TY - JOUR
T1 - Dissecting aneurysm of the vertebral artery developed after microvascular decompression for hemifacial spasm
AU - Kudo, Takumi
AU - IIhara, K.
AU - Murao, K.
AU - Hayashi, K.
AU - Ayabe, J.
AU - Miyamoto, S.
N1 - Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2006/1
Y1 - 2006/1
N2 - We report a rare case of a ruptured de novo dissecting aneurysm induced by ethyl 2-cyanoacrylate. A 39-year-old woman underwent microvascular decompression for left hemifacial spasm. The offending vessel was left posterior inferior cerebellar artery (PICA). Left vertebral artery (VA) was mobilized and affixed to the dura mater with cyanoacrylate to remove pressure of PICA to the root exit zone of the facial nerve. The left VA was found to be intact at the time of the operation. One year later, th e patient sufferd subarachnoid haemorrhage (SAH) caused by rupture of a newly-developed dissecting aneurysm of the left VA. Endovascular occlusion of the dissecting site was performed using Guglielmi detachable coils. We suppose mechanical injury and chemical reaction of ethyl 2-cyanoacrylate induced dissecting aneurysm.
AB - We report a rare case of a ruptured de novo dissecting aneurysm induced by ethyl 2-cyanoacrylate. A 39-year-old woman underwent microvascular decompression for left hemifacial spasm. The offending vessel was left posterior inferior cerebellar artery (PICA). Left vertebral artery (VA) was mobilized and affixed to the dura mater with cyanoacrylate to remove pressure of PICA to the root exit zone of the facial nerve. The left VA was found to be intact at the time of the operation. One year later, th e patient sufferd subarachnoid haemorrhage (SAH) caused by rupture of a newly-developed dissecting aneurysm of the left VA. Endovascular occlusion of the dissecting site was performed using Guglielmi detachable coils. We suppose mechanical injury and chemical reaction of ethyl 2-cyanoacrylate induced dissecting aneurysm.
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U2 - 10.1177/15910199060120s124
DO - 10.1177/15910199060120s124
M3 - Article
AN - SCOPUS:33645651022
VL - 12
SP - 145
EP - 147
JO - Interventional Neuroradiology
JF - Interventional Neuroradiology
SN - 1591-0199
IS - SUPPL. 1
ER -