Anterior inferior cerebellar artery dissecting aneurysm in a juvenile: case report.
A 15-year-old girl presented with a distal anterior inferior cerebellar artery (AICA) dissecting aneurysm manifesting as sudden onset of general tonic-clonic convulsion while singing a song. Physical and neurological examinations found headache, vomiting, right perceptive deafness, and right cerebellar ataxia. Cranial magnetic resonance imaging demonstrated a hemorrhagic mass in the brainstem region, and digital subtraction angiography revealed a fusiform dilatation of the anterior pontine segment of the right AICA. The diagnosis was dissecting aneurysm. Endovascular embolization was performed for aneurysm and parent artery occlusion using a Guglielmi detachable coil and 9 TruFill detachable coil systems, respectively, 2 weeks after occipital artery-AICA anastomosis. No ischemic complications were seen, and her neurological deficits completely recovered after the interventional therapy.
Fukushima
Shintaro
S
Department of Neurosurgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan. shitapor@med.kurume-u.ac.jp
Hirohata
Masaru
M
Okamoto
Yuji
Y
Yamashita
Shin
S
Ishida
Shigenobu
S
Shigemori
Minoru
M
D000293:Adolescent; D015901:Angiography, Digital Subtraction; D020520:Brain Infarction / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D002524:Cerebellar Ataxia / Q000209:etiology; D002531:Cerebellum / Q000098:blood supply* / Q000473:pathology / Q000503:physiopathology; D003638:Deafness / Q000209:etiology; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods; D004830:Epilepsy, Tonic-Clonic / Q000209:etiology; D005260:Female; D006261:Headache / Q000209:etiology; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D011149:Pons / Q000098:blood supply* / Q000473:pathology / Q000503:physiopathology; D016896:Treatment Outcome