A Case of Vertebral Artery Aneurysm Causing Hemifacial Spasm Rapidly Improved after Parent Artery Occlusion

DOI Web Site Web Site 被引用文献2件 参考文献11件 オープンアクセス
  • Kugai Miyahito
    Department of Neurosurgery, Tominaga Hospital, Osaka, Osaka, Japan
  • Suyama Takehiro
    Department of Neurosurgery, Kansai Medical University Medical Center, Moriguchi, Osaka, Japan
  • Inui Toshihiko
    Department of Neurosurgery, Tominaga Hospital, Osaka, Osaka, Japan
  • Yamazato Keisho
    Department of Neurosurgery, Tominaga Hospital, Osaka, Osaka, Japan
  • Kitano Masahiko
    Department of Neurosurgery, Tominaga Hospital, Osaka, Osaka, Japan
  • Hasegawa Hiroshi
    Department of Neurosurgery, Tominaga Hospital, Osaka, Osaka, Japan
  • Tominaga Yoshiko
    Department of Neurosurgery, Tominaga Hospital, Osaka, Osaka, Japan
  • Tominaga Shinsuke
    Department of Neurosurgery, Tominaga Hospital, Osaka, Osaka, Japan

この論文をさがす

説明

<p>Objective: The authors report a rare case of symptomatic unruptured fusiform vertebral artery (VA) aneurysm causing hemifacial spasm, which was successfully treated by endovascular parent artery occlusion (PAO).</p><p>Case Presentation: A 56-year-old man presented with left hemifacial spasm, and the symptom progressed rapidly over 3–4 weeks including difficulty of eye opening. Brain MRI showed a left fusiform VA aneurysm with a maximum diameter of approximately 10 mm, which compressed the root exit zone (REZ) of the left facial nerve. Endovascular PAO of the left VA was performed with coils. The hemifacial spasm disappeared immediately after PAO. The size of the aneurysm was markedly reduced on MRI on the next day. No recurrence of the hemifacial spasm and aneurysm was observed after half a year after PAO.</p><p>Conclusion: This rare case suggested that endovascular PAO may be an effective treatment for hemifacial spasm caused by a relatively large aneurysm.</p>

収録刊行物

  • 脳神経血管内治療

    脳神経血管内治療 13 (7), 288-292, 2019

    一般社団法人 日本脳神経血管内治療学会

被引用文献 (2)*注記

もっと見る

参考文献 (11)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