Published in:
Open Access
01-12-2018 | Case Report - Vascular Neurosurgery - Other
A coil in the hair—a case report of percutaneous coil migration
Authors:
Bart De Boer, Alfred P. See, H. Bart Brouwers, Gabriël Rinkel, Ciro Princiotta, Marike L. D. Broekman
Published in:
Acta Neurochirurgica
|
Issue 12/2018
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Abstract
Coil migration following cerebral aneurysm treatment has been described and may result in stroke, recurrent aneurysm, or local mass effect. Cerebral coil embolization is also applied in arteriovenous malformations and arteriovenous fistulas, but these pathologies are relatively rare and coil migration is not as well described. Furthermore, these cases are more commonly treated with combinations of multiple modalities to achieve cure. Embolization, surgery, and radiation each have risks and benefits and combinations may have synergistic risks and benefits not seen in monotherapy. We report a case of extravascular and extra-corporeal coil migration after embolization and craniectomy to treat a patient with hemorrhage from an arteriovenous fistula.