Aggravation of Brainstem Symptoms Caused by a Large Superior Cerebellar Artery Aneurysm after Embolization by Guglielmi Detachable Coils —Case Report—
1999; Japan Neurological Society; Volume: 39; Issue: 7 Linguagem: Inglês
10.2176/nmc.39.524
ISSN1349-8029
AutoresSatoshi Ushikoshi, Yoichi Kikuchi, Kiyohiro Houkin, Kazuo Miyasaka, Hiroshi Abe,
Tópico(s)Cerebral Venous Sinus Thrombosis
ResumoAn 81-year-old male presented with right oculomotor nerve paresis and left hemiparesis caused by a mass effect of a large superior cerebellar artery aneurysm. Endovascular treatment was performed using Guglielmi detachable coils. The patient subsequently suffered aggravation of the mass effect 3 weeks after the embolization. Bilateral vertebral artery occlusion was performed, which decreased the cerebral edema surrounding the aneurysm, but his neurological symptoms did not improve. Parent artery occlusion is recommended as the first choice of treatment for an unclippable large or giant aneurysm causing a mass effect on the brainstem.
Referência(s)