{"id":"d5825198-fca3-4ee9-8d0d-51752a471444","slug":"early-recanalization-and-vasospasm-after-endovascular-treatment-in-a-case-of-ruptured-vertebral-artery-dissecting-aneurysm-associated-with-covid-19","title":"Early recanalization and vasospasm after endovascular treatment in a case of ruptured vertebral artery dissecting aneurysm associated with COVID-19","authors":["Yukihiko Nakamura","Chihiro Takashima","Takahisa Nonaka","Taku Ohkubo","Takayuki Kawano","Akira Okura","Daisuke Kondou","Kazutaka Sonoda","Masaru Hirohata","Motohiro Morioka"],"abstract":"Background: The coronavirus disease 2019 (COVID-19) pandemic has caused significant structural changes in acute care hospitals. COVID-19-associated stroke has gained attention, with abnormal coagulation and vascular endothelial damage being recognized. While ischemic cases are commonly reported, hemorrhagic cases have also been reported. This report presents a case of ruptured vertebral artery dissection aneurysm associated with COVID-19, resulting in subarachnoid hemorrhage (SAH). The treatment course, challenges in managing cerebral vasospasm, and early recanalization achieved through endovascular therapy are described. Case Description: A 67-year-old male patient was brought to our hospital for emergency treatment of impaired consciousness that occurred while recovering from COVID-19. He underwent endovascular internal trapping using coils, and although the rupture did not recur, he required long-term tracheal management, which resulted in a cerebral infarction caused by cerebral vasospasm. In addition, early recanalization was seen, which required retreatment. Conclusion: This case highlights the challenges in managing COVID-19-associated SAH and emphasizes the need for infection control measures and proper postoperative care. Establishing protocols for detecting and managing cerebral vasospasm is essential.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/d5825198-fca3-4ee9-8d0d-51752a471444/featured/hero-1781560058053.png","publishDate":"2023-09-08T00:00:00.000Z","doi":"10.25259/SNI_517_2023","categories":["Infection","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/d5825198-fca3-4ee9-8d0d-51752a471444/pdf"}