Journal of Cerebrovascular and Endovascular Neurosurgery

  • 제26권2호
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  • Pages.204-209
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  • 2024
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  • 2234-8565(pISSN)
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  • 2287-3139(eISSN)
대한뇌혈관외과학회 (Korean Society of Cerebravascular Surgeons)
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Delayed fatal rupture of vertebral artery after treated with flow-diverter in fibromuscular dysplasia patient: A case report and review of the literature

  • Min-Woo Kim (Department of Neurosurgery, Institute of Wonkwang Medical Science, Wonkwang University School of Medicine) ;
  • Eun-Sung Park (Department of Neurosurgery, Institute of Wonkwang Medical Science, Wonkwang University School of Medicine) ;
  • Eun Suk Park (Department of Neurosurgery, Institute of Wonkwang Medical Science, Wonkwang University School of Medicine) ;
  • Dae-Won Kim (Department of Neurosurgery, Institute of Wonkwang Medical Science, Wonkwang University School of Medicine)
  • 투고 : 2023.10.03
  • 심사 : 2023.10.26
  • 발행 : 2024.06.30
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초록

Fibromuscular dysplasia (FMD) is a noninflammatory arterial diseases that affects predominantly women. Multiple studies have demonstrated an increased prevalence of FMD in patients who experience carotid or vertebral artery dissection (VAD). This case report presents a 57-year-old female who presented with a headache and was diagnosed with partially thrombosed giant aneurysm of vertebral artery. This aneurysm was successfully treated with flow-diverter and coil, but new onset rupture of vertebral artery was detected two weeks later, leading to internal trapping. This case report underscores the need for awareness and understanding of treatment of dissection and aneurysm in patient who is suspected FMD.

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과제정보

This work was supported by Wonkwang University in 2023

참고문헌

  1. De Bray JM, Marc G, Pautot V, Vielle B, Pasco A, Lhoste P, et al. Fibromuscular dysplasia may herald symptomatic recurrence of cervical artery dissection. Cerebrovasc Dis. 2007;23(5-6):448-52.
  2. Iihara K, Sakai N, Murao K, Sakai H, Higashi T, Kogure S, et al. Dissecting aneurysms of the vertebral artery: A management strategy. J Neurosurg. 2002 Aug;97(2):259-67.
  3. Jin SC, Kwon DH, Choi CG, Ahn JS, Kwun BD. Endovascular strategies for vertebrobasilar dissecting aneurysms. AJNR Am J Neuroradiol 2009 Sep;30(8):1518-23.
  4. Kesav P, Manesh Raj D, John S. Cerebrovascular fibromuscular dysplasia - A practical review. Vasc Health Risk Manag. 2023 Aug;19:543-56.
  5. Lather HD, Gornik HL, Olin JW, Gu X, Heidt ST, et al. Prevalence of intracranial aneurysm in women with fibromuscular dysplasia: A report from the US registry for fibromuscular dysplasia. JAMA Neurol. 2017 Sep;74(9):1081-7.
  6. Li H, Li XF, Zhang X, He XY, Duan CZ, Liu YC. Treatment of unruptured vertebral dissecting aneurysms: internal trapping or stent-assisted coiling. Int J Neurosci. 2016;126(3):243-8.
  7. Mehta B, Burke T, Kole M, Bydon A, Seyfried D, Malik G. Stent-within-a-stent technique for the treatment of dissecting vertebral artery aneurysms. AJNR Am J Neuroradiol. 2003 Oct;24(9):1814-8.
  8. Narata AP, Yilmaz H, Schaller K, Lovblad KO, Pereira VM. Flow-diverting stent for ruptured intracranial dissecting aneurysm of vertebral artery. Neurosurgery. 2012 Apr;70(4):982-8.
  9. Olin JW, Gornik HL, Bacharach JM, Biller J, Fine LJ, Gray BH, et al. Fibromuscular dysplasia: State of the science and critical unanswered questions: A scientific statement from the american heart association. Circulation. 2014 Mar;129(9):1048-78.
  10. Talarowska P, Dobrowolski P, Klisiewicz A, Kostera-Pruszczyk A, Czlonkowska A, Kurkowska-Jastrzebska I, et al. High incidence and clinical characteristics of fibromuscular dysplasia in patients with spontaneous cervical artery dissection: The ARCADIA-POL study. Vasc Med. 2019 Apr;24(2):112-9.
  11. Touze E, Oppenheim C, Trystram D, Nokam G, Pasquini M, Alamowitch S, et al. Fibromuscular dysplasia of cervical and intracranial arteries. Int J stroke. 2010 Aug;5(4):296-305.
  12. Zhao KJ, Zhao R, Huang QH, Xu Y, Hong B, Fang YB, et al. The interaction between stent(s) implantation, PICA involvement, and immediate occlusion degree affect symptomatic intracranial spontaneous vertebral artery dissection aneurysm (sis-VADA) recurrence after reconstructive treatment with Stent(s)-Assisted Coiling. Eur Radiol. 2014 Sep;24(9):2088-96.