[Pseudoaneurysm of the extracranial vertebral artery; a case report].
Traumatic injury of the vertebral artery is rare and only a few reports have been presented. We treated a case of iatrogenic pseudoaneurysm of the extracranial vertebral artery. A 65-year-old man complained of headache and had a pulsating mass in the soft tissue of the neck which had continued for one month after evacuation of hypertensive cerebellar hemorrhage. The left VAG revealed a large pseudoaneurysm at the third portion of the vertebral artery and the right retrograde VAG revealed agenesis of the vertebral artery. To select the proper treatment was a dilemma. This case was treated by embolization using an occluding spring embolus with direct transcutaneous puncture of pseudoaneurysm. Following this treatment, the mass and associated symptoms resolved without neurological deficit.
Nakashima
H
H
Department of Neurosurgery, Kurume University School of Medicine.
Shigemori
M
M
Kikuchi
T
T
Tokutomi
T
T
Kuramoto
S
S
D000368:Aged; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D004621:Embolization, Therapeutic; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D011859:Radiography; D014711:Vertebral Artery / Q000293:injuries