Endovascular Treatment in Ruptured Middle Cerebral Artery Dissection Preservation of Arterial Continuity
Journal of Cerebrovascular and Endovascular Neurosurgery
; : 108-112, 2015.
Article
in En
| WPRIM
| ID: wpr-34159
Responsible library:
WPRO
ABSTRACT
Rupture of spontaneous dissecting aneurysms of the middle cerebral artery (MCA) is rare and its etiology remains obscure, although the risk of rebleeding is greater than with saccular aneurysms. Most reports concerning the treatment of a ruptured dissecting aneurysm of the anterior circulation involve surgical trapping or wrapping. Here, we report on a case of an MCA dissecting rupture treated with endovascular procedures. A 22-year-old female presented with sudden stuporous mental change following severe headache and left side hemiparesis. A computed tomography scan showed a diffuse subarachnoid hemorrhage and diffusion MR showed diffusion restriction at the right putamen and internal capsule. A 3-hour follow-up digital subtraction angiography (DSA) showed a dissecting aneurysm, which was not seen on an initial DSA. A stent assisted coil embolization was performed and double stents were applied to achieve flow diversion effects. A small remnant area of the dissecting aneurysm had disappeared at 60-day and was not observed on 12-month follow-up DSA.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Paresis
/
Putamen
/
Rupture
/
Subarachnoid Hemorrhage
/
Angiography, Digital Subtraction
/
Stents
/
Follow-Up Studies
/
Middle Cerebral Artery
/
Internal Capsule
/
Diffusion
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Female
/
Humans
Language:
En
Journal:
Journal of Cerebrovascular and Endovascular Neurosurgery
Year:
2015
Type:
Article