Endovascular treatment of a ruptured aneurysm arising from the proximal end of a partial vertebrobasilar duplication with a contralateral prominent persistent primitive hypoglossal artery: illustrative case

Author:

Genkai Nobuyuki1,Okamoto Kouichirou2,Nomura Toshiharu1,Abe Hiroshi1

Affiliation:

1. Department of Neurosurgery, Tachikawa General Hospital, Tachikawa Medical Center, Niigata, Japan; and

2. Department of Translational Research, Brain Research Institute, Niigata University, Niigata, Japan

Abstract

BACKGROUND Ruptured aneurysms associated with a partial vertebrobasilar duplication or a persistent primitive hypoglossal artery (PPHA) have been reported. Only rarely has endovascular treatment of ruptured aneurysms in association with both vascular variations been reported. OBSERVATIONS A 66-year-old woman experienced the sudden onset of a severe headache caused by a subarachnoid hemorrhage. Cerebral angiograms demonstrated a prominent PPHA originating from the left internal carotid artery at the C2 vertebral level and a partial vertebrobasilar duplication between the hypoplastic right vertebral artery and proximal basilar artery with a small aneurysm at the proximal end of the duplication from where the anterior spinal artery originated. The left vertebral artery was aplastic. A microcatheter was introduced into the aneurysm via the PPHA under the control of high blood flow, using a balloon-assisted technique. The aneurysm was completely obliterated with a coil. Although small cerebellar and cerebral infarcts developed during the procedure, the patient was discharged without neurological symptoms. LESSONS To avoid serious neurological complications, precise analysis of the complex vascular anatomy, including the anterior spinal artery and hemodynamics, is clinically important for endovascular therapy of cerebral aneurysms in patients with an association between a partial vertebrobasilar duplication and a PPHA.

Publisher

Journal of Neurosurgery Publishing Group (JNSPG)

Subject

Management Science and Operations Research,Mechanical Engineering,Energy Engineering and Power Technology

Reference32 articles.

1. Endovascular treatment for unruptured aneurysm associated with persistent primitive trigeminal artery: a case report and literature review;Murai;Acta Neurochir (Wien),2019

2. Variations in the intracranial vertebrobasilar system;Songur;Surg Radiol Anat,2008

3. Fatal subarachnoid hemorrhage from an aneurysm of a persistent primitive hypoglossal artery: case series and literature overview;Varvari;World Neurosurg,2018

4. Trigeminocerebellar artery—anatomy and possible clinical significance;Marinković;Neurol Med Chir (Tokyo),1996

5. An autopsy case of persistent primitive hypoglossal artery with multiple cerebral aneurysms. Article in Japanese;Fujii;No Shinkei Geka,1988

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3