NMC case report journal最新文献_第10页

Systemic Metastasis of Pediatric Diffuse High-grade Astrocytoma: A Case Report. 小儿弥漫性高级星形细胞瘤的全身转移1例报告。

NMC case report journal Pub Date : 2023-10-14 eCollection Date: 2023-01-01 DOI: 10.2176/jns-nmc.2023-0018

Kentaro Chiba, Yasuo Aihara, Yuichi Oda, Kenta Masui, Takashi Komori, Hideaki Yokoo, Takakazu Kawamata

{"title":"Systemic Metastasis of Pediatric Diffuse High-grade Astrocytoma: A Case Report.","authors":"Kentaro Chiba, Yasuo Aihara, Yuichi Oda, Kenta Masui, Takashi Komori, Hideaki Yokoo, Takakazu Kawamata","doi":"10.2176/jns-nmc.2023-0018","DOIUrl":"10.2176/jns-nmc.2023-0018","url":null,"abstract":"Extracranial brain tumor metastases are extremely rare. The etiology, pathophysiology, and clinical progression of systemic metastatic brain cancer remain to be elucidated. We encountered a case of pediatric diffuse high-grade astrocytoma in a four-year-old girl with subcutaneous and lymph node metastases. Numerous metastatic lesions emerged, progressed rapidly, and were difficult to manage despite temozolomide (TMZ) administration. The patient underwent repeated surgical resection for these lesions. Conversely, the primary intracranial lesions responded well to TMZ for some time. However, the patient died 15 months after the initial diagnosis. Extracranial metastasis and highly varying effects of chemotherapy were the characteristic clinical features in this case. Our analysis did not reveal definitive histopathological and molecular factors contributing to this presentation. The lack of notable molecular pathological features illustrates the unpredictability of glioma metastasis, and the treatment for extracranial metastasis remains unknown. A gene panel analysis revealed several genetic aberrations, including PDGFRA, PIK3CA, and NBN mutations. As it is impossible to resect all frequently and rapidly progressing lesions, we stress that the prognosis of metastatic brain tumors is undoubtedly poor if these tumors are refractory to existing treatments, including chemotherapy.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"10 ","pages":"265-271"},"PeriodicalIF":0.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10635901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89721529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Iatrogenic Arteriovenous Fistula between the Middle Meningeal Artery and Pterygoid Venous Plexus Secondary to a Le Fort I Osteotomy: A Case Report. Le Fort I截骨术继发于脑膜中动脉与翼状静脉丛之间的医源性动静脉瘘1例。

NMC case report journal Pub Date : 2023-10-14 eCollection Date: 2023-01-01 DOI: 10.2176/jns-nmc.2023-0108

Yuhei Ito, Takao Kojima, Takuya Maeda, Masazumi Fujii

{"title":"Iatrogenic Arteriovenous Fistula between the Middle Meningeal Artery and Pterygoid Venous Plexus Secondary to a Le Fort I Osteotomy: A Case Report.","authors":"Yuhei Ito, Takao Kojima, Takuya Maeda, Masazumi Fujii","doi":"10.2176/jns-nmc.2023-0108","DOIUrl":"10.2176/jns-nmc.2023-0108","url":null,"abstract":"Le Fort I osteotomy is a common surgical technique for correcting jaw deformities. Although it is generally a safe procedure, there have been cases of postoperative vascular complications, which include arteriovenous fistulas. Published reports describe the development of arteriovenous fistulas that originate from the maxillary artery after this procedure; nevertheless, no cases of arteriovenous fistulas arising from the middle meningeal artery (MMA) have been reported. We present the case of a 19-year-old woman who developed pulsatile tinnitus immediately following a Le Fort I osteotomy. Angiography with proximal flow control of the external carotid artery showed an arteriovenous fistula between the extracranial portion of the MMA and the pterygoid venous plexus. The fistula was successfully treated using coil embolization, preserving the maxillary artery, which results in tinnitus resolution. In this report, the effectiveness of endovascular treatment for arteriovenous fistulas of the MMA that occur following a Le Fort I osteotomy was demonstrated. Angiography with proximal flow interruption was effective in shunt location detection.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"10 ","pages":"299-302"},"PeriodicalIF":0.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10635900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89721641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscope-assisted Trans-lamina Terminalis Resection of Chordoid Glioma at the Third Ventricle: A Case Report. 内窥镜辅助经终板切除第三脑室脊索样胶质瘤1例。

NMC case report journal Pub Date : 2023-10-14 eCollection Date: 2023-01-01 DOI: 10.2176/jns-nmc.2023-0107

