Recurrent Torticollis Caused by Dissecting Vertebral Artery Aneurysm in a Pediatric Patient: Results of Endovascular Treatment by Use of Coil Embolization: Case Report

Neurosurgery ◽  
2002 ◽  
Vol 50 (1) ◽  
pp. 204-208 ◽  
Author(s):  
Salvatore Grosso ◽  
Rosa Mostardini ◽  
Carlo Venturi ◽  
Sandra Bracco ◽  
Alfredo Casasco ◽  
...  
2011 ◽  
Vol 17 (1) ◽  
pp. 74-77 ◽  
Author(s):  
F. Oka ◽  
H. Ishihara ◽  
S. Kato ◽  
M. Shinoyama ◽  
M. Suzuki

We describe a case of subarachnoid hemorrhage due to a ruptured right vertebral artery (VA) aneurysm where endovascular therapy via a trans-femoral route was not feasible. Therefore we surgically exposed the VA and directly punctured it at the C4 level, followed by successful coil embolization. Direct access to the vertebral artery using an anterior surgical approach is an alternative in cases where the proximal side of the artery is occluded.


2015 ◽  
Vol 12 (2) ◽  
Author(s):  
Hossein Hemmati ◽  
Mehdi Karimian ◽  
Habibollah Moradi ◽  
Kambiz Farid Marandi ◽  
Afrooz Haghdoost

Neurosurgery ◽  
2002 ◽  
Vol 50 (1) ◽  
pp. 204-208 ◽  
Author(s):  
Salvatore Grosso ◽  
Rosa Mostardini ◽  
Carlo Venturi ◽  
Sandra Bracco ◽  
Alfredo Casasco ◽  
...  

ABSTRACT OBJECTIVE AND IMPORTANCE Torticollis is a symptom that can be related to different pathological mechanisms ranging from simple to life-threatening conditions. We report a child with recurrent torticollis caused by an intracranial dissecting vertebral artery aneurysm. This is a very rare condition in childhood, and it was resolved successfully with endovascular treatment. CLINICAL PRESENTATION The patient was a 10-year-old boy with a 4-year history of left recurrent torticollis, followed by hemiparesis, dysarthria, dysmetria, and tremor. Brain magnetic resonance imaging and digital angiography detected a dissecting aneurysm involving the fourth segment of the left vertebral artery. INTERVENTION The patient underwent endovascular treatment. Coil embolization, followed by histoacryl injection into the lesion, provided complete obliteration of the aneurysmal sac. CONCLUSION The patient's postoperative course was characterized by a dramatic disappearance of symptoms and signs within a few hours of the intervention. No relapses of symptoms occurred during a follow-up period of 18 months. This is the first report of a child in whom recurrent torticollis was related to a dissecting vertebral artery aneurysm. Although long-term results of vertebral artery coil embolization remain to be elucidated, the method seems reliable and effective in treatment of these vascular lesions in pediatric patients.


2008 ◽  
Vol 59 (2) ◽  
pp. 87
Author(s):  
Seong Soo Lee ◽  
Il Hun Bae ◽  
Gi Seok Han ◽  
Sang Hoon Cha ◽  
Sung Jin Kim ◽  
...  

2021 ◽  
Vol 9 ◽  
pp. 2050313X2098734
Author(s):  
Yuki Takara ◽  
Daisuke Yunaiyama ◽  
Toru Saguchi ◽  
Natsuhiko Shirota ◽  
Takafumi Yamada ◽  
...  

The dorsal pancreatic artery is a part of peripancreatic arcade connecting celiac artery to transpancreatic artery. A dorsal pancreatic artery aneurysm derived from dissection of celiac artery is a rare pathology, and it sometimes requires ingenious strategy in an endovascular surgery. Hereby, we report a case of a patient who underwent coil embolization for dorsal pancreatic artery aneurysm due to celiac artery dissection by applying transcirculation approach of a balloon catheter through the peripancreatic arcade, which was successfully achieved.


2018 ◽  
Vol 5 (2) ◽  
pp. 45-49
Author(s):  
Mio Terashima ◽  
Yoichi Miura ◽  
Fujimaro Ishida ◽  
Naoki Toma ◽  
Tomohiro Araki ◽  
...  

2020 ◽  
Vol 19 (6) ◽  
pp. E597-E598
Author(s):  
Maureen A Darwal ◽  
Zakaria Hakma ◽  
Mandy J Binning ◽  
Adam Arthur ◽  
Bain Mark ◽  
...  

Abstract Since the International Subarachnoid Aneurysm Trial,1 endovascular treatment has been the favored treatment for appropriate ruptured intracranial aneurysms. While our endovascular technology has advanced to allow us to treat the majority of intracranial aneurysms, simple coil embolization is still the most common modality. This video demonstrates the fundamentals of aneurysm catheterization and coiling for safe treatment. In addition, the set-up and devices are detailed. This video is to add to the library of basic techniques that will aid a large number of practitioners. This patient consented to endovascular treatment. The video demonstrates endovascular coil embolization of a posterior communicating artery aneurysm in a 76-yr-old female who presented with a subarachnoid hemorrhage. Image of biplane suite in video used courtesy of Siemens Medical Solutions USA, Inc. Illustration at 5:12 reprinted from Yasargil MG, et al, Microneurosurgery IV B, p. 9, Thieme, New York, 1995.


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