scholarly journals Aneurysm of Persistent Primitive Hypoglossal Artery Occluded with Guglielmi Detachable Coils

2005 ◽  
Vol 11 (3) ◽  
pp. 247-250 ◽  
Author(s):  
M. Grand ◽  
J. Nepper-Rasmussen
Keyword(s):  
Subarachnoid Haemorrhage ◽  
Endovascular Embolization ◽  
Guglielmi Detachable Coils ◽  
Cerebral Angiogram ◽  
Hypoglossal Artery ◽  
Detachable Coils ◽  
Persistent Primitive Hypoglossal Artery

The persistent primitive hypoglossal artery is rare remnant of one of the four embryonal carotid-basilar anastomoses. It is present in 0.02–0.26% of all cerebral angiogram. 14 cases of PHA aneurysms have been reportede in the literature and as far as we know no case in which endovascular embolization was used as a treatment. We present a case with subarachnoid haemorrhage due to aneurysm of persistent primitive hypoglossal artery. The aneurysm was successfully occluded with Guglielmi detachable coils. The SAH resolved and recovery was uneventful.

Ruptured aneurysm arising from a basilar artery fenestration and associated with a persistent primitive hypoglossal artery

2004 ◽  
Vol 101 (3) ◽  
pp. 532-535 ◽  
Author(s):  
Miyuki Kanematsu ◽  
Koichi Satoh ◽  
Norio Nakajima ◽  
Fusamitsu Hamazaki ◽  
Shinji Nagahiro
Keyword(s):  
Basilar Artery ◽  
Relevant Literature ◽  
Sudden Onset ◽  
Endovascular Embolization ◽  
Ruptured Aneurysm ◽  
Vertebral Level ◽  
Content Type ◽  
Hypoglossal Artery ◽  
Detachable Coils ◽  
Persistent Primitive Hypoglossal Artery

✓ A 42-year-old woman experienced the sudden onset of a severe headache. Angiograms demonstrated a persistent primitive hypoglossal artery (PHA) originating from the internal carotid artery at the C-2 vertebral level. In addition, a fenestration at the PHA—basilar artery (BA) junction and an aneurysm at the proximal end of this fenestration were revealed. To perform endovascular embolization of the aneurysm, a microcatheter was introduced into the aneurysm sac via the PHA and two Guglielmi Detachable Coils were placed in the aneurysm. The patient's postoperative course was uneventful, and she was able to resume her normal life. Although many clinical cases have been reported in which a ruptured aneurysm was associated with a PHA or a BA fenestration, as far as the authors know there has been no case in the literature in which a ruptured aneurysm associated with both anomalies and no case in which endovascular embolization was used to treat a ruptured aneurysm associated with a PHA. This rare case is discussed and a review of the relevant literature is presented.

scholarly journals Guidewire-Induced Carotid Cavernous Fistula

2001 ◽  
Vol 7 (2) ◽  
pp. 161-165 ◽  
Author(s):  
T.-S. Kim ◽  
M. Ezura ◽  
A. Takahashi ◽  
S. Nishimura ◽  
T. Yoshimoto
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Endovascular Embolization ◽  
Guglielmi Detachable Coils ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Small Branch ◽  
Detachable Coils

A rare case of carotid cavernous fistula occurring during endovascular embolization of the left carotid cave aneurysm in a 48-year-old female is reported. It was thought to be caused by the tear of a small branch derived from the intracavernous internal carotid artery while the guidewire was passing the sharp posterior bend of the intracavernous internal carotid artery. The left carotid cave aneurysm was completely occluded with five Guglielmi detachable coils assisted by neck plasty technique. It was decided to follow-up the carotid cavernous fistula since it was asymptomatic. Follow-up angiogram performed two weeks later revealed spontaneous obliteration of the carotid cavernous fistula.

scholarly journals “Mirror” Aneurysms Involving the Bilateral Distal Posterior Cerebral Artery

2004 ◽  
Vol 10 (3) ◽  
pp. 231-234 ◽  
Author(s):  
S.K. Baik ◽  
C.H. Sohn ◽  
S.K. Woo
Keyword(s):  
Subarachnoid Haemorrhage ◽  
Cerebral Artery ◽  
Posterior Cerebral Artery ◽  
Clinical Manifestations ◽  
Mirror Image ◽  
Guglielmi Detachable Coils ◽  
Detachable Coils ◽  
Endovascular Approach

We report the case of patient with bilateral and symmetrical aneurysms, mirror image, of the distal posterior cerebral artery (PCA) who presented with subarachnoid haemorrhage. The aneurysms were treated by endovascular approach using Guglielmi detachable coils (GDCs). A review of the pathophysiology, clinical manifestations and management of mirror aneurysms is presented and discussed.

Basilar Artery Fenestration Aneurysms Treated with Guglielmi Detachable Coils

1998 ◽  
Vol 4 (1) ◽  
pp. 75-80 ◽  
Author(s):  
P.H. Nakstad ◽  
S.J. Bakke ◽  
L.G. Dale ◽  
G. Moen
Keyword(s):  
Subarachnoid Haemorrhage ◽  
Vertebral Artery ◽  
Middle Cerebral Artery ◽  
Basilar Artery ◽  
Cerebral Angiography ◽  
Guglielmi Detachable Coils ◽  
Total Occlusion ◽  
True Nature ◽  
Detachable Coils

Four patients with basilar artery fenestration aneurysms at the vertebro basilar junction were admitted after subarachnoid haemorrhage. In two of them attempted surgery failed. Subsequently, all four were embolised with Guglielmi Detachable Coils (GDC), three of them in the acute phase. In one case the initial embolisation was incomplete, but follow-up angiography demonstrated spontaneous total occlusion. In another, partial reopening was treated with further embolisation. Three patients recovered completely after treatment. One patient still has deficits related to surgery of an accompanying aneurysm at the middle cerebral artery. He is clinically improving but still not back at work. In two cases the fenestration was combined with a hypoplastic upper vertebral artery on one side. A hypoplastic veretebral artery on one side may frequently be part of the developmental anomaly of basilar fenestration aneurysms. The anatomical configuration and location of these aneurysms is such that their true nature is sometimes difficult to disclose at cerebral angiography and is only realised during embolisation. Treatment with GDC coils seems superior to surgery in basilar artery fenestration aneurysms.

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