jiangyin hospital, School of Medicien, Southeast University, No.163 Road of Shou Mountain, Jiangyin city, Jiangsu Province, CHINA, 214400.
Heng Gao, MD, PhD, Department of Neurosurgery, The Affiliated Jiangyin hospital, School of Medicien, Southeast University, No.163 Road of Shou Mountain, Jiangyin city, Jiangsu Province, CHINA, 214400.
Background and importance We describe a patient who occurred intraoperative aneurysm ruptured (IAR) of aneurysms neck and the surgeon use a piece of endocranium to assisted clip and achieve a good result.Clinical presentation A 62-year-old women was admitted with an acute subarachnoid hemorrhage (SAH). She underwent, after 2h, a right frontotemporal craniotomy for clip ligation of the subarachnoid aneurysms. IAR occurred during the dissection of the aneurysm neck, and then surgeon selected a free piece of endocranium（about 3cm×2cm）wrapping to repair tear of aneurysm neck assist clipping. Long-term clinical follow up shows that patient recuperate well and with a 0’ Modified Rankin scale scores eventually.Conclusion This report illustrates that The IAR of neck is the most devastating complication. Endocranium-clipping technique is an effective measure to repair tear at the neck.
Aneurysm; Intraoperative aneurysm rupture; Aneurysm clipping
Cite this paper
Kaixuan YAN, MD, Heng Gao, MD, PhD, Endocranium mater warp to repair tear of aneurysm neck assist clipping: A Case Report, SCIREA Journal of Clinical Medicine. Vol. 1 , No. 1 , 2016 , pp. 1 - 11 .
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