Multiple Endovascular Treatments for Hemorrhagic Cerebral Proliferative Angiopathy: A Case Report
Cerebral proliferative angiopathy (CPA) is a rare vascular abnormality characterized by transdural supply, stenoses of feeding arteries, and intermingled normal brain parenchyma in abnormal vessels. CPA is often regarded as a separate entity from “classical” brain arteriovenous malformations in angi...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2022-11-01
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| Series: | Case Reports in Neurology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/527559 |
| _version_ | 1828098095033876480 |
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| author | Keijiro Shomura Tomoya Kamide Kouichi Misaki Taishi Tsutsui Iku Nambu Naoyuki Uchiyama Mitsutoshi Nakada |
| author_facet | Keijiro Shomura Tomoya Kamide Kouichi Misaki Taishi Tsutsui Iku Nambu Naoyuki Uchiyama Mitsutoshi Nakada |
| author_sort | Keijiro Shomura |
| collection | DOAJ |
| description | Cerebral proliferative angiopathy (CPA) is a rare vascular abnormality characterized by transdural supply, stenoses of feeding arteries, and intermingled normal brain parenchyma in abnormal vessels. CPA is often regarded as a separate entity from “classical” brain arteriovenous malformations in angioarchitecture, natural history, clinical presentation, and treatment. Bleeding from CPA is uncommon, but once bleeding occurs, the risk of rebleeding is high. Herein, we describe a case of cerebral hemorrhage caused by CPA. We performed two different endovascular treatments: partial embolization with glue for a ruptured aneurysm and coil embolization for an unruptured growing aneurysm. To our knowledge, this is the first report of serial endovascular treatments for hemorrhagic CPA that included a ruptured aneurysm and a growing unruptured aneurysm. |
| first_indexed | 2024-04-11T07:57:18Z |
| format | Article |
| id | doaj.art-badcdf5875b64cc89ac177305ed4c6c8 |
| institution | Directory Open Access Journal |
| issn | 1662-680X |
| language | English |
| last_indexed | 2024-04-11T07:57:18Z |
| publishDate | 2022-11-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Neurology |
| spelling | doaj.art-badcdf5875b64cc89ac177305ed4c6c82022-12-22T04:35:54ZengKarger PublishersCase Reports in Neurology1662-680X2022-11-0114343344010.1159/000527559527559Multiple Endovascular Treatments for Hemorrhagic Cerebral Proliferative Angiopathy: A Case ReportKeijiro Shomura0Tomoya Kamide1Kouichi Misaki2https://orcid.org/0000-0002-3752-2406Taishi Tsutsui3https://orcid.org/0000-0002-7145-5294Iku Nambu4Naoyuki Uchiyama5Mitsutoshi Nakada6https://orcid.org/0000-0001-9419-6101Department of Neurosurgery, Kanazawa University, Kanazawa, JapanDepartment of Neurosurgery, Kanazawa University, Kanazawa, JapanDepartment of Neurosurgery, Kanazawa University, Kanazawa, JapanDepartment of Neurosurgery, Kanazawa University, Kanazawa, JapanDepartment of Neurosurgery, Kanazawa University, Kanazawa, JapanDepartment of Neurosurgery, Ishikawa Prefectural Central Hospital, Kanazawa, JapanDepartment of Neurosurgery, Kanazawa University, Kanazawa, JapanCerebral proliferative angiopathy (CPA) is a rare vascular abnormality characterized by transdural supply, stenoses of feeding arteries, and intermingled normal brain parenchyma in abnormal vessels. CPA is often regarded as a separate entity from “classical” brain arteriovenous malformations in angioarchitecture, natural history, clinical presentation, and treatment. Bleeding from CPA is uncommon, but once bleeding occurs, the risk of rebleeding is high. Herein, we describe a case of cerebral hemorrhage caused by CPA. We performed two different endovascular treatments: partial embolization with glue for a ruptured aneurysm and coil embolization for an unruptured growing aneurysm. To our knowledge, this is the first report of serial endovascular treatments for hemorrhagic CPA that included a ruptured aneurysm and a growing unruptured aneurysm.https://www.karger.com/Article/FullText/527559endovascular proceduresintracranial aneurysmcerebral hemorrhageembolizationcerebral proliferative angiopathy |
| spellingShingle | Keijiro Shomura Tomoya Kamide Kouichi Misaki Taishi Tsutsui Iku Nambu Naoyuki Uchiyama Mitsutoshi Nakada Multiple Endovascular Treatments for Hemorrhagic Cerebral Proliferative Angiopathy: A Case Report Case Reports in Neurology endovascular procedures intracranial aneurysm cerebral hemorrhage embolization cerebral proliferative angiopathy |
| title | Multiple Endovascular Treatments for Hemorrhagic Cerebral Proliferative Angiopathy: A Case Report |
| title_full | Multiple Endovascular Treatments for Hemorrhagic Cerebral Proliferative Angiopathy: A Case Report |
| title_fullStr | Multiple Endovascular Treatments for Hemorrhagic Cerebral Proliferative Angiopathy: A Case Report |
| title_full_unstemmed | Multiple Endovascular Treatments for Hemorrhagic Cerebral Proliferative Angiopathy: A Case Report |
| title_short | Multiple Endovascular Treatments for Hemorrhagic Cerebral Proliferative Angiopathy: A Case Report |
| title_sort | multiple endovascular treatments for hemorrhagic cerebral proliferative angiopathy a case report |
| topic | endovascular procedures intracranial aneurysm cerebral hemorrhage embolization cerebral proliferative angiopathy |
| url | https://www.karger.com/Article/FullText/527559 |
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