지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 235 - 240 (6page)
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초록· 키워드
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Fusiform aneurysms on the basilar artery (BA) trunk are rare. The microsurgical management of these aneurysms is difficult because of their deep location, dense collection of vital cranial nerves, and perforating arteries to the brain stem. Endovascular treatment is relatively easier and safer compared with microsurgical treatment. Selective occlusion of the aneurysmal sac with preservation of the parent artery is the endovascular treatment of choice. But, some cases, particularly giant or fusiform aneurysms, are unsuitable for selective sac occlusion. Therefore, endovascular coiling of the aneurysm with parent vessel occlusion is an alternative treatment option. In this situation, it is important to determine whether a patient can tolerate parent vessel occlusion without developing neurological deficits. We report a rare case of fusiform aneurysms in the BA trunk. An 18-year-old female suffered a headache for 2 weeks. Computed tomography and magnetic resonance image revealed a fusiform aneurysm of the lower basilar artery trunk. Digital subtraction angiography revealed a $7.1{\times}11.0$ mm-sized fusiform aneurysm located between vertebrovasilar junction and the anterior inferior cerebellar arteries. We had good clinical result using endovascular coiling of unruptured fusiform aneurysm on the lower BA trunk with parent vessel occlusion after confirming the tolerance of the patient by balloon test occlusion with induced hypotension and accompanied by neurophysiologic monitoring, transcranial Doppler and single photon emission computed tomography. In this study, we discuss the importance of preoperative meticulous studies for avoidance of delayed neurological deficit in the patient with fusiform aneurysm on lower basilar trunk.
목차
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참고문헌 (26)
참고문헌 신청
Aymard A / 1991 / Endovascular occlusion of vertebral arteries in the treatment of unclippable vertebrobasilar aneurysms / J Neurosurg 74:393~398
Boardman P / 1998 / Giant fusiform basilar artery aneurysm : endovascular treatment by flow reversal in the basilar artery / Br J Radiol 71:332~335
Cloughesy TF / 1993 / Monitoring carotid test occlusions with continuous EEG and clinical examination / J Clin Neurophysiol 10:363~369
Drake CG / 1997 / Giant fusiform intracranial aneurysms : review of 120 patients treated surgically from 1965 to 1992 / J Neurosurg 87:141~162
Eckert B / 1998 / Predicting hemodynamic ischemia by transcranial Doppler monitoring during theraing peutic balloon occlusion of the internal carotid artery / AJNR Am J Neuroradiol 19:577~582
Boardman P / 1998 / Giant fusiform basilar artery aneurysm : endovascular treatment by flow reversal in the basilar artery / Br J Radiol 71:332~335
Cloughesy TF / 1993 / Monitoring carotid test occlusions with continuous EEG and clinical examination / J Clin Neurophysiol 10:363~369
Drake CG / 1997 / Giant fusiform intracranial aneurysms : review of 120 patients treated surgically from 1965 to 1992 / J Neurosurg 87:141~162
Eckert B / 1998 / Predicting hemodynamic ischemia by transcranial Doppler monitoring during theraing peutic balloon occlusion of the internal carotid artery / AJNR Am J Neuroradiol 19:577~582
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