Traumatic anterior communicating artery pseudoaneurysm with cavernous sinus fistula

Sakamoto, Shigeyuki; Shibukawa, Masaaki; Kiura, Yoshihiro; Tsumura, Ryu; Okazaki, Taro; Matsushige, Toshinori; Kurisu, Kaoru

doi:10.1007/s00701-009-0285-6

Cited by 9 publications

(9 citation statements)

References 11 publications

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“…Previous reports of ACoA pseudoaneurysms have been related to blunt head trauma[2231] or iatrogenic arterial injury during resection of the tumors at the skull base. [26] Urgent management of ACoA pseudoaneurysms is indicated due to their high risk of rapid growth and rupture.…”

Section: Discussionmentioning

confidence: 99%

“…Idiopathic cases may very rarely occur in children. [10] Pseudoaneurysms of the internal carotid artery (most common),[5152831] middle cerebral artery or its branches,[3202123] anterior cerebral artery or its branches,[1111516242831] anterior communicating artery (ACoA),[222631] posterior cerebral artery,[25] posterior inferior cerebellar artery,[414] superior cerebellar artery,[919] middle meningeal artery,[818262730] basilar artery,[6] and vertebral artery[1317] have been described.…”

Section: Introductionmentioning

confidence: 99%

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Acute formation of a pseudoaneurysm adjacent to a previously clipped anterior communicating artery aneurysm

Rs²,

Cohen-Gadol³

2011

Surg Neurol Int

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Background:Cerebral pseudoaneurysms, especially of the anterior communicating artery (ACoA), are rare.Case Description:Herein, the authors report a 66-year-old patient who underwent successful clip ligation of a small ruptured ACoA aneurysm. Eighteen days after surgery, he suffered from another episode of subarachnoid hemorrhage due to the rupture of a newly formed pseudoaneurysm adjacent to the previously clipped aneurysm. This pseudoaneurysm was treated through clip ligation as well.Conclusion:A pseudoaneurysm may rarely form adjacent to a previously clipped cerebral aneurysm and should be included in the differential diagnosis of recurrent subarachnoid hemorrhage. Potential mechanisms of formation and management strategies for this challenging problem will be discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Acute formation of a pseudoaneurysm adjacent to a previously clipped anterior communicating artery aneurysm

Rs²,

Cohen-Gadol³

2011

Surg Neurol Int

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“…Fusiform aneurysms derived from the P2 segment of the PCA may be caused by atherosclerosis, dissection or infection (27,31). The risk of hemorrhage in aneurysms caused by atherosclerosis is much higher than that of the dissecting aneurysms and aneurysms caused by infection (4,29,31).…”

