Minimally conscious state after ruptured giant basilar aneurysm

Joseph D. Burns, Alejandro A. Rabinstein, Harry Cloft, Giuseppe Lanzino, David J. Daniels, Eelco F.M. Wijdicks

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Objective: To report the clinical and radiologic findings in a case of transient minimally conscious state after rupture and coiling of a giant basilar aneurysm. Design: Case report. Setting: Neuroscience intensive care unit. Patient: A 44-year-old man who developed a transient minimally conscious state in association with perianeurysmal edema in the rostral brainstem and thalamus after rupture and coiling of a giant basilar artery aneurysm. Main Outcome Measure: Correlation of clinical and magnetic resonance imaging findings. Results: A minimally conscious state and bilaterally symmetric vasogenic edema of the rostral brainstem and thalamus developed 2 days after endovascular aneurysm coiling. The clinical and radiologic abnormalities improved significantly and in parallel during the following 4 weeks. Conclusions: Perianeurysmal vasogenic edema in the brainstem and thalamus can develop after rupture and coiling of a giant basilar artery aneurysm. This process can be transient and can produce dramatic alterations in consciousness that later resolve.

Original languageEnglish (US)
Pages (from-to)786-788
Number of pages3
JournalArchives of neurology
Volume66
Issue number6
DOIs
StatePublished - Jun 1 2009

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Clinical Neurology

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