Journal of Cerebrovascular and Endovascular Neurosurgery

  • 제13권3호
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  • Pages.129-136
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  • 2011
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  • 2234-8565(pISSN)
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  • 2287-3139(eISSN)
대한뇌혈관외과학회 (Korean Society of Cerebravascular Surgeons)
권호 표지

Distal Lenticulostriate Artery Aneurysm Presenting With Spontaneous Intracerebral and Intraventricular Hemorrhage : A Case Report and a Review of the Literature

  • Sung, Jae-Kyung (Department of Neurosurgery, Chungnam National University School of Medicine) ;
  • Koh, Hyeon-Song (Department of Neurosurgery, Chungnam National University School of Medicine) ;
  • Kang, Chang-Woo (Department of Neurosurgery, Chungnam National University School of Medicine) ;
  • Kwon, Hyon-Jo (Department of Neurosurgery, Chungnam National University School of Medicine) ;
  • Youm, Jin-Young (Department of Neurosurgery, Chungnam National University School of Medicine) ;
  • Kim, Seon-Hwan (Department of Neurosurgery, Chungnam National University School of Medicine)
  • 발행 : 2011.09.30
⟨ 이전 논문 다음 논문 ⟩

초록

The authors report here on a rare case of aneurysm involving the distal lenticulostriate artery (LSA) in a 66-year-old man who presented with intracerebral hemorrhage (ICH) in the right basal ganglia and also intraventricular hemorrhage (IVH). Three-dimensional computed tomography angiography (3D-CTA) and conventional cerebral angiography showed a 4 mm, round-shaped aneurysm in the right distal LSA and this was combined with moyamoya-like disease. We performed proximal clipping of the aneurysm using a microsurgical technique and we evacuated the hematoma. After the operation, there was recurrent bleeding around the operation site and hydrocephalus gradually developed, and we implanted a ventriculo-peritoneal (V-P) shunt. The patient did well after the final shunt surgery and rehabilitation. Presently, he has no motor weakness or significant neurologic deficit, but mild cognitive dysfunction remains. When spontaneous ICH occurs in an unusual site, a thorough investigation is important to rule out a structural vascular abnormality.

