Journal of Neurosurgery and Kampo Medicine
Online ISSN : 2758-1594
Print ISSN : 2189-5562
Case Report
Herbal Medicine, goreisan for perianeurysmal edema after coil embolization procedure: A case report
Satsuki MiyataKatsunari NanbaAyuho HigakiYoshiyuki OnukiTakashi YamaguchiKensuke Kawai
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2019 Volume 5 Issue 1 Pages 48-52

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Abstract

A 69–year–old female was admitted to our hospital for advanced oculomotor nerve palsy associated with basilar artery–superior cerebellar artery aneurysm. The aneurysm underwent a stent–assisted coil embolization procedure with Bioactive coil. Steroid treatment was started due to perianeurysmal edema from the day after surgery. However, no therapeutic effect was observed three months after coil embolization. Hydrocephalus also developed from exacerbation of brain edema and occlusion of cerebral aqueduct. Brain edema and hydrocephalus were improved by additional administration of goreisan. It suggests that goreisan can be one of the effective treatment options for steroid intractable cases.

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© 2019 The Japanese Society for Kampo Medicine and Neurological Surgery
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