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
来源：
NEUROLOGIA MEDICO-CHIRURGICA | 2009年 / 49卷 / 02期
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
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