Work

Intraoperative Rupture of Unruptured Cerebral Aneurysm during Craniotomy: A Case Report

Year: 2017
Type: article
Study design: Case Report
Abstract: 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.
Institution: Kanazawa University
Language: English
Field: Medicine
Open Access status: gold
Estimated APC paid: $1,030
OpenAlex ID: W2767367336
FWCI: 0.743
Cites: 7
Cited by: 15
Related to: 10