Pseudoaneurysm presenting around polytetrafluoroethylene fiber following microvascular decompression: A case report and literature review

被引：0
作者：
Tamada, Tomoaki [1 ]
Mikami, Takeshi [1 ]
Komura, Syoichi [1 ]
Suzuki, Hime [1 ]
Ukai, Ryo [1 ]
Sugita, Shintaro [2 ]
Hasegawa, Tadashi [2 ]
Mikuni, Nobuhiro [1 ]
机构：
[1] Sapporo Med Univ, Dept Neurosurg, Sapporo, Hokkaido, Japan
[2] Sapporo Med Univ, Dept Surg Pathol, Sapporo, Hokkaido, Japan
来源：
JOURNAL OF CLINICAL NEUROSCIENCE | 2019年 / 63卷
关键词：
Thrombosed pseudoaneurysm; Microvascular decompression; Polytetrafiuoroethylene fiber; HEMIFACIAL SPASM; TEFLON GRANULOMA; ANEURYSM; COMPLICATIONS;
D O I：
10.1016/j.jocn.2019.01.041
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
We report the first case of pseudoaneurysm associated with polytetrafluoroethylene fiber used in microvascular decompression (MVD). A 62-year-old female who had undergone MVD for hemifacial spasm 30 years ago presented with a 4-month history of progressive facial palsy. Computed tomography angiography revealed a large thrombosed aneurysm originating from the right posterior inferior cerebellar artery and having a mass effect upon the pons. The aneurysm was treated by trapping and bypass procedure. Intraoperatively, the pseudoaneurysm adhered to the dura mater, and the thrombus contained a large amount of polytetrafluoroethylene fiber. The cause and management of pseudoaneurysm after MVD is discussed. (C) 2019 Elsevier Ltd. All rights reserved.
引用
收藏
页码：231 / 234
页数：4
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