Cerebrovascular Treatment with Superselective Balloon Test Occlusion for Multiple Cerebral Aneurysms Associated with Middle Cerebral Artery Anomaly: A Case Report

A 38-year-old woman presented with impaired consciousness and anisocoria due to a subarachnoid hemorrhage and an intracerebral hemorrhage of the left temporal lobe. Examination revealed severe tortuosity in the left middle cerebral artery and three sequential bead-like aneurysms. She underwent a cra...

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Autores principales: HAGIHARA, Ryota, ISOZAKI, Makoto, KIDOGUCHI, Masamune, ARISHIMA, Hidetaka, KIKUTA, Ken-ichiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Neurosurgical Society 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9560543/
https://www.ncbi.nlm.nih.gov/pubmed/36313792
http://dx.doi.org/10.2176/jns-nmc.2022-0185
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author HAGIHARA, Ryota
ISOZAKI, Makoto
KIDOGUCHI, Masamune
ARISHIMA, Hidetaka
KIKUTA, Ken-ichiro
author_facet HAGIHARA, Ryota
ISOZAKI, Makoto
KIDOGUCHI, Masamune
ARISHIMA, Hidetaka
KIKUTA, Ken-ichiro
author_sort HAGIHARA, Ryota
collection PubMed
description A 38-year-old woman presented with impaired consciousness and anisocoria due to a subarachnoid hemorrhage and an intracerebral hemorrhage of the left temporal lobe. Examination revealed severe tortuosity in the left middle cerebral artery and three sequential bead-like aneurysms. She underwent a craniotomy in the acute phase to stop rebleeding at the rupture site and remove the intracerebral hematoma. During the chronic phase, endovascular treatment with superselective balloon test occlusion (ssBTO) was performed for the remaining aneurysms. Preoperative ssBTO was useful in evaluating collateral circulation and assessing the curability of the treatment.
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spelling pubmed-95605432022-10-29 Cerebrovascular Treatment with Superselective Balloon Test Occlusion for Multiple Cerebral Aneurysms Associated with Middle Cerebral Artery Anomaly: A Case Report HAGIHARA, Ryota ISOZAKI, Makoto KIDOGUCHI, Masamune ARISHIMA, Hidetaka KIKUTA, Ken-ichiro NMC Case Rep J Case Report A 38-year-old woman presented with impaired consciousness and anisocoria due to a subarachnoid hemorrhage and an intracerebral hemorrhage of the left temporal lobe. Examination revealed severe tortuosity in the left middle cerebral artery and three sequential bead-like aneurysms. She underwent a craniotomy in the acute phase to stop rebleeding at the rupture site and remove the intracerebral hematoma. During the chronic phase, endovascular treatment with superselective balloon test occlusion (ssBTO) was performed for the remaining aneurysms. Preoperative ssBTO was useful in evaluating collateral circulation and assessing the curability of the treatment. The Japan Neurosurgical Society 2022-09-23 /pmc/articles/PMC9560543/ /pubmed/36313792 http://dx.doi.org/10.2176/jns-nmc.2022-0185 Text en © 2022 The Japan Neurosurgical Society https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License.
spellingShingle Case Report
HAGIHARA, Ryota
ISOZAKI, Makoto
KIDOGUCHI, Masamune
ARISHIMA, Hidetaka
KIKUTA, Ken-ichiro
Cerebrovascular Treatment with Superselective Balloon Test Occlusion for Multiple Cerebral Aneurysms Associated with Middle Cerebral Artery Anomaly: A Case Report
title Cerebrovascular Treatment with Superselective Balloon Test Occlusion for Multiple Cerebral Aneurysms Associated with Middle Cerebral Artery Anomaly: A Case Report
title_full Cerebrovascular Treatment with Superselective Balloon Test Occlusion for Multiple Cerebral Aneurysms Associated with Middle Cerebral Artery Anomaly: A Case Report
title_fullStr Cerebrovascular Treatment with Superselective Balloon Test Occlusion for Multiple Cerebral Aneurysms Associated with Middle Cerebral Artery Anomaly: A Case Report
title_full_unstemmed Cerebrovascular Treatment with Superselective Balloon Test Occlusion for Multiple Cerebral Aneurysms Associated with Middle Cerebral Artery Anomaly: A Case Report
title_short Cerebrovascular Treatment with Superselective Balloon Test Occlusion for Multiple Cerebral Aneurysms Associated with Middle Cerebral Artery Anomaly: A Case Report
title_sort cerebrovascular treatment with superselective balloon test occlusion for multiple cerebral aneurysms associated with middle cerebral artery anomaly: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9560543/
https://www.ncbi.nlm.nih.gov/pubmed/36313792
http://dx.doi.org/10.2176/jns-nmc.2022-0185
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