Ruptured Dissecting Aneurysm of the Middle Cerebral Artery with Spontaneous Resolution: A Case Report

자연 소실된 중대뇌동맥의 파열박리성동맥류: 증례 보고

  • Ihn, Yon-Kwon (Department of Radiology, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) ;
  • Jung, Won-Sang (Department of Radiology, St. Vincent's Hospital, The Catholic University of Korea College of Medicine)
  • 인연권 (가톨릭대학교 의과대학 성빈센트병원 영상의학과학교실) ;
  • 정원상 (가톨릭대학교 의과대학 성빈센트병원 영상의학과학교실)
  • Published : 2011.11.01

Abstract

Dissecting aneurysms of the middle cerebral artery (MCA) are known to cause cerebral infarcts in younger people and can also cause subarachnoid hemorrhage (SAH) or intracranial hemorrhage. Bleeding caused by an isolated dissecting aneurysm of the MCA is relatively rare. We report the case of a young woman with SAH that occurred subsequent to a ruptured dissecting aneurysm of the MCA which resolved spontaneously as demonstrated by angiography.

중뇌동맥에서 발생하는 박리성동맥류의 파열은 매우 드물게 발생하며 뇌경색, 지주막하 출혈 또는 뇌내출혈을 일으킬 수 있다. 저자들은 25세 여자 환자에서 외상 없이 발생한 지주막하 출혈로 발현된 중대뇌동맥의 파열박리성동맥류의 자연 소실을 경험하여 이를 보고하고자 한다.

Keywords

References

  1. Kurino M, Yoshioka S, Ushio Y. Spontaneous dissecting aneurysms of anterior and middle cerebral artery associated with brain infarction: a case report and review of the literature. Surg Neurol 2002;57:428-436; discussion 436-438 https://doi.org/10.1016/S0090-3019(02)00725-5
  2. Maillo A, Diaz P, Morales F. Dissecting aneurysm of the posterior cerebral artery: spontaneous resolution. Neurosurgery 1991;29:291-294 https://doi.org/10.1227/00006123-199108000-00024
  3. Mizutani T, Kojima H, Asamoto S, Miki Y. Pathological mechanism and three-dimensional structure of cerebral dissecting aneurysms. J Neurosurg 2001;94:712-717 https://doi.org/10.3171/jns.2001.94.5.0712
  4. Isono M, Abe T, Goda M, Ishii K, Kobayashi H. Middle cerebral artery dissecting aneurysm causing intracerebral hemorrhage 4 years after the non-hemorrhagic onset: a case report. Surg Neurol 2002;57:346-349; discussion 349-350 https://doi.org/10.1016/S0090-3019(02)00681-X
  5. Sasaki O, Koike T, Tanaka R, Ogawa H. Subarachnoid hemorrhage from a dissecting aneurysm of the middle cerebral artery. Case report. J Neurosurg 1991;74:504-507 https://doi.org/10.3171/jns.1991.74.3.0504
  6. Sakamoto S, Ikawa F, Kawamoto H, Ohbayashi N, Inagawa T. Acute surgery for ruptured dissecting aneurysm of the M3 portion of the middle cerebral artery. Neurol Med Chir (Tokyo) 2003;43:188-191 https://doi.org/10.2176/nmc.43.188
  7. Mizutani T, Kojima H, Asamoto S. Healing process for cerebral dissecting aneurysms presenting with subarachnoid hemorrhage. Neurosurgery 2004;54:342-347; discussion 347-348 https://doi.org/10.1227/01.NEU.0000103449.80484.7E
  8. Mitchell GM, McCann JJ, Rogers IW, Hickey MJ, Morrison WA, O'Brien BM. A morphological study of the long-term repair process in experimentally stretched but unruptured arteries and veins. Br J Plast Surg 1996;49:34-40 https://doi.org/10.1016/S0007-1226(96)90184-8
  9. Ohkuma H, Suzuki S, Shimamura N, Nakano T. Dissecting aneurysms of the middle cerebral artery: neuroradiological and clinical features. Neuroradiology 2003;45:143-148 https://doi.org/10.1007/s00234-002-0919-3
  10. Ohta H, Sakai N, Nagata I, Sakai H, Shindo A, Kikuchi H. Spontaneous total thrombosis of distal superior cerebellar artery aneurysm. Acta Neurochir (Wien) 2001;143:837-842; discussion 842-843 https://doi.org/10.1007/s007010170039