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 [J].
Matsuyama, T ;
Okuchi, K ;
Norimoto, K ;
Ueyama, T .
NEUROLOGIA MEDICO-CHIRURGICA, 2002, 42 (05) :214-216
[7]   ANTERIOR INFERIOR CEREBELLAR ARTERY ANEURYSM - REPORT OF 3 CASES [J].
NISHIMOTO, A ;
FUJIMOTO, S ;
TSUCHIMOTO, S ;
MATSUMOTO, Y ;
TABUCHI, K ;
HIGASHI, T .
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 [J].
Suzuki, K ;
Meguro, K ;
Wada, M ;
Fujita, K ;
Nose, T .
SURGICAL NEUROLOGY, 1999, 51 (05) :509-512