Neurological Surgery No Shinkei Geka Volume 33, Issue 10 (October 2005)

A Case of Ruptured True Posterior Communicating Artery Aneurysm with Neurogenic Pulmonary Edema Treated Early by GDC Embolization Toshinari MEGURO 1 , Kinya TERADA 1 , Nobuyuki HIROTUNE 1 , Shigeki NISHINO 1 , Taku ASANO 1 , Taketoshi MANABE 1 1Department of Neurological Surgery,Hiroshima City Hospital Keyword: posterior communicating artery , neurogenic pulmonary edema , subarachnoid hemorrhage , cerebral aneurysm , Guglielmi detachable coil pp.1001-1004
Published Date 2005/10/1
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A case of ruptured true posterior communicating artery aneurysm with neurogenic pulmonary edema is presented. A 31-year-old male suffered the sudden onset of unconsciousness with respiratory dysfunction and pinkish foamy sputum. Computed tomography demonstrated diffuse subarachnoid hemorrhage and chest roentgenogram disclosed pulmonary edema. An emergency cerebral angiogram under controlled ventilation revealed that an aneurysm had arisen from the right posterior communicating artery itself. Subsequently GDC embolization and lumbar drainage were performed on day 0. The patient showed full recovery from pulmonary edema on day 6. He suffered multiple cerebral infarctions caused by vasospasm but he atlained a full recovery after 7 months. The follow-up angiogram showed complete obliteration of the aneurysm. This case report suggests that endovascular treatment with lumbar drainage is useful for severe aneurysmal SAH complicated with pulmonary edema in the acute stage.

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Neurological Surgery 脳神経外科
33巻10号 (2005年10月)
電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院