Hemifacial spasm due to vertebral artery dissecting aneurysm treated with stent-in-stent placement; Pre- and post-treatment evaluation by 3D multifusion imaging using silent MR angiography

Author:

Satoh Toru1,Sato Yu2,Sugiu Kenji2,Hishikawa Tomohito2,Hiramatsu Masafumi2,Haruma Jun2,Date Isao2

Affiliation:

1. Department of Neurological Surgery, Ryofukai Satoh Neurosurgical Hospital, Fukuyama,

2. Department of Neurological Surgery, Okayama University Graduate School of Medicine, Okayama, Japan.

Abstract

Background: Hemifacial spasm (HFS) due to vertebral artery (VA) dissecting aneurysm (VADA) is rare and endovascular treatment has been performed in selected cases. Case Description: We encountered a case of HFS caused by VADA that was managed with endovascular stent placement and additional stent-in-stent placement. Therapeutic strategies and benefits based on pre- and post-treatment evaluation by 3D multifusion imaging using silent MRA were discussed. Conclusion: This is the first case report of stent-in-stent placement in successful treatment of HFS caused by VADA, in which relief of neurovascular contact was demonstrated by multifusion imaging.

Publisher

Scientific Scholar

Subject

Neurology (clinical),Surgery

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