Abstract

There is considerable interest in the development of symptomatic inflammatory reactions following coil embolization of cerebral aneurysms. Patients have experienced a range of adverse events, usually after treatment of moderately large aneurysms with modified "bioactive" coils. More recently, it has been recognized that adverse inflammatory reactions can be associated with the use of "nonbioactive" coils, and we present a case of symptomatic perianeurysmal edema after treatment of a small unruptured aneurysm with bare platinum coils.

Highlights

  • CASE REPORTSUMMARY: There is considerable interest in the development of symptomatic inflammatory reactions following coil embolization of cerebral aneurysms

  • Following embolization of aneurysms with conventional bare platinum coils, there is a relatively high rate of angiographic recurrence

  • Further MR imaging was performed at 3T approximately 12 months after treatment

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Summary

CASE REPORT

SUMMARY: There is considerable interest in the development of symptomatic inflammatory reactions following coil embolization of cerebral aneurysms. It has been recognized that adverse inflammatory reactions can be associated with the use of “nonbioactive” coils, and we present a case of symptomatic perianeurysmal edema after treatment of a small unruptured aneurysm with bare platinum coils. Despite the currently observed low rates of delayed bleeding, there has been considerable effort to improve long-term angiographic stability by using a variety of modified “bioactive” coils Use of these coils has, been associated with adverse events, such as hydrocephalus, aseptic meningitis, and local inflammatory reactions. Further MR imaging was performed at 3T approximately 12 months after treatment During this period, the patient remained symptom-free and the imaging showed near-total resolution of the perianeurysmal edema (Fig 4A, -B)

Discussion
INTERVENTIONAL CASE REPORT

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