Table 1

Patient cohort with neurologic complications

Patient no	Aneurysm location	Neurologic finding	Date of neurologic change	Complication	Intervention taken	Intraprocedural issues
1	Superior hypophyseal	Worsening ipsilateral visual acuity	POD 1	None; transient symptoms	Decadron	Large aneurysm, recoiling
2	Ophthalmic	Pronator drift noted after cessation of heparin/dextran drips	POD 1	TIA; no permanent deficit	Resumption of heparin/dextran drips×24 hours	None
3	Vertebral V4 segment (sidewall)	Left cranial nerve VI and VII palsy noted after procedure	POD 0	Brainstem stroke	None	None
4	Basilar apex	Hemianopsia noted after 36 hours post-op	POD 2	Cortical stroke	Resumption of heparin/dextran drips×24 hours	None
5	Basilar apex	Decreased hemibody sensation	POD 2	Small thalamic stroke	None	Aneurysm >2 cm, 3rd trimester pregnancy
6	Ophthalmic	Left hemiplegia, neglect	POD 0	Cortical stroke	Angiography, thrombolysis	Aneurysm >2 cm
7	Posterior communicating artery	Quadrantanopia	POD 0	TIA; no permanent deficit	None; continuation of heparin/dextran drips	Herniation of coil loops into parent vessel necessitating stent placement
8	Ophthalmic	Aphasia noted after cessation of heparin/dextran drips	POD 1	TIA; no permanent deficit	Heparin bolus, resumption of heparin/dextran drips	None
9	Basilar apex	Hyperemesis	POD 0	None	None	Intraoperative rupture
10	Ophthalmic	Hemiparesis, neglect	POD 0	Cortical stroke	Supportive stroke care	Intraoperative vessel perforation
11	Basilar apex	Coma, moribund state	POD 0	Devastating hemorrhage	Withdrawal of care	Intraoperative rupture