Section: Discussionmentioning

confidence: 99%

Endovascular treatments for distal posterior cerebral artery aneurysms

Luo¹,

Wang²,

Xu³

et al. 2011

Turkish Neurosurgery

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AIm:The purpose of the current study was to evaluate the methods and results of endovascular treatments for distal posterior cerebral artery (PCA) aneurysms. mAterIAl and methOds:We studied 10 patients admitted to our hospital, of which 6 had aneurysms at the P2 segment (2 were saccular, 2 were fusiform, 2 were dissecting), 1 had a dissecting aneurysm at the P2-P3 junction and 3 had dissecting aneurysms at the P3 segment. Coil embolization was used for saccular aneurysms to retain parent arteries, stent was used for fusiform aneurysm to reconstruct the parent arteries, coil embolization in combination with parent artery occlusion was used for dissecting aneurysms at P2 segment or P2-P3 junction, aneurysm embolization in combination with parent artery occlusion by Glubran glue was used for dissenting aneurysms at the P3 segment.results: Nine patients got a score of 5, one patient got a score of 4. DSA follow up in nine accepted the review (one patient with fusiform aneurysm at the P2 segment was lost). No reoccurrence was found. COnClusIOn:The results of this study suggested that to achieve a satisfying prognosis, the types and locations of the aneurysms should be considered when performing the endovascular treatment for distal PCA aneurysms. yÖntem ve GereÇler: Posterior serebral arter anevrizması olan 10 hasta çalışmaya alındı. Anevrizmalardan 6'sı P2 bölümündeydi (Bunların 2'si sakküler, 2'si fusiform, 2'si disekan anevrizma şeklindeydi). Biri P2-P3 bileşkesinde disekan bir anevrizma, son 3'ü ise P3 bölümünde ve 3'üde disekan anevrizma şeklindeydi. Kese şeklinde olan anevrizmalarda ana arter korunarak koil embolizasyonu, fusiform anevrizmalarda ana arter korunarak ana artere stent yerleştirilip ana arter rekonstrüksiyonu sağlandı. P2 bölümündeki veya P2-P3 birleşim noktasındaki disekan anevrizmalarda koil embolizasyonu ile parent arterin oklüzyonu sağlanmıştır. P3 bölümünden kaynaklanan disekan anevrizmalarda Glubran Zamkı ile tıkanma sağlanmıştır.BulGulAr: Hastaların 9'unda 5 skoru sağlandı, bir hastada ise 4 skoru sağlandı. Hastaların 9'una konrol anjiyografisi yapıldı. Rekürrens saptanmadı. P2 segmentinde fusiform anevrizması olan bir hasta kaybedildi. sOnuÇ: Distal posterior serebral arter anevrizması olan hastalarda anevrizmanın tipi ve yerleşimi göz önüne alındığında endovasküler tedavi tatmin edici ve başarılı bir prognoz sağlamaktadır.

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“…Identification of the origin of hemorrhage proceeded as follows: (1) if Sah was present, the ruptured aneurysm was considered first, and the aneurysm locations were considered to be in the hemorrhage; and (2) with respect to intracerebral hematoma, the relationship between the location, shapes of the aneurysm, and the site of hemorrhage were considered. aneurysms, and especially pseudoaneurysms, are often located in the hematoma 7,8 .…”

Section: Diagnosis and Classificationmentioning

confidence: 99%

Endovascular Treatment of Intracranial Ruptured Aneurysms Associated with Arteriovenous Malformations: A Clinical Analysis of 14 Hemorrhagic Cases

Yang

Luo

et al. 2011

Interv Neuroradiol

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This study investigated and summarized endovascular therapeutic strategies for intracranial ruptured aneurysms associated with arteriovenous malformations (AVMs). Between June 2005 and June 2009, we identified 16 aneurysms in 14 hemorrhagic cases of intracranial AVM using digital subtraction angiography (DSA). Of the 16 aneurysms, 14 were ruptured and two were unruptured. Aneurysms were classified as types I to IV, and were treated. Aneurysm treatment was followed by AVM treatment via various therapies, including embolization, gamma knife radiotherapy, or follow-up and observation to reduce the risk of aneurysm rupture or intracranial hemorrhage. Over a follow-up period ranging from six months to one year, none of the patients had aneurysm ruptures or intracranial hemorrhage. Most (13/14) patients had a Glasgow Outcome Scale (GOS) score of 5, and one patient had a score of 4. Sixteen aneurysms were treated successfully, as confirmed by DSA examination, and no AVMs re-grew. Clinical therapeutic strategies for intracranial ruptured aneurysms associated with AVMs should include aneurysm treatment first to reduce the risk of rupture and intracranial hemorrhage, eventually leading to a better prognosis.

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Traumatic anterior communicating artery pseudoaneurysm with cavernous sinus fistula

Cited by 9 publications

References 11 publications

Acute formation of a pseudoaneurysm adjacent to a previously clipped anterior communicating artery aneurysm

Acute formation of a pseudoaneurysm adjacent to a previously clipped anterior communicating artery aneurysm

Endovascular treatments for distal posterior cerebral artery aneurysms

Endovascular Treatment of Intracranial Ruptured Aneurysms Associated with Arteriovenous Malformations: A Clinical Analysis of 14 Hemorrhagic Cases

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