Yuichi Oda, Kosaku Amano, Kentaro Chiba, Kenta Masui, Takakazu Kawamata

{"title":"Endoscope-assisted Trans-lamina Terminalis Resection of Chordoid Glioma at the Third Ventricle: A Case Report.","authors":"Yuichi Oda, Kosaku Amano, Kentaro Chiba, Kenta Masui, Takakazu Kawamata","doi":"10.2176/jns-nmc.2023-0107","DOIUrl":"10.2176/jns-nmc.2023-0107","url":null,"abstract":"As per the 2021 World Health Organization (WHO) Classification of Tumors of the Central Nervous System, chordoid glioma (CG) is defined as a slow-growing glial neoplasm categorized as grade II tumor. This tumor is primarily located in the anterior part of the third ventricle, often adheres to important surrounding structures, and is hemorrhagic in nature. Therefore, dissecting this tumor is extremely difficult. In this study, we present the case of a 44-year-old man who initially complained of mild headache and was diagnosed with a homogeneous gadolinium-enhanced lesion in the third ventricle via magnetic resonance imaging. The pathological diagnosis based on his biopsy at the previous hospital was CG. The patient demonstrated no neurological deficit at that time, but the tumor had gradually grown, hydrocephalus appeared 2 years after the tumor was detected, and the patient developed short memory disorder and daytime sleepiness. We resected the tumor via the anterior interhemispheric trans-lamina terminalis approach using a microscope and an endoscope. The residual tumor at the blind spot of the microscopic view was resected under an angled rigid endoscopic view using dedicated tools for transsphenoidal surgery. The tumor was grossly resected, and the histopathological diagnosis was CG. Postoperative neurological findings included slight memory disorder and hypothalamic adrenal dysfunction. No tumor recurrence was reported 3 years post resection. The endoscope-assisted anterior interhemispheric trans-lamina terminalis approach was determined useful for CG resection with minimal surgical complications and without tumor recurrence.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"10 ","pages":"285-289"},"PeriodicalIF":0.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10635905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89721525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Filter-type Protection Device Retrieval Interfered by Deployed Stent during Subclavian Artery Stenosis Treatment: Case Report and Complication Avoidance Recommendation. 锁骨下动脉狭窄治疗中过滤器式保护装置回收受支架部署干扰:1例报告及避免并发症的建议。

NMC case report journal Pub Date : 2023-10-14 eCollection Date: 2023-01-01 DOI: 10.2176/jns-nmc.2023-0146

Nobuyuki Mitsui, Manabu Kinoshita, Junji Nakazawa, Hirokazu Ozaki, Teruo Kimura

{"title":"Filter-type Protection Device Retrieval Interfered by Deployed Stent during Subclavian Artery Stenosis Treatment: Case Report and Complication Avoidance Recommendation.","authors":"Nobuyuki Mitsui, Manabu Kinoshita, Junji Nakazawa, Hirokazu Ozaki, Teruo Kimura","doi":"10.2176/jns-nmc.2023-0146","DOIUrl":"10.2176/jns-nmc.2023-0146","url":null,"abstract":"Endovascular treatment is a standard procedure for subclavian artery stenosis or obstruction. However, great care should be taken to avoid embolic complications to the vertebral artery, and several methods have previously been reported. Hence, as surgical procedures become increasingly complicated, unintended issues may arise during treatment. Here, the authors report a case where the filter-type protection device was caught in the stent because the patient moved during treatment, leading to open surgery to recover the filter-type protection device． A 78-year-old female suffering from a left subclavian steal syndrome underwent stenting due to subclavian artery stenosis. The stenotic lesion was approached via the transfemoral route, and a filter-type protection device was advanced to the vertebral artery via the transbrachial route to prevent embolic complications. As the procedure was performed under local anesthesia, the patient moved during stent deployment proximally to the left vertebral artery origin, and the stent unintentionally advanced distally, covering the vertebral artery and obstructing the retrieval catheter for the filter-type protection device to advance. Failed attempts in recovering the filter-type protection device required open surgery for retrieval. Fortunately, there was no postoperative neurological and radiographic complication, ameliorating her chief complaint． The retriever catheter for the protection device should be advanced beyond the vertebral artery orifice just proximal to the protection device before stenting to avoid such complications while also thoroughly considering the type of anesthesia during treatment．","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"10 ","pages":"279-283"},"PeriodicalIF":0.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10635904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89721526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neoadjuvant Therapy with Everolimus for Subependymal Giant Cell Astrocytoma: A Case Report. 依维莫司新辅助治疗室管膜下巨细胞星形细胞瘤1例。

