Symptomatic Cerebral Air Embolism During Stent-assisted Coiling of an Unruptured Middle Cerebral Artery Aneurysm: Intraoperative Diagnosis and Management of a Rare Complication

Journal of Cerebrovascular and Endovascular Neurosurgery 2014³â 16±Ç 2È£ p.93 ~ p.97

(Tan Lee A) - USA Rush University Medical Center Department of Neurosurgery
(Keigher Kiffon M.) - USA Rush University Medical Center Department of Neurosurgery
(Lopes Demetrius K) - USA Rush University Medical Center Department of Neurosurgery

Abstract

Symptomatic cerebral air embolism during cerebral angiography is extremely rare. We report on the case of a 69-year-old woman undergoing elective stent-assisted coiling of an unruptured right middle cerebral artery (MCA) bifurcation aneurysm, who was found to have severe attenuation of somatosensory evoked potential (SSEP) and electroencephalography (EEG) during the procedure. Intra-operative DynaCT showed hypodense cortical vessels consistent with cerebral air embolism. Diagnostic and management strategies for this rare complication are reviewed.

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Cerebral air embolism, Cerebral angiography
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