A Case of Lateral Medullary Artery Arisen from the Posterior Meningeal Artery

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  • Ito Masashi
    Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan
  • Izumi Takashi
    Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan
  • Nishihori Masahiro
    Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan
  • Imai Tasuku
    Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan
  • Tamari Yousuke
    Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan
  • Tsukada Tetsuya
    Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan
  • Ishida Mamoru
    Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan
  • Kropp Asuka
    Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan
  • Wakabayashi Toshihiko
    Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan

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<p>Objective: We encountered a patient with lateral medullary infarction during transarterial embolization of the posterior meningeal artery (PMA). We reviewed the anatomic characteristics/imaging findings of this disorder.</p><p>Case Presentation: A 69-year-old male. Cerebral infarction involving the lateral medulla occurred during transarterial embolization of a dural arteriovenous fistula. It was considered to be a complication related to occlusion of a lateral medulla-penetrating vessel on microcatheter/guidewire operations in the PMA. When examining images in detail, the blood vessel could be confirmed using DSA and 3D angiography.</p><p>Conclusion: When performing embolization, the presence of a brainstem-penetrating vessel originating from the PMA must be considered.</p>

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