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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(03): 989-991
DOI: 10.4103/ajns.AJNS_327_16
Case Report

Unusual complication of paraplegia following intracranial aneurysm clipping in a patient with undiagnosed coarctation of aorta

Shaik Pasha
Department of Neurology, NRI Medical College and General Hospital, Guntur, Andhra Pradesh
,
Rajesh Ghanta
1   Department of Neurosurgery, Suraksha Hospital, Vijayawada, Andhra Pradesh
,
Biju Govind
2   Department of Cardiology, NRI Medical College and General Hospital, Guntur, Andhra Pradesh
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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.

Key-words:

Coarctation of aorta - paraplegia - postoperative paraplegia

Financial support and sponsorship

Nil.




Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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