Acta Neurochirurgica

, Volume 161, Issue 3, pp 593–596 | Cite as

Intracranial stenting after tumor exeresis complicated by delayed kinking of the middle cerebral artery

  • Davide SimonatoEmail author
  • Joseph Domenico Gabrieli
  • Giacomo Cester
  • Alessandro Della Puppa
  • Francesco Causin
Case Report - Vascular Neurosurgery - Ischemia
Part of the following topical collections:
  1. Vascular Neurosurgery - Ischemia


During intracranial tumor resection, the delayed kinking of a major encased vessel has never been described in literature. We present a case which required urgent endovascular treatment performed through a stent positioning. A patient was hospitalized with symptomatic sphenoid meningioma in the left middle cranial fossa. Twelve days after surgery, right-sided hemiplegia and aphasia occurred. Digital subtraction arteriography revealed a kinking of the M1 segment of the left middle cerebral artery and diffuse vasospasm. At first, intra-arterial nimodipine has been administered, obtaining the remission of the vasospasm. Secondly, a stent was positioned to treat the kinking, achieving a complete flow restoration.


Kinking Vasospasm Skull-base Delayed cerebral ischemia 


Compliance with ethical standards

Conflicts of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from the individual participant included in the study.


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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  • Davide Simonato
    • 1
    Email author
  • Joseph Domenico Gabrieli
    • 2
  • Giacomo Cester
    • 2
  • Alessandro Della Puppa
    • 3
  • Francesco Causin
    • 2
  1. 1.Institute of RadiologyUniversity of PaduaPaduaItaly
  2. 2.Neuroradiology UnitUniversity Hospital of PadovaPaduaItaly
  3. 3.Neurosurgery UnitUniversity Hospital of PadovaPaduaItaly

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