Anterior Inferior Cerebellar Artery Dissecting Aneurysm in a Juvenile

被引:10
作者
Fukushima, Shintaro [1 ]
Hirohata, Masaru [1 ]
Okamoto, Yuji [2 ]
Yamashita, Shin [1 ]
Ishida, Shigenobu [3 ]
Shigemori, Minoru [1 ]
机构
[1] Kurume Univ, Sch Med, Dept Neurosurg, Fukuoka 8300011, Japan
[2] Kurume Univ, Sch Med, Dept Neuropsychiat, Fukuoka 8300011, Japan
[3] Saiseikai Yahata Gen Hosp, Neurol Surg Ctr, Fukuoka, Japan
关键词
anterior inferior cerebellar artery; dissecting aneurysm; endovascular embolization; occipital artery-anterior inferior cerebellar artery anastomosis; general convulsion; juvenile; EMBOLIZATION;
D O I
10.2176/nmc.49.81
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A 15-year-old girl presented with a distal anterior inferior cerebellar artery (AICA) dissecting aneurysm manifesting as sudden onset of general tonic-clonic convulsion while singing a song. Physical and neurological examinations found headache, vomiting, right perceptive deafness, and right cerebellar ataxia. Cranial magnetic resonance imaging demonstrated a hemorrhagic mass in the brainstem region, and digital subtraction angiography revealed a fusiform dilatation of the anterior pontine segment of the right AICA. The diagnosis was dissecting aneurysm. Endovascular embolization was performed for aneurysm and parent artery occlusion using a Guglielmi detachable coil and 9 TruFill detachable coil systems, respectively, 2 weeks after occipital artery-AICA anastomosis. No ischemic complications were seen, and her neurological deficits completely recovered after the interventional therapy.
引用
收藏
页码:81 / 84
页数:4
相关论文
共 12 条
  • [1] FUJIWARA K, 1999, SHINKEI GEKA, V27, P177
  • [2] IKEDA N, 2003, SHINKEI GEKA J, V12, P31
  • [3] KATO S, 2004, SHINKEI GEKA J, V13, P539
  • [4] Kusaka N, 2006, NEUROL SURG TOKYO, V34, P729
  • [5] MAEKAWA M, 2003, SHINKEI GEKA, V31, P523
  • [6] Ruptured dissecting anterior inferior cerebellar artery aneurysm - Case report
    Matsuyama, T
    Okuchi, K
    Norimoto, K
    Ueyama, T
    [J]. NEUROLOGIA MEDICO-CHIRURGICA, 2002, 42 (05) : 214 - 216
  • [7] ANTERIOR INFERIOR CEREBELLAR ARTERY ANEURYSM - REPORT OF 3 CASES
    NISHIMOTO, A
    FUJIMOTO, S
    TSUCHIMOTO, S
    MATSUMOTO, Y
    TABUCHI, K
    HIGASHI, T
    [J]. JOURNAL OF NEUROSURGERY, 1983, 59 (04) : 697 - 702
  • [8] Saito R, 2001, NEUROL SURG TOKYO, V29, P709
  • [9] Seyama H, 2006, NEUROL SURG TOKYO, V34, P1001
  • [10] Embolization of a ruptured aneurysm of the distal anterior inferior cerebellar artery: Case report and review of the literature
    Suzuki, K
    Meguro, K
    Wada, M
    Fujita, K
    Nose, T
    [J]. SURGICAL NEUROLOGY, 1999, 51 (05): : 509 - 512