키워드

참고문헌

  1. Ahn JY, Cho JH, Lee JW. Distal lenticulostriate artery aneurysm in deep intracerebral haemorrhage. J Neurol Neurosurg Psychiatry 78:1401-3, 2007 https://doi.org/10.1136/jnnp.2007.120204
  2. Borota L, Marinkovic S, Bajic R, Kovacevic M. Intracranial aneurysms associated with moyamoya disease. Neurol Med Chir (Tokyo) 36:860-4, 1996 https://doi.org/10.2176/nmc.36.860
  3. Endo M, Ochiai C, Watanabe K, Yoshimoto Y, Wakai S. Ruptured peripheral lenticulostriate artery aneurysm in a child: case report. No Shinkei Geka 24:961-4, 1996
  4. Gandhi CD, Gilad R, Patel AB, Haridas A, Bederson JB. Treatment of ruptured lenticulostriate artery aneurysms. J Neurosurg 109:28-37, 2008 https://doi.org/10.3171/JNS/2008/109/7/0028
  5. Grabel JC, Levine M, Hollis P, Ragland R. Moyamoya-like disease associated with a lenticulostriate region aneurysm. Case report. J Neurosurg 70:802-3, 1989 https://doi.org/10.3171/jns.1989.70.5.0802
  6. Gupta AK, Rao VR, Mandalam KR, Kumar S, Joseph S, Unni M et al. Thrombosis of multiple aneurysms of a lateral lenticulostriate artery. An angiographic follow-up. Neuroradiology 31:193-5, 1989 https://doi.org/10.1007/BF00698855
  7. Han IB, Ahn JY, Chung YS. Ruptured distal lenticulostriate artery aneurysm associated with ipsilateral middle cerebral artery occlusion -Case Report-. Kor J Cerebrovascular Surgery 8:128-31, 2006
  8. Harreld JH, Zomorodi AR. Embolization of an unruptured distal lenticulostriate aneurysm associated with moyamoya disease. AJNR Am J Neuroradiol 32:E42-3, 2011 https://doi.org/10.3174/ajnr.A1993
  9. Horn EM, Zabramski JM, Feiz-Erfan I, Lanzino G, McDougall CG. Distal lenticulostriate artery aneurysm rupture presenting as intraparenchymal hemorrhage: case report. Neurosurgery 55:708-12, 2004 https://doi.org/10.1227/01.NEU.0000134561.59093.D7
  10. Kaptain GJ, Sheehan JP, Kassell NF. Lenticulostriate artery aneurysm in infancy. Case illustration. J Neurosurg 94:538, 2001 https://doi.org/10.3171/jns.2001.94.3.0538
  11. Kidoguchi J, Chiba M, Murakami T, Saiki I, Kanaya H, Tazawa M et al. A case of systemic lupus erythematosus associated with an aneurysm of lenticulostriate artery. No Shinkei Geka 15:1221-5, 1987
  12. Koebbe CJ, Horowitz MB. A rare case of a ruptured middle meningeal aneurysm causing intracerebral hematoma in a patient with moyamoya disease. AJNR Am J Neuroradiol 25:574-6, 2004
  13. Kuroda S, Houkin K, Kamiyama H, Abe H. Effects of surgical revascularization on peripheral artery aneurysms in moyamoya disease: report of three cases. Neurosurgery 49:463-8, 2001
  14. Larrazabal R, Pelz D, Findlay JM. Endovascular treatment of a lenticulostriate artery aneurysm with N-butyl cyanoacrylate. Can J Neurol Sci 28:256-9, 2001 https://doi.org/10.1017/S0317167100001426
  15. Maeda K, Fujimaki T, Morimoto T, Toyoda T. Cerebral aneurysms in the perforating artery manifesting intracerebral and subarachnoid haemorrhage - Report of two cases. Acta Neurochir (Wien) 143:1153-6, 2001 https://doi.org/10.1007/s007010100006
  16. Matushita H, Amorim RL, Paiva WS, Cardeal DD, Pinto FC. Idiopathic distal lenticulostriate artery aneurysm in a child. J Neurosurg 107:419-24, 2007
  17. Murakami H, Mine T, Nakamura T, Aki T, Suzuki K. Intracerebral hemorrhage due to rupture of true aneurysms of the lenticulostriate artery in moyamoya disease. Case report. Neurol Med Chir (Tokyo) 24:794-9, 1984 https://doi.org/10.2176/nmc.24.794
  18. Narayan P, Workman MJ, Barrow DL. Surgical treatment of a lenticulostriate artery aneurysm. Case report. J Neurosurg 100:340-2, 2004 https://doi.org/10.3171/jns.2004.100.2.0340
  19. Ohta H, Ito Z, Nakajima K, Fukasawa H, Uemura K. A case report of ruptured lenticulostriate artery aneurysm with arteriovenous malformation. No To Shinkei 32:839-46, 1980
  20. Oka K, Mahehara F, Tomonaga M. Aneurysm of lenticulostriate artery. Report of four cases. Neurol Med Chir (Tokyo) 31:582-5, 1991 https://doi.org/10.2176/nmc.31.582
  21. Okuma A, Oshita H, Funakoshi T, Shikinami A, Yamada H. A case of aneurysm in the cerebral myoyamoya vessel-aneurysmal rupture during cerebral angiography and spontaneous regression of the aneurysm. No Shinkei Geka 8:181-5, 1980
  22. Petrela M, Xhumari A, Azdurian E, Vreto G. Aneurysm of the terminal part of the lenticulostriate artery. Neurochirurgie 38:50-2, 1992
  23. Sakai K, Mizumatsu S, Terasaka K, Sugatani H, Higashi T. Surgical treatment of a lenitculostriate artery aneurysm - Case report-. Neurol Med Chir (Tokyo) 45:574-7, 2005 https://doi.org/10.2176/nmc.45.574
  24. Seki Y, Fujita M, Mizutani N, Kimura M, Suzuki Y. Spontaneous middle cerebral artery occlusion leading to moyamoya phenomenon and aneurysm formation on collateral arteries. Surg Neurol 55:58-62, 2001 https://doi.org/10.1016/S0090-3019(00)00339-6
  25. Vates GE, Arthur KA, Ojemann SG, Williams F, Lawton MT. A neurocytoma and an associated lenticulostriate artery aneurysm presenting with intraventricular hemorrhage: Case report. Neurosurgery 49:721-5, 2001
  26. Zhu XL, Chan MS, Poon WS. Spontaneous intracranial hemorrhage: which patients need diagnostic cerebral angiography? A prospective study of 206 cases and review of the literature. Stroke 28:1406-9, 1997 https://doi.org/10.1161/01.STR.28.7.1406