Endovascular Treatment for Ruptured Distal Anterior Inferior Cerebellar Artery Aneurysm  -Case Report-

Ishii, Daizo; Takechi, Akihiko; Shinagawa, Katsuhiro; Sogabe, Takashi

doi:10.2176/nmc.50.396

Cited by 17 publications

(21 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Other surgical approaches include surgical trapping3 9 13 18 and occipital to AICA bypass 29. The most commonly used endovascular treatment is PVO with coils 7 9 14 16 26 28. Other endovascular approaches include endovascular coiling of the aneurysm with AICA preservation14 31 and PVO with nBCA,28 although it should be noted that one case of coiling without PVO resulted in incomplete aneurysm occlusion, repeat SAH, and the ultimate need for a PVO 14.…”

Section: Discussionmentioning

confidence: 99%

Republished: Ruptured distal AICA pseudoaneurysm presenting years after vestibular schwannoma resection and radiation

McNeill

Mocco

Berenstein

et al. 2015

J NeuroIntervent Surg

View full text Add to dashboard Cite

SUMMARYDistal anterior inferior cerebellar artery (AICA) pseudoaneurysms are very rare lesions. Although cases have been previously reported, only a few have been reported as a result of vestibular schwannoma (VS) radiation, none have been reported as a result of VS resection, and only one has been reported as treated with parent vessel occlusion (PVO) with n-butyl cyanoacrylate (nBCA). We report a case of a 65-year-old man with a history of right-sided VS surgery and radiation who presented years later with a ruptured pseudoaneurysm of the distal right AICA and was treated with endovascular PVO using nBCA. The aneurysm was completely obliterated and the patient had no worsening of symptoms or neurological exam. The case illustrates a very rare complication of VS surgery and radiation as well as an effective treatment for distal AICA aneurysms. BACKGROUND

show abstract

Section: Discussionmentioning

confidence: 99%

Republished: Ruptured distal AICA pseudoaneurysm presenting years after vestibular schwannoma resection and radiation

McNeill

Mocco

Berenstein

et al. 2015

J NeuroIntervent Surg

View full text Add to dashboard Cite

show abstract

“…Pedicle aneurysms in feeding vessels are frequently associated with hemorrhage 3 . According to Ishii el al.…”

Section: Discussionmentioning

confidence: 99%

“…According to Ishii el al. 3 , feeding vessel pedicle aneurysms appear to occur more frequently in conjunc-tion with infratentorial AVMs, which justifies aggressive management to prevent high morbidity associated with ruptured aneurysms.…”

Section: Discussionmentioning

confidence: 99%

“…In the distal cerebellar arteries, the morphology and possible higher hemodynamic stresses could contribute to dissection and subsequent formation of aneurysms 3 . Thus, the presence of a lesion like an AVM, that increases blood flow through a blood vessel, causes a certain hemodynamic burden to the vessel wall and in turn stimulates the formation of an aneurysm in it 1,5 .…”

Section: Discussionmentioning

confidence: 99%

“…Surgical treatment should be directed towards the pathology responsible for the hemorrhage and then, the asymptomatic lesion 5 . According to Ishii et al 3 , the distal AICA aneurysm is often wide-necked or fusiform, and may be difficult to clip.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Association between a ruptured distal anterior inferior cerebral artery aneurysm and arteriovenous malformation fed by the same artery

Aguiar

Veiga

Feres

et al. 2011

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

Anterior inferior cerebellar artery aneurysms: six cases and a review of the literature

Zhang

Zhao

2011

Neurosurg Rev

View full text Add to dashboard Cite

Aneurysms of the anterior inferior cerebellar artery are rare. Six cases of anterior inferior cerebellar artery (AICA) aneurysms treated at one center are presented. The six cases of AICA aneurysms were surgically treated. The clinical features, surgical process, complications, and follow-up are demonstrated. Six patients with six AICA aneurysms were presented including one AVM accompanied aneurysm and one giant aneurysm. Five aneurysms had ruptured, one was unruptured. Five patients presented with subarachnoid hemorrhage (SAH) including two with intraventricular hemorrhaging and one with an intraparenchymal hematoma. One aneurysm was proximal, two were distal, and three were meatal. All cases were treated surgically. Retrosigmoid and far-lateral craniectomy were included. Navigation was accomplished through intraoperative ultrasound and fluorescent angiography. Resection of the aneurysm after clipping was significant. The most common postoperative deficit involved the cranial nerves in four patients. Follow-up was available for all patients for a mean of 68 months. SAH is the most common presentation. The relationship between the aneurysms and the meatus is an important factor for neurological dysfunction. 3D-CTA and MRA may be considered as diagnostic adjuncts. Several special surgical techniques used in our cases are worth noting. Endovascular therapy for AICA aneurysms is in the process of development and should be reserved for special cases.

show abstract

Endovascular Treatment for Ruptured Distal Anterior Inferior Cerebellar Artery Aneurysm -Case Report-

Cited by 17 publications

References 10 publications

Republished: Ruptured distal AICA pseudoaneurysm presenting years after vestibular schwannoma resection and radiation

Republished: Ruptured distal AICA pseudoaneurysm presenting years after vestibular schwannoma resection and radiation

Association between a ruptured distal anterior inferior cerebral artery aneurysm and arteriovenous malformation fed by the same artery

Anterior inferior cerebellar artery aneurysms: six cases and a review of the literature

Contact Info

Product

Resources

About