Abstract:
:A 51-year-old female with a ruptured dissecting vertebral artery aneurysm underwent an uneventful wrapping technique using Biobond-soaked gauze through a unilateral suboccipital transcondyle approach. On the 3rd postoperative day, she developed pareses of the ipsilateral VII through XII cranial nerves. Daily intravenous administration of 300 mg of hydrocortisone was started. This treatment was continued and dosage was tapered until the 10th postoperative day. The cranial nerve pareses deteriorated until the 8th postoperative day, but slowly resolved by 3 weeks after surgery. The patient was discharged with slight hoarseness and dysphasia 5 weeks after surgery. She had only slight hoarseness at 6 months. This complication was probably due to a neural toxic response to the Biobond.
journal_name
Neurol Med Chir (Tokyo)journal_title
Neurologia medico-chirurgicaauthors
Kuroki T,Aoki K,Aoki Y,Nemoto A,Yamazaki T,Katsume M,Takasu Ndoi
10.2176/nmc.43.35keywords:
subject
Has Abstractpub_date
2003-01-01 00:00:00pages
35-7issue
1eissn
0470-8105issn
1349-8029pii
JST.JSTAGE/nmc/43.35journal_volume
43pub_type
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