Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Ruptured Total Intrameatal Anterior Inferior Cerebellar Artery Aneurysm

  • Kim, Hyung Cheol (Department of Neurosurgery, Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Chang, In Bok (Department of Neurosurgery, Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Lee, Ho Kook (Department of Neurosurgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Song, Joon Ho (Department of Neurosurgery, Sacred Heart Hospital, College of Medicine, Hallym University)
  • Received : 2014.05.23
  • Accepted : 2014.08.31
  • Published : 2015.08.28
Download PDF
⟨ Previous Next ⟩

Abstract

Among the distal anterior inferior cerebellar artery (AICA) aneurysms, a unique aneurysm at the meatal loop inside the internal auditory meatus is extremely rare. The authors report a case of surgically treated total intrameatal AICA aneurysm. A 62-year-old female patient presenting with sudden bursting headache and neck pain was transferred to our department. Computed tomography and digital subtraction angiography showed subarachnoid hemorrhage at the basal, prepontine cistern and an aneurysm of the distal anterior inferior cerebellar artery inside the internal auditory meatus. Surgery was performed by retrosigmoid craniotomy with unroofing of the internal auditory meatus. The aneurysm was identified between the seventh and eighth cranial nerve in the meatus and was removed from the canal and clipped with a small straight Sugita clip. After operation the patient experienced transient facial paresis and tinnitus but improved during follow up.

Keywords

References

  1. Bambakidis NC, Manjila S, Dashti S, Tarr R, Megerian CA : Management of anterior inferior cerebellar artery aneurysms : an illustrative case and review of literature. Neurosurg Focus 26 : E6, 2009
  2. Dalley RW, Robertson WD, Nugent RA, Durity FA : Computed tomography of anterior inferior cerebellar artery aneurysm mimicking an acoustic neuroma. J Comput Assist Tomogr 10 : 881-884, 1986 https://doi.org/10.1097/00004728-198609000-00038
  3. Fujimura M, Inoue T, Shimizu H, Tominaga T : Occipital artery-anterior inferior cerebellar artery bypass with microsurgical trapping for exclusively intra-meatal anterior inferior cerebellar artery aneurysm manifesting as subarachnoid hemorrhage. Case report. Neurol Med Chir (Tokyo) 52 : 435-438, 2012 https://doi.org/10.2176/nmc.52.435
  4. Gonzalez LF, Amin-Hanjani S, Bambakidis NC, Spetzler RF : Skull base approaches to the basilar artery. Neurosurg Focus 19 : E3, 2005
  5. Jayaraman MV, Mayo-Smith WW, Doberstein CE : Intracanalicular aneurysm of the anterior inferior cerebellar artery revealed by multi-detector CT angiography. AJNR Am J Neuroradiol 24 : 1338-1340, 2003
  6. Lee SJ, Koh JS, Ryu CW, Lee SH : Ruptured intrameatal aneurysm of the anterior inferior cerebellar artery accompanying an arteriovenous malformation : a case report. Cerebellum 11 : 808-812, 2012 https://doi.org/10.1007/s12311-011-0349-z
  7. Santillan A, Gobin YP, Patsalides A, Riina HA, Rosengart A, Stieg PE : Endovascular management of distal anterior inferior cerebellar artery aneurysms : report of two cases and review of the literature. Surg Neurol Int 2 : 95, 2011 https://doi.org/10.4103/2152-7806.82577
  8. Tokimura H, Ishigami T, Yamahata H, Yonezawa H, Yokoyama S, Haruzono A, et al. : Clinical presentation and treatment of distal anterior inferior cerebellar artery aneurysms. Neurosurg Rev 35 : 497-503; discussion 503-504, 2012 https://doi.org/10.1007/s10143-012-0390-5
  9. Yamakawa H, Hattori T, Tanigawara T, Sahashi Y, Ohkuma A : Intracanalicular aneurysm at the meatal loop of the distal anterior inferior cerebellar artery : a case report and review of the literature. Surg Neurol 61 : 82-88; discussion 88, 2004 https://doi.org/10.1016/S0090-3019(03)00270-2
  10. Zotta DC, Stati G, De Paulis D, Galzio RJ : Intrameatal aneurysm of the anterior inferior cerebellar artery. J Clin Neurosci 18 : 561-563, 2011 https://doi.org/10.1016/j.jocn.2010.06.019

Cited by

  1. Anterior inferior cerebellar artery aneurysms: Segments and results of surgical and endovascular managements vol.22, pp.6, 2015, https://doi.org/10.1177/1591019916656474
  2. Ruptured Intrameatal Aneurysm of the Distal Anterior Inferior Cerebellar Artery : A Case Report vol.26, pp.9, 2015, https://doi.org/10.7887/jcns.26.682
  3. Ruptured intrameatal anterior inferior cerebellar artery aneurysm associated with obstructed internal auditory artery in a patient with sudden hearing loss and vertigo vol.161, pp.2, 2015, https://doi.org/10.1007/s00701-018-3771-x