NMC case report journal Pub Date : 2023-10-14 eCollection Date: 2023-01-01 DOI: 10.2176/jns-nmc.2022-0375

Hiroki Karita, Kyoji Tsuda, Maya Kono, Tetsuya Yamamoto, Satoshi Ihara

{"title":"Neoadjuvant Therapy with Everolimus for Subependymal Giant Cell Astrocytoma: A Case Report.","authors":"Hiroki Karita, Kyoji Tsuda, Maya Kono, Tetsuya Yamamoto, Satoshi Ihara","doi":"10.2176/jns-nmc.2022-0375","DOIUrl":"10.2176/jns-nmc.2022-0375","url":null,"abstract":"Direct surgical resection remains to be the standard treatment for tuberous sclerosis complex (TSC) with subependymal giant cell astrocytoma (SEGA). Medical therapy with everolimus (mammalian target of rapamycin inhibitor or mTOR) serves as a second-line treatment for patients with SEGA who are determined to be ineligible for surgical resection. Some recent studies have reported that neoadjuvant therapy for SEGA may be a useful, novel treatment. In this study, we herein present a case of SEGA and demonstrate the efficacy of preoperative everolimus therapy. We have also examined the utility and safety of neoadjuvant therapy for SEGA and investigated four previously reported cases of preoperative administration of mTOR inhibitors. In these cases, everolimus was administered preoperatively to shrink the tumor although the duration of treatment varied. Afterward, gross total tumor removal was conducted in all the cases. No postoperative complications were reported during the follow-up period. These findings indicate that neoadjuvant therapy with an mTOR inhibitor can be a potential treatment for SEGA. The findings of this present study also suggested that a short administration period of about 2 months may be sufficient to achieve preoperative tumor reduction.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"10 ","pages":"291-297"},"PeriodicalIF":0.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10635902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89721527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical Treatment for Metastatic Brain Tumor in the Cerebellar Hemisphere from Small-cell Neuroendocrine Carcinoma of the Urinary Bladder: A Case Report and Review of the Literature. 膀胱小细胞神经内分泌癌小脑半球转移性脑肿瘤的外科治疗：一例报告和文献复习。

NMC case report journal Pub Date : 2023-09-29 eCollection Date: 2023-01-01 DOI: 10.2176/jns-nmc.2023-0058

Junki Sogano, Satoshi Takahashi, Nobuyuki Tanaka, Hajime Kubo, Hajime Okita, Mototsugu Oya, Masahiro Toda

{"title":"Surgical Treatment for Metastatic Brain Tumor in the Cerebellar Hemisphere from Small-cell Neuroendocrine Carcinoma of the Urinary Bladder: A Case Report and Review of the Literature.","authors":"Junki Sogano, Satoshi Takahashi, Nobuyuki Tanaka, Hajime Kubo, Hajime Okita, Mototsugu Oya, Masahiro Toda","doi":"10.2176/jns-nmc.2023-0058","DOIUrl":"10.2176/jns-nmc.2023-0058","url":null,"abstract":"We performed surgical treatment for cerebellar metastasis of relatively rare small-cell neuroendocrine carcinoma (SCNC) of the urinary bladder. On preoperative imaging, the lesion was solitary, and the edema around the tumor was unremarkable; thus, other differential diagnoses besides a metastatic brain tumor were also considered preoperatively. Intraoperatively, the tumor was soft, and the circumference brain and boundary were indistinct and easily hemorrhagic. The tumor was grossly totally removed, and postoperative radiotherapy was added. The clinical symptoms of the patient were relieved, and he was discharged on foot. Thus far, relatively few reports have described surgical treatment of brain metastases of SCNC of the urinary bladder. We herein report a case of metastatic brain tumor due to SCNC of the urinary bladder that required surgical treatment, along with a review of the previous literature regarding its clinical features and the characteristics of intracranial lesions related to surgery, such as imaging and intraoperative findings.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"10 ","pages":"235-239"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ce/42/2188-4226-10-0235.PMC10584780.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49695901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cerebral Venous Sinus Thrombosis Successfully Treated with Mechanical Thrombectomy under Intracranial Pressure Monitoring: A Case Report. 颅内压监测下机械性血栓切除术成功治疗脑静脉窦血栓形成1例报告。

NMC case report journal Pub Date : 2023-09-29 eCollection Date: 2023-01-01 DOI: 10.2176/jns-nmc.2023-0076

