Symptomatic inferior cavernous sinus artery aneurysm associated with cerebral arteriovenous malformation

被引：3

作者：

Tsutsumi, Masanori ^{[1
]}

Aikawa, Hiroshi ^{[1
]}

Kodama, Tomonobu ^{[1
]}

Iko, Minoru ^{[1
]}

Nii, Kouhei ^{[1
]}

Matsubara, Shuko ^{[1
]}

Etou, Housei ^{[1
]}

Sakamoto, Kimiya ^{[1
]}

Onizuka, Masanari ^{[1
]}

Kazekawa, Kiyoshi ^{[1
]}

机构：

[1] Fnkuoka Univ Chikushi Hosp, Dept Neurosurg, Fukuoka 8188502, Japan

来源：

NEUROLOGIA MEDICO-CHIRURGICA | 2008年 / 48卷 / 06期

关键词：

cerebral aneurysm; cerebral arteriovenous malformation; mass effect; meningeal artery;

D O I：

10.2176/nmc.48.257

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A 50-year-old man presented with a symptomatic aneurysm arising from the right inferior cavernous sinus artery (ICSA) associated with a cerebral arteriovenous malformation (AVM) manifesting as a 3-month history of progressive right abducens nerve palsy. Cerebral angiography demonstrated a high-flow AVM and a saccular aneurysm arising from the right ICSA acting as a meningeal feeder. The symptom was thought to be attributable to aneurysmal mass effect rather than the AVM. The aneurysm was successfully treated with endovascular embolization and the symptom improved gradually. Hemodynamic stress in the ICSA may have resulted in the development of the aneurysm of the ICSA. Meningeal artery aneurysm presenting with cranial nerve palsy is extremely uncommon. The present case illustrates the need for detailed evaluation of the external carotid artery and internal carotid artery vasculature in patients with cerebral AVMs.

引用

页码：257 / 258

页数：2

共 4 条

[1] SURGICAL APPROACHES TO THE CAVERNOUS SINUS - A MICROSURGICAL STUDY [J].

INOUE, T ;

RHOTON, AL ;

THEELE, D ;

BARRY, ME .

NEUROSURGERY, 1990, 26 (06) :903-932

[2]

LASJAUNIAS P, 1987, SURG NEUROANGIOGRAPH, V1, P33

[3] Cerebral arteriovenous malformations and associated aneurysms: Analysis of 305 cases from a series of 662 patients [J].

Meisel, HJ ;

Mansmann, U ;

Alvarez, H ;

Rodesch, G ;

Brock, M ;

Lasjaunias, P .

NEUROSURGERY, 2000, 46 (04) :793-800

[4] CONTRIBUTION OF MENINGEAL ARTERIES TO CEREBRAL ARTERIOVENOUS-MALFORMATIONS [J].

MIYACHI, S ;

NEGORO, M ;

HANDA, T ;

SUGITA, K .

NEURORADIOLOGY, 1993, 35 (03) :205-209

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