Endovascular Treatment for Ruptured Distal Anterior Inferior Cerebellar Artery AneurysmEndovascular Treatment for Ruptured Distal Anterior Inferior Cerebellar Artery Aneurysm
- Other Titles
- Endovascular Treatment for Ruptured Distal Anterior Inferior Cerebellar Artery Aneurysm
- Authors
- 오재상; 윤석만; 심재준; 배학근; 윤일규
- Issue Date
- 2014
- Publisher
- 대한뇌혈관외과학회
- Keywords
- Subarachnoid hemorrhage; Cerebellar artery; Endovascular; Hearing loss
- Citation
- Journal of Cerebrovascular and Endovascular Neurosurgery, v.16, no.1, pp.20 - 25
- Journal Title
- Journal of Cerebrovascular and Endovascular Neurosurgery
- Volume
- 16
- Number
- 1
- Start Page
- 20
- End Page
- 25
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/12971
- DOI
- 10.7461/jcen.2014.16.1.20
- ISSN
- 2234-8565
- Abstract
- A 42-year-old woman presented with Hunt and Hess grade (HHG) III subarachnoid hemorrhage (SAH) caused by a ruptured left distal anterior inferior cerebellar artery (AICA) aneurysm. Computed tomography showed a thin SAH on the cerebellopontine angle cistern, and small vermian intracerebral hemorrhage and intraventricular hemorrhage in the fourth ventricle. Digital subtraction angiography revealed the aneurysm on the postmeatal segment of left distal AICA, a branching point of rostrolateral and caudomedial branch of the left distal AICA. Despite thin caliber, tortuous running course and far distal location, the AICA aneurysm was obliterated successfully with endovascular coils without compromising AICA flow. However, the patient developed left side sensorineural hearing loss postoperatively, in spite of definite patency of distal AICA on the final angiogram. She was discharged home without neurologic sequela except hearing loss and tinnitus.
Endovascular treatment of distal AICA aneurysm, beyond the meatal loop, is feasible while preserving the AICA flow. However, because the cochlear hair cell is vulnerable to ischemia, unilateral hearing loss can occur, possibly caused by the temporary occlusion of AICA flow by microcatheter during endovascular treatment.
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