Tatsuya Hagioka, Takeshi Shimizu, Shingo Toyota, Tomoaki Murakami, Takamune Achiha, Motohide Takahara, Kazuhiro Touhara, Yuhei Hoshikuma, Maki Kobayashi, Haruhiko Kishima

{"title":"Cerebral Venous Sinus Thrombosis Successfully Treated with Mechanical Thrombectomy under Intracranial Pressure Monitoring: A Case Report.","authors":"Tatsuya Hagioka, Takeshi Shimizu, Shingo Toyota, Tomoaki Murakami, Takamune Achiha, Motohide Takahara, Kazuhiro Touhara, Yuhei Hoshikuma, Maki Kobayashi, Haruhiko Kishima","doi":"10.2176/jns-nmc.2023-0076","DOIUrl":"10.2176/jns-nmc.2023-0076","url":null,"abstract":"A 54-year-old man with no medical history presented to our hospital with vomiting, left hemiplegia, and seizures. On arrival, he was experiencing generalized tonic-clonic seizures, which required him to be intubated and deeply sedated. Contrast-enhanced computed tomography revealed extensive venous sinus obstruction from the superior sagittal sinus to the bilateral sigmoid sinus and cerebral edema with intracranial hemorrhage. An intracranial pressure (ICP) monitor was immediately placed intracranially, and mechanical thrombectomy (MT) was performed under ICP monitoring. MT was immediately terminated when the venous sinus was partially recanalized enough to decrease the ICP; then, anticoagulation therapy was initiated. Postoperative follow-up angiography revealed that venous sinus obstruction and intracranial venous perfusion improved over time. Although he had intracranial hemorrhage-induced left hemiplegia and sensory deficits, his condition improved with rehabilitation, and the patient was eventually discharged home. The indication criteria and techniques for MT for cerebral venous sinus thrombosis are yet to be established. As in this case, in patients with impaired consciousness due to intracranial hemorrhage or epilepsy, preoperative ICP monitor placement is deemed useful to evaluate venous perfusion during MT and decide the treatment goal.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"10 ","pages":"241-245"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/95/66/2188-4226-10-0241.PMC10584664.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49695898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spontaneous Intracranial Hypotension Occurring after Craniotomy for Brain Tumor Biopsy Mimicking Postoperative Bleeding. 模拟术后出血的脑肿瘤活检开颅术后自发性颅内低血压。

NMC case report journal Pub Date : 2023-09-29 eCollection Date: 2023-01-01 DOI: 10.2176/jns-nmc.2023-0139

Joji Inamasu, Masashi Fujisawa, Mizuto Sato

{"title":"Spontaneous Intracranial Hypotension Occurring after Craniotomy for Brain Tumor Biopsy Mimicking Postoperative Bleeding.","authors":"Joji Inamasu, Masashi Fujisawa, Mizuto Sato","doi":"10.2176/jns-nmc.2023-0139","DOIUrl":"10.2176/jns-nmc.2023-0139","url":null,"abstract":"In this study, we report on a previously healthy 44-year-old man who underwent an open biopsy under general anesthesia for a tumorous lesion found in his left frontal lobe via a small supratentorial craniotomy. While both postoperative course and brain computed tomography (CT) scans had been considered unremarkable, the patient became stuporous on postoperative day (POD) 4. A brain CT obtained on that day showed a subdural hematoma with marked brain shift which we thought might have been due to postoperative bleeding; he was immediately brought to an operating theater for hematoma removal. However, no bleeding source was found, and the brain remained depressed after hematoma evacuation. Furthermore, the brain shift remained unchanged on postoperative CT. While spontaneous intracranial hypotension (SIH) was considered, imaging studies to search for possible cerebrospinal fluid (CSF) leakage in the spinal column were not performed as the patient's condition has improved. However, he became stuporous again on POD 8, which urged us to perform CT myelogram. The CT myelogram showed a massive CSF leakage at the L1-L2 level. Subsequent autologous blood patch has successfully terminated the CSF leakage, and he became fully oriented shortly after the blood patch therapy. Thus, it should be noted that SIH may occur during postoperative period of intracranial surgery, and it may manifest radiographically as a subdural hematoma indistinguishable from postoperative bleeding. SIH should also be included in a differential diagnosis of postoperative headache, regardless of its characteristics, because headache associated with SIH may not always be orthostatic.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"10 ","pages":"247-252"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0a/de/2188-4226-10-0247.PMC10584665.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49695900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hemifacial Spasm Caused by Vascular Compression of the Anterior Inferior Cerebellar Artery-Posterior Inferior Cerebellar Artery Common Trunk Anomaly at the Cisternal Portion of the Facial Nerve: A Case Report. 小脑前下动脉血管压迫引起的面痉挛面神经胸骨部小脑后下动脉总干异常1例。

