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Unusual complication of paraplegia following intracranial aneurysm clipping in a patient with undiagnosed coarctation of aorta

1 Department of Neurology, NRI Medical College and General Hospital, Guntur, Andhra Pradesh, India
2 Department of Neurosurgery, Suraksha Hospital, Vijayawada, Andhra Pradesh, India
3 Department of Cardiology, NRI Medical College and General Hospital, Guntur, Andhra Pradesh, India

Correspondence Address:
Shaik Afsar Pasha,
Department of Neurology, NRI Medical College and General Hospital, Chinakakani, Guntur, Andhra Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajns.AJNS_327_16

We report a case of subarachnoid hemorrhage in a 38-year-old male, diagnosed to have the right middle cerebral artery aneurysm on computed tomography (CT) cerebral angiogram. He was a known hypertensive for 17 years and was on irregular treatment. Craniotomy and clipping of the aneurysm were done. Postoperatively, the patient had high blood pressure of 200/120 mmHg. Treatment of hypertension in the postoperative period resulted in paraplegia. CT angiogram of aorta revealed coarctation-postductal type. He underwent balloon dilatation for the coarctation of aorta followed by coarctopalsty and stenting with the improvement in motor power in both lower limbs.

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