The spontaneous thrombosis of distal aneurysm of superior cerebellar artery
https://doi.org/10.17650/1683-3295-2016-0-2-59-62
Abstract
The distal aneurysms of superior cerebellar artery (SCA) are very rare pathology with no clear recommendations concerning treatment strategy. Objective: to present the clinical case and literature review concerning distal aneurysms of SCA. Material and methods. The review of literature was conducted and clinical observation with follow-up of patient with distal aneurysm of SCA was performed. Results. The distal fusiform aneurysm of SCA was verified according to the data of digital subtraction angiography (DSA) in patient with acute subarachnoid hemorrhage with following aneurysm enlargement in 3 months. This patient once suffered from acute vertigo during MRA procedure. The following MRA and DSA procedures revealed total thrombosis of aneurysm and parent artery. The control DSA in 1 year showed no signs if aneurysm and left SCA refilling. Patient had no neurological deficit. Conclusion. The conservative treatment for distal SCA aneurysms may be as effective as microsurgical and endovascular treatment which can result in ischemic damages in case of surgical trapping of parent artery.
About the Authors
V. S. Kolotvinov
МАУ «Городская клиническая больница №40»; ГБОУ ВПО УГМУ
Russian Federation
Russian Federation
O. V. Marchenko
МАУ «Городская клиническая больница №40»; ГБОУ ВПО УГМУ
Russian Federation
Russian Federation
A. E. Tsoriev
МАУ «Городская клиническая больница №40»; ГБОУ ВПО УГМУ
Russian Federation
Russian Federation
A. A. Strakhov
МАУ «Городская клиническая больница №40»; ГБОУ ВПО УГМУ
Russian Federation
Russian Federation
P. A. Oshurkov
МАУ «Городская клиническая больница №40»; ГБОУ ВПО УГМУ
Russian Federation
Russian Federation
I. R. Ulitskii
МАУ «Городская клиническая больница №40»; ГБОУ ВПО УГМУ
Russian Federation
Russian Federation
References
1. Black S.P., German W.J. Observations on the relationship between the volume and the size of the orifice of experimental aneurysms //Journal of neurosurgery. - 1960. - V. 17. - P. 984-990.
2. Cantore G., Santoro A., Da Pian R. Spontaneous occlusion of supraclinoid aneurysms after the creation of extraintracranial bypasses using long grafts: report of two cases // Neurosurgery. - 1999. - V. 44. - №. 1. - P. 216-219.
3. Carlson D.H., Thomson D. Spontaneous thrombosis of a giant cerebral aneurysm in five days Report of a case // Neurology. - 1976. - V. 26. - №. 4. - P. 334-334.
4. Danet M., Raymond J., Roy D. Distal superior cerebellar artery aneurysm presenting with cerebellar infarction: report of two cases //American journal of neuroradiology. - 2001. - V. 22. - №. 4. - P. 717-720.
5. Krings T., Choi I. S. The many faces of intracranial arterial dissections //Interventional Neuroradiology. - 2010. - V. 16. - №. 2. - P. 151-160.
6. Matricali B., Seminara P. Aneurysm Arising from the Medical Branch of the Superior Cerebellar Artery //Neurosurgery. - 1986. - V. 18. - №. 3. - P. 350-352.
7. Kang M.C. et al. Coil Embolization of Ruptured Thrombosed Distal Superior Cerebellar Artery Aneurysm: A Case Report // Journal of cerebrovascular and endovascular neurosurgery. - 2012. - V. 14. - №. 3. - P. 243-246.
8. Nakau H. et al. Acute disappearance of ruptured aneurysm located near the origin of the superior cerebellar artery-case report //Neurologia medico-chirurgica. - 2007. - V. 47. - №. 10. - P. 468-470.
9. Nussbaum E.S. et al. Dissecting peripheral superior cerebellar artery aneurysms: Report of two cases and review of the literature //Surgical neurology international. - 2011. - V. 2.
10. Ohta H. et al. Spontaneous total thrombosis of distal superior cerebellar artery aneurysm //Acta neurochirurgica. - 2001. - V. 143. - №. 8. - P. 837-843.
11. Peluso J.P.P. et al. Superior cerebellar artery aneurysms: incidence, clinical presentation and midterm outcome of endovascular treatment //Neuroradiology. - 2007. - V. 49. - №. 9. - P. 747-751.
12. Pozzati E., Tognetti F., Padovani R. et al. Superior cerebellar artery aneurysms. // J Neurosurg Sci. - 1980. - V. 24. - P. 85-88.24.
13. Rodraguez-Herrôndez A. et al. Distal aneurysms of intracranial arteries: application of numerical nomenclature, predilection for cerebellar arteries, and results of surgical management //World neurosurgery. - 2013. - V. 80. - №. 1. - P. 103-112.
14. Sherman D.G., Salmon J.H. Ocular bobbing with superior cerebellar artery aneurysm: case report //Journal of neurosurgery. - 1977. - V. 47. - №. 4. - P. 596-598.
15. Whittle I.R., Dorsch N.W., Besser M. Spontaneous thrombosis in giant intracranial aneurysms //Journal of Neurology, Neurosurgery & Psychiatry. - 1982. - V. 45. - №. 11. - P. 1040-1047.
16. Whittle I.R. et al. Spontaneous thrombosis of a giant intracranial aneurysm and ipsilateral internal carotid artery: case report //Journal of neurosurgery. - 1982. - V. 56. - №. 2. - P. 287-289.
Review
For citations:
Kolotvinov V.S., Marchenko O.V., Tsoriev A.E., Strakhov A.A., Oshurkov P.A., Ulitskii I.R. The spontaneous thrombosis of distal aneurysm of superior cerebellar artery. Russian journal of neurosurgery. 2016;(2):59-62. (In Russ.) https://doi.org/10.17650/1683-3295-2016-0-2-59-62
Views:
529
Email this article 