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Endovascular Treatment in Ruptured Middle Cerebral Artery Dissection Preservation of Arterial Continuity
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논문 기본 정보

Type
Academic journal
Author
Dong Hyuk Nam (Kimpo Woori Hospital) 박상규 (가톨릭대학교)
Journal
대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.17 No.2 KCI Candidated Journals
Published
2015.1
Pages
108 - 112 (5page)

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Endovascular Treatment in Ruptured Middle Cerebral Artery Dissection Preservation of Arterial Continuity
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Rupture of spontaneous dissecting aneurysms of the middle cerebral artery (MCA) is rare and its etiology remains obscure, although the risk of rebleeding is greater than with saccular aneurysms. Most reports concerning the treatment of a ruptured dissecting aneurysm of the anterior circulation involve surgical trapping or wrapping. Here, we report on a case of an MCA dissecting rupture treated with endovascular procedures. A 22-year-old female presented with sudden stuporous mental change following severe headache and left side hemiparesis. A computed tomography scan showed a diffuse subarachnoid hemorrhage and diffusion MR showed diffusion restriction at the right putamen and internal capsule. A 3-hour follow-up digital subtraction angiography (DSA) showed a dissecting aneurysm, which was not seen on an initial DSA. A stent assisted coil embolization was performed and double stents were applied to achieve flow diversion effects. A small remnant area of the dissecting aneurysm had disappeared at 60-day and was not observed on 12-month follow-up DSA.

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References (17)

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Chan RS / 2014 / Use of the pipeline embolization device to treat recently ruptured dissecting cerebral aneurysms / Interv Neuroradiol 20(4):436~441 google schola Chuang MJ / 2012 / Management of middle cerebral artery dissecting aneurysm / Asian J Surg 35(1):42~48 google schola Fischer S / 2014 / Pipeline embolization device for the treatment of intra- and extracranial fusiform and dissecting aneurysms: initial experience and long-term follow-up / Neurosurgery 75(4):364~374 google schola Friedman AH / 1984 / Subarachnoid hemorrhage from intracranial dissecting aneurysm / J Neurosurg 60(2):325~334 google schola Gong D / 2014 / Successful treatment of growing basilar artery dissecting aneurysm by pipeline flow diversion embolization device / J Stroke Cerebrovasc Dis 23(6):1713~1716 google schola

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