Parent Artery Occlusion for Symptomatic Large Internal Carotid Artery Aneurysm with Primitive Trigeminal Artery Variant: A Case Report

被引：0

作者：

Ono, Ryohei ^{[1
]}

Sato, Masayuki ^{[1
]}

Okune, Sho ^{[2
]}

Hino, Tenyu ^{[2
]}

Akimoto, Taisuke ^{[1
]}

Ito, Yoshiro ^{[1
]}

Marushima, Aiki ^{[1
]}

Hayakawa, Mikito ^{[2
]}

Ishikawa, Eiichi ^{[1
]}

Matsumaru, Yuji ^{[1
,2
]}

机构：

[1] Univ Tsukuba, Fac Med, Dept Neurosurg, Tsukuba, Ibaraki, Japan

[2] Univ Tsukuba, Fac Med, Div Stroke Prevent & Treatment, Tsukuba, Ibaraki, Japan

来源：

JOURNAL OF NEUROENDOVASCULAR THERAPY | 2023年 / 17卷 / 01期

关键词：

primitive trigeminal artery variant; cerebral aneurysm; balloon occlusion test; parent artery occlusion; FISTULA;

D O I：

10.5797/jnet.cr.2022-0029

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Objective: To report a case of symptomatic large cerebral aneurysm of the internal carotid artery (ICA), associated with a primitive trigeminal artery variant (PTAv), which was treated with a balloon occlusion test (BOT) to evaluate ischemic tolerance. Case Presentation: A 79-year-old woman was diagnosed with a symptomatic large cerebral aneurysm of the ICA bifurcating the PTAv due to diplopia. After confirming the ischemic tolerance of the perfusion area and PTAv by BOT, we performed ICA parent artery occlusion with selective embolization of the PTAv. Postoperative MRI showed no ischemic lesion and the diplopia was resolved. Conclusion: ICA parent artery occlusion with PTAv selective embolization after evaluation by BOT is useful in the treatment of large aneurysms.

引用

页码：22 / 26

页数：5

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