Ruptured Aneurysm of Recurrent Artery of Heubner: A Case Report

Abstract

Corresponding author: Yu Sam Won Department of Neurosurgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 29, Saemunan-ro, Jongno-gu, Seoul 03181, Republic of Korea Tel: +82-2-2001-2159 Fax: +82-2-2001-2157 E-mail: yusam.won@samsung.com Recurrent artery of Heubner (RAH) aneurysms are extremely rare and few cases have been reported in the literature. A 53-year-old woman was transferred for evaluation and management of spontaneous subarachnoid hemorrhage (SAH). Cerebral angiography revealed a rupture of RAH aneurysm. The aneurysm was secured with a fenestrated right-angled Yasargil clip along the RAH. Postoperative brain computed tomography showed a hypodense lesion at the left head of the caudate nucleus due to obliteration of the RAH. Fortunately, the patient experienced no neurologic deficits. To avoid iatrogenic obliteration of RAH, intraoperative careful confirmation of its flow should be performed. We report a case of RAH aneurysm in a patient with SAH.