Case

Author, year

Sex

Age

(yrs)

Comorbidities

Aneurysm location

Aneurysm size (mm)

Multiple aneurysm

Previous SAH

CVS onset (postoperative days)

CVS location

Temporary clipping (min)

Number of clips

Other relevant surgical details

Relevant Imaging (CT/MRI)

Symptoms

Treatment

Outcome

1

Bloomfield,

1985

F

54

NA

right MCA bifurcation

7

9th

NA

2

aneurysm puncture after clipping, transient MCA focal spasm

none

left hemiparesis

hydratation dexamethasone 4 mg/hrs for 5 days

Partial recovery

2

Gutierrez, 2001

F

55

NA

left ICA (ophtalmic segment)

3\5

no

NA

1st (16 hrs)

M1,M2,

A1,A2

NA

NA

NA

none

severe right hemiparesis, aphasia, coma

papaverine instillation

Partial recovery (slight right hemiparesis)

3

Kitazawa, 2004 I

F

21

NA

left ICA (paraclinoid)

4

no

no

12th

left M2

use (unknown, several times)

1 straight (Sugita no.2)

bleeding fron cavernous sinus

none

aphasia, Gerstmann

chemical angioplasty (papaverine hydrochloride 80 mg), triple H

Complete recovery

4

Kitazawa, 2004 II

F

63

NA

left ICA (paraclinoid)

5

no

no

9th

NA

use (unknown)

2

none

mild EDH (unknown if it requires surgery)

aphasia, right hemiparesis

chemical angioplasty (unknown), triple H

Complete recovery

5

Paolini, 2005

F

47

smoking (2/3 packs a day)

right MCA bifurcation

8

28th

distal M1

use (unknown)

2 straights

none

postop CT scan:right f-t ICH with brain swelling; on 28th day CT:subacute infarction in tha MCA periventricular areas

left faciobrachiocrural hemiparesis

hydratation, antiplatelet

Complete recovery

6

Yang, 2011

F

41

NA

left ICA bifurcation

5

28th

left distal ICA,A1 and M1

use (3 (su art hr??errore?)

2

none

none

aphasia, right facial numbness

hydratation, antiplatelet, chemical angioplasty (unknown drug)

partial recovery (minimal aphasia)

7

Yang, 2012

F

61

NA

left MCA bifurcation

6

10th

NA

use (?)

3

none

none

aphasia, mental change

hydratation, antiplatelet, chemical anicardipina 8 mg)

partial recovery (minimal aphasia)

8

Hashimoto,  2015  

F

62

NA

left ICA-PCA

5

11th (radiological 8th)

diffuse:bilateral A1, left M!, right M3-M4, bilateral PCA

no

NA

residual neck wrapped by temporal muscle graft

none the postopCT; a Ct scan performed at 8th postop day showed M1 vasospasm+left hemispheric edema, 11th day MRI: left MCA ictus

disorientation, aphasia, right hemiplegia

hypervolemic+antiplatelet therapy

partial recovery (acalculia, paraphasia)

9

Tsyben, 2016

F

53

NA

left M1

5

2nd (30 hrs)

left MCA

no

1

reposition of clip 3 times

none, until MRI on the 6th postop day:left MCA stroke

dysphasia, fluctuant right hemiparesis (> upper limb)

chemical angioplasty (verapamil)

Partial recovery (minimal dysphasia, right upperl limb paresis)

10

Tsyben, 2016

M

70

DM type II, essential hypertension, smoking

ACoA, two small left MCA

NA

yes

2nd

left M2 and M3

yes (both A1 for 4min)

unknown

old xantochromic arachnoid staining near one small MCA an., resection of gyrus rectus

none

decrease of consciousness, aphasia, right hemiparesis

chemical angioplasty (verapamil 20 mg), 3 days of hypertnesion and hypervolemia, 21day of nimodipine

Complete recovery

11

Present Case

F

59

smoking (2/3 packs a day), hypertension

left MCA bifurcation

5

yes: 3mm left ICA

no

6th

left M1 and MCA bifurcation

yes (M1 for 6min)

1 curved Sugita clip

none

left frontobasal and temporal ipodensity on postop CT scan

aphasia, right hemiparesis

chemical angioplasty (nimodipine)

Partial recovery