Aspirin
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Epidural and subdural haematoma: case report A 51-year-old woman developed epidural and subdural haematomas during treatment with aspirin. The woman presented to hospital with meningitis and declined acute neurological status. She was recently diagnosed with acquired immunodeficiency syndrome. At the time of admission, she had been receiving aspirin [dosage and route not stated]. Following the admission, a neuroimaging test reveled fusiform left a2-anterior inferior cerebellar artery (AICA) aneurysm (mycotic aneurysm) with diffuse subarachnoid and intraventricular haemorrhage. An extended retrosigmoid approach revealed infectious aneurysm. Thereafter, the excision of AICA aneurysm was performed primary reanastomosis was performed in between and deep to the vestibulocochlear nerves superiorly and the glossopharyngeal nerve inferiorly. Thereafter, indocyanine-green video angiography and postoperative angiogram confirmed bypass patency. Following the surgery, she developed epidural and subdural haematomas due to human immunodeficiency virus associated coagulopathy or increased aspirin sensitivity [duration of treatment to reaction onset not stated]. The woman subsequently underwent surgery to treat haematomas. Her condition completely recovered at late follow-up. Mascitelli J, et al. Excision and Primary Reanastomosis of the Anterior Inferior Cerebellar Artery for Treatment of a Ruptured Mycotic Aneurysm: 2-Dimensional Operative 803519665 Video. Operative Neurosurgery 19: E58-E59, No. 1, Jul 2020. Available from: URL: http://doi.org/10.1093/ons/opz292
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Reactions 5 Dec 2020 No. 1833
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