A case of ruptured peripheral dissecting superior cerebellar artery aneurysm for which the source of bleeding was difficult to confirm

DOI Web Site Web Site 1 Citations 12 References
  • TAKEI Jun
    Division of Endovascular Neurosurgery, Department of Neurosurgery, Tokyo Jikei University School of Medicine Department of Neurosurgery, Tokyo Jikei University School of Medicine
  • NISHIMURA Kengo
    Division of Endovascular Neurosurgery, Department of Neurosurgery, Tokyo Jikei University School of Medicine
  • ISHIBASHI Toshihiro
    Division of Endovascular Neurosurgery, Department of Neurosurgery, Tokyo Jikei University School of Medicine
  • MURAYAMA Yuichi
    Division of Endovascular Neurosurgery, Department of Neurosurgery, Tokyo Jikei University School of Medicine
  • YUKI Ichiro
    Division of Endovascular Neurosurgery, Department of Neurosurgery, Tokyo Jikei University School of Medicine
  • ARAKAWA Hideki
    Division of Endovascular Neurosurgery, Department of Neurosurgery, Tokyo Jikei University School of Medicine
  • KATO Masataka
    Division of Endovascular Neurosurgery, Department of Neurosurgery, Tokyo Jikei University School of Medicine
  • MISAKI Koichi
    Division of Endovascular Neurosurgery, Department of Neurosurgery, Tokyo Jikei University School of Medicine
  • OHASHI Hiroki
    Department of Neurosurgery, Tokyo Jikei University School of Medicine
  • JOKI Tatsuhiro
    Department of Neurosurgery, Tokyo Jikei University School of Medicine
  • ABE Toshiaki
    Department of Neurosurgery, Tokyo Jikei University School of Medicine

Bibliographic Information

Other Title
  • 出血源として特定困難であった破裂末梢性解離性上小脳動脈瘤の1例
  • 症例報告 出血源として特定困難であった破裂末梢性解離性上小脳動脈瘤の1例
  • ショウレイ ホウコク シュッケツ ゲン ト シテ トクテイ コンナン デ アッタ ハレツ マッショウセイ カイリセイ ジョウ ショウノウ ドウミャクリュウ ノ 1レイ

Search this article

Abstract

Objective: We report a case of ruptured peripheral dissecting superior cerebellar artery (SCA) aneurysm as a rare and difficult to confirm source of subarachnoid hemorrhage (SAH).<br>Case presentation: A 55-year-old male patient was admitted to our hospital with impaired level of consciousness. Although the patient's CT showed SAH, no intra-cranial arterial saccular aneurysm was seen on DSA. However, there was a suspicion of morphological changes in the lateral pontomesencephalic segment of the left SCA. An MRI 4 days after onset showed cerebellar infarction in the left SCA territory. This raised reasonable suspicion that the SAH was caused by a ruptured dissecting SCA. On day 6 after onset, a parent artery occlusion of the left SCA was performed. After the operation a transient right conjugate gaze deviation was observed.<br>Conclusion: A dissecting SCA may be the possible cause of SAH. We expect that parent artery occlusion can be an effective method of management, as it is in other locations for this type of pathology.

Journal

Citations (1)*help

See more

References(12)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top