Personality change after ‘flow diverter implantation’ for intracranial aneurysm in a patient with stroke: A case report


Subasi H., İsman-Haznedaroglu D., Eroglu S., Erdogan Y., Eker M. C., Gonul A. S.

Brain Injury, vol.37, no.11, pp.1231-1234, 2023 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 37 Issue: 11
  • Publication Date: 2023
  • Doi Number: 10.1080/02699052.2023.2237866
  • Journal Name: Brain Injury
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, BIOSIS, CINAHL, EMBASE, Linguistics & Language Behavior Abstracts, MEDLINE, Psycinfo
  • Page Numbers: pp.1231-1234
  • Keywords: aneurysm treatment, Flow diverter stent, frontal lobe syndrome, orbitofrontal cortex, personality change
  • Dokuz Eylül University Affiliated: Yes

Abstract

Objective: This study aimed to present a patient with psychiatric symptoms that occur after flow diverter stent placement in a posterior communicating artery (PComA) aneurysm in a patient. Design: A case study. Method: We performed cranial magnetic resonance imaging (MRI), magnetic resonance angiography, computed tomography angiography, neuropsychological tests, Levenson Self-Report Psychopathy Scale (LSRP), and a 25-item version of the Wender Utah Rating Scale (WURS-25). The patient’s recent MRI was compared with previous MRIs. Neuropsychological testing consisted of a clinical interview, clinical assessment of frontal lobe syndrome, and tests evaluating the prefrontal cortex functions (Wisconsin Card Sorting Test-128 card version and Iowa Gambling Test). Results: Our results showed that the patient’s personality change and psychiatric symptoms occurred after the stent placement. Symptoms were still present at evaluation two and a half years after stent placement. Conclusion: The study demonstrates personality changes and psychiatric symptoms that might occur as complications following the placement of a flow diverter for incidentally detected aneurysm.