Oclusión de la arteria principal en aneurisma disecante roto de la arteria cerebelosa anteroinferior: informe de caso y revisión de la literatura

IF 0.8 4区医学 Q4 NEUROSCIENCES

Neurocirugia Pub Date : 2026-03-01 Epub Date: 2025-10-06 DOI:10.1016/j.neucir.2025.500712

Taiki Ishikawa , Hiroshi Kagami , Mami Ishikawa , Ken-Ichi Oyama

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引用次数: 0

Abstract

Subarachnoid hemorrhage (SAH) caused by a dissecting aneurysm of the anterior inferior cerebellar artery (AICA) is rare. Partial coil embolization of the AICA may be an effective treatment. A 65-year-old woman presented at the emergency room with headache and vomiting for the past five days, after contracting coronavirus disease (COVID-19). Computed tomography (CT) revealed SAH and intraventricular hemorrhage, and the patient was diagnosed with a dissecting aneurysm of the AICA. The patient underwent endovascular surgery, and the AICA was partially occluded using coiling, with no subsequent hearing disturbance, cranial nerve palsy, or infarction. Ventriculoperitoneal shunt surgery was performed for hydrocephalus at 7 weeks after SAH. The patient was discharged from hospital with no neurological deficit. We reported a rare case of ruptured AICA dissecting aneurysm, which was treated by partial coil embolization without neurological deficit or infarction.

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在脑前下动脉破裂性干性动脉瘤中排除主动脉：病例报告和文献综述

摘要由小脑前下动脉（AICA）夹层动脉瘤引起的蛛网膜下腔出血（SAH）非常罕见。局部线圈栓塞是一种有效的治疗方法。一名65岁的女性在感染冠状病毒（COVID-19）后，在过去的五天里因头痛和呕吐而出现在急诊室。计算机断层扫描（CT）显示SAH和脑室内出血，患者被诊断为AICA的夹层动脉瘤。患者接受了血管内手术，AICA部分闭塞，随后无听力障碍、脑神经麻痹或梗死。脑室-腹膜分流术在SAH后7周治疗脑积水。患者出院时无神经功能障碍。我们报告了一例罕见的AICA夹层动脉瘤破裂病例，采用部分线圈栓塞治疗，无神经功能缺损或梗死。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurocirugia 医学-神经科学

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

60 days

期刊介绍： Neurocirugía is the official Journal of the Spanish Society of Neurosurgery (SENEC). It is published every 2 months (6 issues per year). Neurocirugía will consider for publication, original clinical and experimental scientific works associated with neurosurgery and other related neurological sciences. All manuscripts are submitted for review by experts in the field (peer review) and are carried out anonymously (double blind). The Journal accepts works written in Spanish or English.