Metin BAYRAM, Selim KERVANCIOĞLU, Ahmet METE, Lütfiye ÇÖÇELLİ PİRBUDAK

Massive subarachnoid hemorrhage after radiofrequency trigeminal rhizotomy

Kırk yaşındaki erkek hastada trigeminal radyofrekans rizotomi sonrası yaygın subaraknoid kanama gelişti. Hastada yaklaşık 10 yıldır süren, trigeminal sinir oftalmik ve maksiller dallarına uyar traselerde ağrı şikayeti vardı. İşlem sonrası hastanın ağrısı tamamen geçti ancak 1 saat sonra frontal bölgede şiddetli baş ağrısı oldu. Kraniyal bilgisayarlı tomografisinde yaygın subaraknoid kanama ve sol kavernöz sinüste hava dansitesi saptandı. Burada bu nadir komplikasyonun bilgisayarlı tomografi bulgularını sunmayı amaçladık.

Trigeminal radyofrekans rizotomi sonrası yaygın subaraknoid kanama

A 40-year-old man developed massive subarachnoid hemorrhage following attempted radiofrequency ablation for trigeminal neuralgia. The patient had a 10-year history of trigeminal neuralgia at the ophthalmic and maxillary branches of the left trigeminal nerve. After the procedure, the patient s pain resolved completely, but one hour later sudden onset of severe headache in the frontal region was appeared. Computed tomography (CT) scan of the cranium showed massive subarachnoid hemorrhage, and an air bubble was observed in the left cavernous sinus. Herein, we present the CT feature of this rare complication. Keywords: Radiofrequency ablation; subarachnoid hemorrhage; traumatic; trigeminal neuralgia

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