Surgical neurology international · 2025
A case of ruptured distal anterior inferior cerebellar artery aneurysm treated by intra-aneurysmal embolization.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sasaki Takao, Tabata Hidefumi, Tobishima Hana, Morita Takahiro, Katayama Kosuke, Saito Atsushi
Аннотация
BACKGROUND: Endovascular treatment for true anterior inferior cerebellar artery (AICA) aneurysm is challenging for preserving the AICA trunk. Ischemic tolerance of the sacrifice of AICA is controversial. We report a rare case of ruptured distal AICA aneurysm treated by intra-aneurysmal embolization preserving the AICA trunk.
CASE DESCRIPTION: A 77-year-old woman presented with a sudden headache and computed tomography showed a subarachnoid hemorrhage predominant in the left cerebellopontine angle. Cerebral angiography revealed a saccular aneurysm in the anterior pontine segment of the left AICA. Coil embolization underwent preserving the parent artery. There is no recanalization of the aneurysm at 26 months postoperatively. In this case, hemodynamic stress was suggested to be involved in the development of the aneurysm.
CONCLUSION: For the patients in the old or at high risk of ischemia, intra-aneurysmal embolization should be tried as the first-line treatment.
CASE DESCRIPTION: A 77-year-old woman presented with a sudden headache and computed tomography showed a subarachnoid hemorrhage predominant in the left cerebellopontine angle. Cerebral angiography revealed a saccular aneurysm in the anterior pontine segment of the left AICA. Coil embolization underwent preserving the parent artery. There is no recanalization of the aneurysm at 26 months postoperatively. In this case, hemodynamic stress was suggested to be involved in the development of the aneurysm.
CONCLUSION: For the patients in the old or at high risk of ischemia, intra-aneurysmal embolization should be tried as the first-line treatment.