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Clipping of ruptured aneurysm of lateral spinal artery associated with anastomosis to distal posterior inferior cerebellar artery: a case report


Germans, Menno R; Kulcsar, Zsolt; Regli, Luca; Bozinov, Oliver (2018). Clipping of ruptured aneurysm of lateral spinal artery associated with anastomosis to distal posterior inferior cerebellar artery: a case report. World Neurosurgery, 117:186-189.

Abstract

Arteries that anastomose with the posterior inferior cerebellar artery (PICA) can harbor aneurysms. We present a case of a patient who suffered a subarachnoid hemorrhage as a result from an aneurysm on the left lateral spinal artery (LSA) which anastomosed to the PICA. The aneurysm was surgically treated and the flow between the LSA and PICA was disrupted. The activated anastomotic network created a new anastomosis between the LSA and PICA which was seen at six months follow-up. Careful follow-up is warranted in patients who have an activated anastomotic network because they can potentially develop aneurysms on newly created anastomoses.

Abstract

Arteries that anastomose with the posterior inferior cerebellar artery (PICA) can harbor aneurysms. We present a case of a patient who suffered a subarachnoid hemorrhage as a result from an aneurysm on the left lateral spinal artery (LSA) which anastomosed to the PICA. The aneurysm was surgically treated and the flow between the LSA and PICA was disrupted. The activated anastomotic network created a new anastomosis between the LSA and PICA which was seen at six months follow-up. Careful follow-up is warranted in patients who have an activated anastomotic network because they can potentially develop aneurysms on newly created anastomoses.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Neuroradiology
04 Faculty of Medicine > University Hospital Zurich > Clinic for Neurosurgery
Dewey Decimal Classification:610 Medicine & health
Uncontrolled Keywords:Cerebral angiography, Intracranial aneurysm, Spinal vascular malformation, Subarachnoid hemorrhage
Language:English
Date:20 June 2018
Deposited On:09 Aug 2018 14:53
Last Modified:17 Sep 2019 19:24
Publisher:Elsevier
ISSN:1878-8750
OA Status:Green
Publisher DOI:https://doi.org/10.1016/j.wneu.2018.06.085
PubMed ID:29935320

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