Distal posterior inferior cerebellar artery aneurysm with cerebellar arteriovenous malformation treated by open surgery: a case report
Abstract Background The detection of a feeder aneurysm and an arteriovenous malformation (AVM) is relatively rare for the intracranial AVM. The distal posterior inferior cerebellar artery aneurysm (DPICAAn) is reported to coexist or relate with the cerebellar AVM. In previous reports about the treat...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-06-01
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| Series: | Chinese Neurosurgical Journal |
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| Online Access: | http://link.springer.com/article/10.1186/s41016-019-0161-z |
| _version_ | 1818995081513795584 |
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| author | Takaya Yasuda Yoshinori Maki Ryota Ishibashi Yoshitaka Kurosaki Masaki Chin Sen Yamagata |
| author_facet | Takaya Yasuda Yoshinori Maki Ryota Ishibashi Yoshitaka Kurosaki Masaki Chin Sen Yamagata |
| author_sort | Takaya Yasuda |
| collection | DOAJ |
| description | Abstract Background The detection of a feeder aneurysm and an arteriovenous malformation (AVM) is relatively rare for the intracranial AVM. The distal posterior inferior cerebellar artery aneurysm (DPICAAn) is reported to coexist or relate with the cerebellar AVM. In previous reports about the treatment of a DPICAAn and a cerebellar AVM, endovascular embolization with the sacrifice of the posterior inferior cerebellar artery (PICA) has often been selected. However, there have been few reports of simultaneous open surgery for coexistent cases of DPICAAn and cerebellar AVM. Case description A 67-year-old male presented with a headache. We detected a right DPICAAn in the telovelotonsillar segment and a cerebellar AVM primarily fed by the left superior cerebellar artery (SCA). In addition, the nidus was located medially in the left upper cerebellar hemisphere. Magnetic resonance imaging raised suspicions of asymptomatic past hemorrhage in the cerebellar AVM. The left PICA was agenesis, and the right PICA perfused the bilateral inferior cerebellar hemispheres; thus, the right PICA could not be sacrificed. We selected open surgery to prevent any hemorrhagic event from the DPICAAn and the cerebellar AVM. The cerebellar AVM was completely removed, and the DPICAAn was successfully clipped in a single-session open surgery. Conclusions Open surgery can be considered for DPICAAn and cerebellar AVM. The anatomical location of the DPICAAn and AVM contributed to the success of a single-session open surgery. |
| first_indexed | 2024-12-20T21:08:10Z |
| format | Article |
| id | doaj.art-8d8a78de11154d7a9e9d6307feaaa2fe |
| institution | Directory Open Access Journal |
| issn | 2057-4967 |
| language | English |
| last_indexed | 2024-12-20T21:08:10Z |
| publishDate | 2019-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Chinese Neurosurgical Journal |
| spelling | doaj.art-8d8a78de11154d7a9e9d6307feaaa2fe2022-12-21T19:26:34ZengBMCChinese Neurosurgical Journal2057-49672019-06-01511510.1186/s41016-019-0161-zDistal posterior inferior cerebellar artery aneurysm with cerebellar arteriovenous malformation treated by open surgery: a case reportTakaya Yasuda0Yoshinori Maki1Ryota Ishibashi2Yoshitaka Kurosaki3Masaki Chin4Sen Yamagata5Department of Neurosurgery, Kurashiki Central HospitalDepartment of Neurosurgery, Kurashiki Central HospitalDepartment of Neurosurgery, Kurashiki Central HospitalDepartment of Neurosurgery, Kurashiki Central HospitalDepartment of Neurosurgery, Kurashiki Central HospitalDepartment of Neurosurgery, Kurashiki Central HospitalAbstract Background The detection of a feeder aneurysm and an arteriovenous malformation (AVM) is relatively rare for the intracranial AVM. The distal posterior inferior cerebellar artery aneurysm (DPICAAn) is reported to coexist or relate with the cerebellar AVM. In previous reports about the treatment of a DPICAAn and a cerebellar AVM, endovascular embolization with the sacrifice of the posterior inferior cerebellar artery (PICA) has often been selected. However, there have been few reports of simultaneous open surgery for coexistent cases of DPICAAn and cerebellar AVM. Case description A 67-year-old male presented with a headache. We detected a right DPICAAn in the telovelotonsillar segment and a cerebellar AVM primarily fed by the left superior cerebellar artery (SCA). In addition, the nidus was located medially in the left upper cerebellar hemisphere. Magnetic resonance imaging raised suspicions of asymptomatic past hemorrhage in the cerebellar AVM. The left PICA was agenesis, and the right PICA perfused the bilateral inferior cerebellar hemispheres; thus, the right PICA could not be sacrificed. We selected open surgery to prevent any hemorrhagic event from the DPICAAn and the cerebellar AVM. The cerebellar AVM was completely removed, and the DPICAAn was successfully clipped in a single-session open surgery. Conclusions Open surgery can be considered for DPICAAn and cerebellar AVM. The anatomical location of the DPICAAn and AVM contributed to the success of a single-session open surgery.http://link.springer.com/article/10.1186/s41016-019-0161-zIntracranial aneurysmArteriovenous malformationsCerebellumSurgical proceduresAngiography |
| spellingShingle | Takaya Yasuda Yoshinori Maki Ryota Ishibashi Yoshitaka Kurosaki Masaki Chin Sen Yamagata Distal posterior inferior cerebellar artery aneurysm with cerebellar arteriovenous malformation treated by open surgery: a case report Chinese Neurosurgical Journal Intracranial aneurysm Arteriovenous malformations Cerebellum Surgical procedures Angiography |
| title | Distal posterior inferior cerebellar artery aneurysm with cerebellar arteriovenous malformation treated by open surgery: a case report |
| title_full | Distal posterior inferior cerebellar artery aneurysm with cerebellar arteriovenous malformation treated by open surgery: a case report |
| title_fullStr | Distal posterior inferior cerebellar artery aneurysm with cerebellar arteriovenous malformation treated by open surgery: a case report |
| title_full_unstemmed | Distal posterior inferior cerebellar artery aneurysm with cerebellar arteriovenous malformation treated by open surgery: a case report |
| title_short | Distal posterior inferior cerebellar artery aneurysm with cerebellar arteriovenous malformation treated by open surgery: a case report |
| title_sort | distal posterior inferior cerebellar artery aneurysm with cerebellar arteriovenous malformation treated by open surgery a case report |
| topic | Intracranial aneurysm Arteriovenous malformations Cerebellum Surgical procedures Angiography |
| url | http://link.springer.com/article/10.1186/s41016-019-0161-z |
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