Journal of Cerebrovascular and Endovascular Neurosurgery

Korean Society of Cerebravascular Surgeons (대한뇌혈관외과학회)
권호 표지
DOI QR코드

DOI QR Code

An interesting case of survival to multiple ruptures of aneurysms, with persistent trigeminal artery, cranial nerve deficit, and evolutionary exposure of neurovascular treatment

  • Received : 2022.06.16
  • Accepted : 2022.09.07
  • Published : 2023.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Subarachnoid hemorrhage secondary to rupture of an aneurysm is a severe condition, associated with a high rate of morbidity and mortality. There are few cases in the literature of rupture of an aneurysm of the persistent trigeminal artery. This is the case of a 62-year-old female who has suffered multiple ruptures of aneurysms, in different decades of her life, with the development of de novo aneurysm, been this the presented case, a rupture of aneurysm of the persistent trigeminal artery. This patient has survival to these conditions and remain without important morbidity. The case manifested with a clinical picture of third and seventh cranial nerve deficit, which this last one, there are not previous publications of cases with this deficit. This aneurysm was embolized with coils, and the postoperative condition was satisfactory, been discharged at 4 postoperative days.

Keywords

Acknowledgement

To the Dr. Anastasio Ameijeiras for the review and advise in the preparation of this case.

References

  1. Bosco D, Consoli D, Lanza PL, Plastino M, Nicoletti F, Ceccotti C. Complete oculomotor palsy caused by persistent trigeminal artery. Neurol Sci. 2010 Oct;31(5):657-9. https://doi.org/10.1007/s10072-010-0342-1
  2. Burns SK, Brewer KJ, Jenkins C, Miller S. Aneurysmal subarachnoid hemorrhage and vasospasm. AACN Adv Crit Care. 2018 Summer;29(2):163-74. https://doi.org/10.4037/aacnacc2018491
  3. Diana F, Mangiafico S, Valente V, Wlderk A, Grillea G, Colonnese C, et al. Persistent trigeminal artery aneurysms: case report and systematic review. J Neurointerv Surg. 2019 Dec;11(12):1261-5. https://doi.org/10.1136/neurintsurg-2019-015046
  4. Fingerlin TJ, Rychen J, Roethlisberger M, Taub E, Mariani L, Guzman R, et al. Long-term aneurysm recurrence and de novo aneurysm formation after surgical treatment of unruptured intracranial aneurysms: a cohort study and systematic review. Neuro Res. 2020 Apr;42(4):338-45. https://doi.org/10.1080/01616412.2020.1726587
  5. Gokbel A, Secer M, Polat O. Assessment of risk factors in de novo aneurysm development. Brain Circ. 2020 Sep;6(3):208-10. https://doi.org/10.4103/bc.bc_2_20
  6. Jersey AM, Foster DM. Cerebral aneurysm, in StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing, 2022.
  7. Komiyama M. Persistent trigeminal artery and its variants. Interv Neuroradiol. 2019 Dec;25(6):635-37. https://doi.org/10.1177/1591019919863110
  8. Lai LT, O'Neill AH. History, evolution, and continuing innovations of intracranial aneurysm surgery. World Neurosurg. 2017 Jun;102:673-81. https://doi.org/10.1016/j.wneu.2017.02.006
  9. Lawton MT, Vates GE. Subarachnoid hemorrhage. N Engl J Med. 2017 Jul;377(3):257-66. https://doi.org/10.1056/NEJMcp1605827
  10. Lee KS, Zhang JJY, Nguyen V, Han J, Johnson JN, Kirollos R, et al. The evolution of intracranial aneurysm treatment techniques and future directions. Neurosurg Rev. 2022 Feb;45(1):1-25. https://doi.org/10.1007/s10143-021-01543-z
  11. Nasr DM, Fugate J, Brown RD Jr. The genetics of cerebral aneurysms and other vascular malformations. Sharma P, Meschia JF (ed). Stroke Genetics. Springer. 2017. p. 53-78.
  12. Petridis AK, Kamp MA, Cornelius JF, Beez T, Beseoglu K, Turowski B, Steiger HJ. Aneurysmal subarachnoid hemorrhage. Dtsch Arztebl Int. 2017 Mar;114(13):226-36. https://doi.org/10.3238/arztebl.2017.0226
  13. Samuel N, Radovanovic I. Genetic basis of intracranial aneurysm formation and rupture: clinical implications in the postgenomic era. Neurosurg Focus. 2019 Jul;47(1):E10.
  14. Sato H, Haraguchi K, Takahashi Y, Ohtaki S, Shimizu T, Matsuura N, et al. Flow-diverter stent for an unruptured aneurysm at the junction of the internal carotid artery and persistent primitive trigeminal artery: case report and literature review. World Neurosurg. 2019 Dec;132:329-32. https://doi.org/10.1016/j.wneu.2019.08.199
  15. Shah KA, Katz JM. Ruptured persistent trigeminal artery-basilar artery junction aneurysm: case report and review of literature. World Neurosurg. 2020 Jan;133:159-62. https://doi.org/10.1016/j.wneu.2019.10.015
  16. Toth G, Cerejo R. Intracranial aneurysms: review of current science and management. Vasc Med. 2018 Jun;23(3):276-88. https://doi.org/10.1177/1358863X18754693
  17. Tyagi G, Sadashiva N, Konar S, Aravinda HR, Saini J, Shukla D, et al. Persistent trigeminal artery: neuroanatomic and clinical relevance. World Neurosurg. 2020 Feb;134:e214-23. https://doi.org/10.1016/j.wneu.2019.10.025
  18. Xu Z, Rui YN, Hagan JP, Kim DH. Intracranial aneurysms: pathology, genetics, and molecular mechanisms. Neuromolecular Med. 2019 Dec;21(4):325-43. https://doi.org/10.1007/s12017-019-08537-7
  19. Zenteno M, Lee A, Moscote-Salazar LR. Rupture of persistent primitive trigeminal artery-basilar artery aneurysm managed with stent-assisted coiling. Asian J Neurosurg. 2018 Jul-Sep;13(3):817-21. https://doi.org/10.4103/ajns.AJNS_53_16