Sphenoid sinusitis complicated by extensive septic thrombosis after coiling of a ruptured intracranial aneurism

We report here the case of a 40-year-old man who presented with sphenoid sinusitis complicated by jugular and cerebral venous thrombosis and intracranial infection 6 weeks after coiling of an anterior choroidal artery aneurysm. The pathogeny of this unusual and severe complication is discussed.

Đánh giá kết quả điều trị phình động mạch não bằng phẫu thuật kẹp clip vi phẫu

EVALUATION OF THE RESULT OF INTRACRANIAL ANEURYSM MICROSURGICAL TREATMENT BY CLIPPING Objective: To describe of clinical features, imaging finding and evaluate the results of intracranial aneurysm microsurgical treatment by clipping. Methods: Prospective described study of 41 cases of cranial aneurysm indicated to surgical treatment at Neurosurgery Department - Hue central hospital from March - 2017 to June - 2019. Results: The outcome at the time discharged from hospital, 65,8% had good recovery (GOS 4-5), 7.3% had moderate outcome (GOS 3) and 26.9% had bad outcome (GOS 1-2), 10 patients died (24.4%). The proportion of better recovery after 3 months was 29%, and1 patient died at home. Checked DSA after surgery, 96.9% of aneurysm was completely removed Conclusions: The proportion of ruptured intracranial aneurysm is very low, but the outcome is often bad. Nowadays, there are many method treatment for intracranial aneurism, but microsurgical treatment still remains its important roles and is improvement for better outcome. Key words: intracranial aneurysm, microsurgical treatment by clipping