Coil embolization for cerebral aneurysms can lead to various complications, such as aneurysm rupture and cerebral embolism. In recent years, foreign substance embolisms-caused by peeling off of coating materials from therapeutic devices-have been described. We report here a case of unilateral multiple cerebral edema four weeks after coil embolization. A 44-year-old woman presented with a subarachnoid hemorrhage from a right internal carotid-posterior communicating artery aneurysm, for which coil embolization was performed. Four weeks after the embolization, she developed numbness in the left side of her mouth and in her left upper extremity. Magnetic resonance images showed multiple edematous lesions in the right cerebral hemisphere. Subsequent treatment with steroids improved her symptoms and edematous cerebral lesions. Although definitive diagnosis by biopsy was not performed, her clinical course and imaging findings resembled a foreign substance embolism by hydrophilic coating. It is important to note that delayed cerebral edema due to foreign substance embolisms might occur after endovascular treatments.

译文

:脑动脉瘤的线圈栓塞可导致多种并发症,例如动脉瘤破裂和脑栓塞。近年来,已经描述了由于从治疗装置上剥离涂层材料而引起的异物栓塞。我们在这里报告了线圈栓塞后四周单侧多发性脑水肿的病例。一名44岁的女性因右颈内-后交通动脉瘤出现蛛网膜下腔出血,对其进行了线圈栓塞术。栓塞后四周,她的嘴左侧和左上肢出现麻木感。磁共振图像显示右脑半球有多处水肿性病变。随后使用类固醇的治疗改善了她的症状和脑水肿。尽管没有进行活检的明确诊断,但她的临床过程和影像学表现类似于亲水涂层的异物栓塞。重要的是要注意,在进行腔内治疗后,可能会因异物栓塞而导致延迟性脑水肿。

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