polenovjournalРоссийский нейрохирургический журнал имени профессора А. Л. ПоленоваRussian Neurosurgical Journal named after Professor A. L. Polenov2071-2693Семинары, Конференции и Форумы10.56618/2071-2693_2023_15_2_134polenovjournal-317Research ArticleОБЗОРЫ ЛИТЕРАТУРЫ И КЛИНИЧЕСКИЕ СЛУЧАИREVIEWS OF LITERATURE AND CLINICAL CASESРазвитие синдрома обратимой церебральной вазоконстрикции после клипирования асимптомной аневризмы средней мозговой артерииDevelopment of the syndrome of reversible cerebral vasoconstriction after clipping of an asymptomatic aneurysm of the middle cerebral arteryhttps://orcid.org/0000-0001-6321-4557ШнякинП. Г. ShnyakinP. G.

Шнякин Павел Геннадьевич 

г. Красноярск, ул. Партизана Железняка, д.1, 660022

1, Partizan Zheleznyak Str., Krasnoyarsk,  660022 

https://orcid.org/0000-0002-7099-4384ЛосеваА. С.LosevaA. S.

Лосева Анастасия Сергеевна

г. Красноярск, ул. Партизана Железняка, д.1, 660022

1, Partizan Zheleznyak Str., Krasnoyarsk, 660022 

ФГБОУ ВО «Красноярский государственный медицинский университет имени профессора В. Ф. Войно-Ясенецкого»РоссияFSBEI НЕ «Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University»Russian Federation202325052023152134139Copyright © Шнякин П.Г., Лосева А.С., 20232023Шнякин П.Г., Лосева А.С.Shnyakin P.G., Loseva A.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://polenovjournal.elpub.ru/jour/article/view/317

В статье представлен клинический случай развития диффузного ангиоспазма после клипирования асимптомной аневризмы средней мозговой артерии у женщины 60 лет. Операция прошла без осложнений, временное клипирование не проводилось. Пациентка выписана на 10-й день после операции в удовлетворительном состоянии. На 12-е сутки появилась выраженная головная боль, развился гемипарез и выпадение правых полей зрения. При дообследовании по МСКТ выявлены зоны ишемии в теменно-затылочной и височной областях слева, по МСКТ-ангиографии определяется выраженный ангиоспазм в каротидном и вертебробазилярном бассейнах. На фоне назначения Нимотопа симптоматика регрессировала и через 9 суток ангиоспазм полностью разрешился, новых очагов ишемии не появилось. В статье также представлен обзор немногочисленных подобных наблюдений у других исследователей. 

The article presents a clinical case of the development of diffuse angiospasm after clipping of an asymptomatic aneurysm of the middle cerebral artery in a 60-year-old woman. The operation was uneventful, temporary clipping was not performed. The patient was discharged on the 10th day after the operation in a satisfactory condition. On the 12th day, severe headache appeared, hemiparesis and loss of the right visual fields developed. Additional examination by MSCT revealed ischemic zones in the parietal-occipital and temporal regions on the left, MSCT angiography revealed pronounced angiospasm in the carotid and vertebrobasilar basins. Against the background of the appointment of nimotop, the symptoms regressed and after 9 days, angiospasm completely resolved, no new foci of ischemia appeared. The article also provides an overview of the few similar observations by other researchers. 

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The authors declare that there are no conflicts of interest present.