Open AccessUnusual complication of paraplegia following intracranial aneurysm clipping in a patient with undiagnosed coarctation of aorta
Author(s) -
Shaik Afsar Pasha,
Rajesh K Ghanta,
Biju Govind
Publication year - 2019
Publication title -
asian journal of neurosurgery
Language(s) - English
Resource type - Journals
ISSN - 2248-9614
DOI - 10.4103/ajns.ajns_327_16
Subject(s) - medicine , clipping (morphology) , paraplegia , aneurysm , subarachnoid hemorrhage , coarctation of the aorta , complication , surgery , radiology , craniotomy , aorta , spinal cord , philosophy , linguistics , psychiatry
We report a case of subarachnoid hemorrhage in a 38-year-old male, diagnosed to have the right middle cerebral artery aneurysm on computed tomography (CT) cerebral angiogram. He was a known hypertensive for 17 years and was on irregular treatment. Craniotomy and clipping of the aneurysm were done. Postoperatively, the patient had high blood pressure of 200/120 mmHg. Treatment of hypertension in the postoperative period resulted in paraplegia. CT angiogram of aorta revealed coarctation-postductal type. He underwent balloon dilatation for the coarctation of aorta followed by coarctopalsty and stenting with the improvement in motor power in both lower limbs.