Iatrogenic Intracranial Aneurysm After External Ventricular Drain Placement: Traumatic or Mycotic Origin? Case Report and Literature Review

Pastor-Cabeza, Marta; González-Crespo, Antonio; Tardáguila, Manel; Opacua, Alberto Blanco Ibáñez de; Remollo, Sebastián; Domínguez, C.; Rimbau, Jordi; Rodríguez-Hernández, Ana

doi:10.1016/j.wneu.2020.07.179

World Neurosurgery

2020

DOI: 10.1016/j.wneu.2020.07.179

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Iatrogenic Intracranial Aneurysm After External Ventricular Drain Placement: Traumatic or Mycotic Origin? Case Report and Literature Review

Marta Pastor-Cabeza

Antonio González-Crespo

Manel Tardáguila

et al.

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Cited by 3 publications

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Traumatic intracranial pseudoaneurysms are uncommon lesions 1 and can develop after trauma, infection, malignancy, 2 or from iatrogenic causes. 3,4 Delayed formation, irregular growth patterns, and rupture make these lesions challenging to manage and present significant risk of life-threatening hemorrhage. 5,6 Intracranial hemorrhage after placement of stereo-electroencephalography depth electrodes for long-term epilepsy monitoring is rare.

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confidence: 99%

Trapping and Superficial Temporal Artery to Distal Middle Cerebral Artery Bypass for Excision of an Iatrogenic Middle Cerebral Artery Pseudoaneurysm After Placement of Epilepsy Depth Electrodes: 2-Dimensional Operative Video

Lamanna

Gross

Barrow

2023

Operative Neurosurgery

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mentioning

confidence: 99%

Trapping and Superficial Temporal Artery to Distal Middle Cerebral Artery Bypass for Excision of an Iatrogenic Middle Cerebral Artery Pseudoaneurysm After Placement of Epilepsy Depth Electrodes: 2-Dimensional Operative Video

Lamanna

Gross

Barrow

2023

Operative Neurosurgery

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Treatment of Traumatic Internal Carotid Artery Aneurysm by Flow-Diverter: A Single-Center Experience

et al. 2022

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Pseudoaneurysm of Distal Anterior Cerebral Artery Secondary to External Ventricular Drain: A Case Report and Review of the Literature

et al. 2022

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BACKGROUND AND IMPORTANCE: External ventricular drain (EVD) placement is a common neurosurgical procedure. The risk of hemorrhage is well documented, and the associated risk of pseudoaneurysm is quite rare. Our objective is to report our case of EVD-associated pseudoaneurysm, review the published literature, and suggest management. CLINICAL PRESENTATION: A 66-year-old woman presented with subarachnoid hemorrhage secondary to a ruptured posterior communicating artery aneurysm, hydrocephalus was managed with bilateral EVD placement, and the ruptured aneurysm treated with coil embolization. The EVDs were removed, and a tract hemorrhage was noted on the right. Routine imaging 3 months later revealed a cortical pseudoaneurysm along the previous right-sided EVD tract. The pseudoaneurysm was successfully treated with clipping, and the patient is neurologically intact. CONCLUSION: This is the first case to report pseudoaneurysm diagnosis after tract hemorrhage upon EVD removal. Prompt treatment is imperative. We recommend considering vascular imaging in any case with hemorrhage upon EVD removal.

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Iatrogenic Intracranial Aneurysm After External Ventricular Drain Placement: Traumatic or Mycotic Origin? Case Report and Literature Review

Cited by 3 publications

References 15 publications

Trapping and Superficial Temporal Artery to Distal Middle Cerebral Artery Bypass for Excision of an Iatrogenic Middle Cerebral Artery Pseudoaneurysm After Placement of Epilepsy Depth Electrodes: 2-Dimensional Operative Video

Trapping and Superficial Temporal Artery to Distal Middle Cerebral Artery Bypass for Excision of an Iatrogenic Middle Cerebral Artery Pseudoaneurysm After Placement of Epilepsy Depth Electrodes: 2-Dimensional Operative Video

Treatment of Traumatic Internal Carotid Artery Aneurysm by Flow-Diverter: A Single-Center Experience

Pseudoaneurysm of Distal Anterior Cerebral Artery Secondary to External Ventricular Drain: A Case Report and Review of the Literature

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