NMC case report journal Pub Date : 2023-09-29 eCollection Date: 2023-01-01 DOI: 10.2176/jns-nmc.2023-0125

Mariya Hokazono, Takafumi Shimogawa, Akira Nakamizo, Koji Yoshimoto

{"title":"Hemifacial Spasm Caused by Vascular Compression of the Anterior Inferior Cerebellar Artery-Posterior Inferior Cerebellar Artery Common Trunk Anomaly at the Cisternal Portion of the Facial Nerve: A Case Report.","authors":"Mariya Hokazono, Takafumi Shimogawa, Akira Nakamizo, Koji Yoshimoto","doi":"10.2176/jns-nmc.2023-0125","DOIUrl":"10.2176/jns-nmc.2023-0125","url":null,"abstract":"W report the first case of hemifacial spasm (HFS) caused by vascular compression of the anterior inferior cerebellar artery (AICA)-posterior inferior cerebellar artery (PICA) common trunk anomaly at the cisternal portion of cranial nerve VII (CN VII). A 71-year-old female with a typical right HFS was admitted to our hospital. As per her magnetic resonance (MR) imaging results, no offending arteries were noted around the CN VII root exit zone (REZ). Computed tomography angiography revealed an AICA-PICA common trunk anomaly with a dominant PICA, with the rostral branch of the AICA-PICA common trunk anomaly compressing the CN VII at the cisternal portion. The patient underwent microvascular decompression (MVD), and the HFS disappeared after surgery. The amplitude of the abnormal muscle responses (AMR) disappeared immediately after complete transposition of the offending artery. However, the patient experienced mild transient facial palsy 3 days after MVD which was eventually resolved with the administration of vitamin B12. No HFS recurrence was observed during the 1-year follow-up period. The AICA-PICA common trunk anomaly has been found to cause HFS as it compressed the CN VII at the cisternal portion, and not at the REZ. AMR monitoring might be helpful for cases where the unusual vessel particularly compresses the CN VII.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"10 ","pages":"253-257"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/04/01/2188-4226-10-0253.PMC10584666.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49695899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Case of Ruptured Carotid Traumatic Blood Blister-like Aneurysm. 颈动脉外伤性血泡样动脉瘤破裂1例。

NMC case report journal Pub Date : 2023-09-29 eCollection Date: 2023-01-01 DOI: 10.2176/jns-nmc.2023-0088

Yoshiyuki Matsumoto, Ryuta Nakae, Fumihiro Matano, Asami Kubota, Akio Morita, Yasuo Murai, Shoji Yokobori

{"title":"A Case of Ruptured Carotid Traumatic Blood Blister-like Aneurysm.","authors":"Yoshiyuki Matsumoto, Ryuta Nakae, Fumihiro Matano, Asami Kubota, Akio Morita, Yasuo Murai, Shoji Yokobori","doi":"10.2176/jns-nmc.2023-0088","DOIUrl":"10.2176/jns-nmc.2023-0088","url":null,"abstract":"Ruptured cerebral aneurysms that occur in the anterior wall of the internal carotid artery (ICA) are known as blood blister-like aneurysms (BBAs); they have been reported to account for 0.3% to 1% of all ruptured ICA aneurysms. In this report, we describe the treatment of an unusual traumatic BBA (tBBA) with high-flow bypass using a radial artery graft, which resulted in a favorable outcome. A 59-year-old female suffered from an acute epidural hematoma, traumatic subarachnoid hemorrhage, and traumatic carotid-cavernous sinus fistula (tCCF) after being involved in a motor vehicle accident. Her angiography results showed tCCF and a tBBA on the anterior wall of the right ICA. On the fourth day after injury, we found rebleeding from the tBBA and performed an emergency high-flow bypass using a radial artery graft with lesion trapping as a curative procedure for the tCCF and tBBA. Postoperatively, right abducens nerve palsy appeared, but no other neurological symptoms were noted; the patient was thereafter transferred to a rehabilitation hospital 49 days after injury. Traumatic ICA aneurysms commonly occur close to the anterior clinoid process, form within 1 to 2 weeks of injury, and often rupture around 2 weeks after trauma. This case was considered rare as the ICA was likely injured and bleeding at the time of injury, resulting in a form of tBBA; this allowed early detection and appropriate treatment that resulted in a good outcome.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"10 ","pages":"259-263"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d9/4e/2188-4226-10-0259.PMC10584784.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49695897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0