Clipping of a Cerebral Aneurysm in a Patient With Loeys-Dietz Syndrome: Case Report

Neurosurgery ◽  
2011 ◽  
Vol 69 (3) ◽  
pp. E752-E755 ◽  
Author(s):  
Betsy D Hughes ◽  
Ciaran J Powers ◽  
Ali R Zomorodi
Keyword(s):  
Case Report ◽  
Cerebral Aneurysm ◽  
Vascular Reactivity ◽  
Artery Aneurysm ◽  
Postoperative Management ◽  
Vascular Involvement ◽  
Arnold Chiari Malformation ◽  
Lumbar Drain ◽  
First Case ◽  
Temporary Clipping

Abstract BACKGROUND AND IMPORTANCE: This is the first case report of clipping a cerebral aneurysm in a patient with Loeys-Dietz syndrome (LDS). LDS is a newly described autosomal dominant connective tissue disease with systemic vascular involvement. Unique to this syndrome is the development of aneurysms at a young age with the propensity of dissection or rupture at a stage that is earlier than when surgical intervention is typically indicated. We describe the nuances in intraoperative and postoperative management. CLINICAL PRESENTATION: A 31-year-old woman who recently received a diagnosis of with LDS type II presented to neurosurgical attention for management of an unruptured right ophthalmic artery aneurysm. The patient underwent a right pterional craniotomy for clipping of the aneurysm, with lumbar drain placement before the procedure. Papaverine had to be used several times to counteract vasospasm of the vessels during arachnoid dissection. Because of vascular reactivity, temporary clipping was not used, and the aneurysm was clipped successfully. CONCLUSION: LDS is a newly described disorder that warrants awareness in the neurosurgical community because of its association with intracerebral aneurysms as well as craniosynostosis (19%), scoliosis (20%), cervical spine instability (7%), hydrocephalus, and Arnold-Chiari malformation. When clipping aneurysms in these patients, the surgeon should be aware of the potential for severe vascular reactivity during dissection and avoid temporary clipping when possible. Avoidance of lumbar drainage intraoperatively reduces the risk of intracranial hypotension after removal.

scholarly journals Use of the Coupler Microanastomotic Device for the Treatment of a Distal Posterior Inferior Cerebellar Artery Aneurysm Via Excision and End-to-End Anastomosis—A Case Report

2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Oded Goren ◽  
Raghuram Sampath ◽  
Akshal S Patel ◽  
Christoph J Griessenauer ◽  
Clemens M Schirmer ◽  
...  
Keyword(s):  
Case Report ◽  
Intracranial Aneurysms ◽  
Clinical Presentation ◽  
Posterior Inferior Cerebellar Artery ◽  
Artery Aneurysm ◽  
Parent Vessel ◽  
First Case ◽  
Cerebellar Artery ◽  
End To End ◽  
Coupler Device

ABSTRACT BACKGROUND AND IMPORTANCE The Coupler microanastomotic device (Medical Companies Alliance, Birmingham, Alabama) aims at facilitating safe and efficient end-to-end reconstruction of the native vessel ends following resection of intracranial aneurysms. CLINICAL PRESENTATION We report the first case of the Coupler device used to treat a ruptured posterior inferior cerebellar artery (PICA) aneurysm. Following aneurysmal trapping and excision, the native parent vessel ends were connected in an end-to-end fashion. CONCLUSION The microanastomotic Coupler device is an acceptable option for end-to-end anastomosis and was successfully applied in the management of a ruptured fusiform PICA aneurysm.

scholarly journals Dissecting basilar artery aneurysm manifesting as sudden sensorineural hearing loss: a case report and literature review

2019 ◽  
Vol 47 (11) ◽  
pp. 5844-5848
Author(s):  
Yi-zhi Zhang ◽  
Qiu-hui Chen ◽  
Zhan-chuan Liu ◽  
Ying Zhang ◽  
Yan-qiu Han ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Case Report ◽  
Literature Review ◽  
Sensorineural Hearing Loss ◽  
Basilar Artery ◽  
Artery Aneurysm ◽  
Sudden Sensorineural Hearing Loss ◽  
Sensorineural Hearing ◽  
First Case ◽  
Basilar Artery Aneurysm

Highlights • Dissecting basilar artery aneurysm (DBAA) is relatively rare. • We report the first case of a DBAA manifesting as sudden sensorineural hearing loss. • This case report adds to the symptom spectrum of DBAA.

A first case report of the successful laparoscopic repair of a splenic artery aneurysm

Surgery ◽  
1997 ◽  
Vol 121 (4) ◽  
pp. 462-464 ◽  
Author(s):  
Kenji Matsumoto ◽  
Masahiro Ohgami ◽  
Nozomu Shirasugi ◽  
Katsuhiko Nohga ◽  
Masaki Kitajima
Keyword(s):  
Case Report ◽  
Laparoscopic Repair ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
First Case

scholarly journals Malignant Solitary Fibrous Tumor of the Renal Vein Presenting as a Giant Renal Artery Aneurysm: A Case Report and Review of Literature

2018 ◽  
Vol 27 (1) ◽  
pp. 72-76 ◽  
Author(s):  
Alexandria M. Hertz ◽  
Charles K. Childers ◽  
Jonathan T. Wingate ◽  
Jason T. Perry ◽  
Charles A. Kitley ◽  
...  
Keyword(s):  
Case Report ◽  
Renal Artery ◽  
Solitary Fibrous Tumor ◽  
Renal Vein ◽  
Epigastric Pain ◽  
Artery Aneurysm ◽  
Renal Vein Thrombosis ◽  
Renal Artery Aneurysm ◽  
First Case ◽  
Fibrous Tumor

Objectives. To discuss an unusual presentation of solitary fibrous tumor (SFT) as well as the first description of SFT originating from the renal vein. Case Report. In this article, we report the case of a 56-year-old man who presented with nonspecific epigastric pain and was found on computed tomography to have a large 10-cm renal artery aneurysm with evidence of contained rupture, segmental ischemia of the kidney, and suggestion of renal vein thrombosis. This was treated by a multidisciplinary team of urologists, vascular surgeons, and interventional radiologists with both renal artery coil embolization and radical nephrectomy. The thrombosis was found on pathologic review to be a malignant SFT originating from the renal vein with likely erosion into the renal artery. Conclusion. This report describes the first case of SFT originating from the renal vein and demonstrates the potential for mimicry as a giant renal artery aneurysm.

scholarly journals Common Peroneal Nerve Palsy with Multiple-Ligament Knee Injury and Distal Avulsion of the Biceps Femoris Tendon

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Takeshi Oshima ◽  
Junsuke Nakase ◽  
Hitoaki Numata ◽  
Yasushi Takata ◽  
Hiroyuki Tsuchiya
Keyword(s):  
Case Report ◽  
Peroneal Nerve ◽  
Knee Injury ◽  
Cruciate Ligament ◽  
Common Peroneal Nerve ◽  
Biceps Femoris ◽  
Postoperative Management ◽  
Return To Sports ◽  
First Case ◽  
Biceps Femoris Tendon

A multiple-ligament knee injury that includes posterolateral corner (PLC) disruption often causes palsy of the common peroneal nerve (CPN), which occurs in 44% of cases with PLC injury and biceps femoris tendon rupture or avulsion of the fibular head. Approximately half of these cases do not show functional recovery. This case report aims to present a criteria-based approach to the operation and postoperative management of CPN palsy that resulted from a multiple-ligament knee injury in a 22-year-old man that occurred during judo. We performed a two-staged surgery. The first stage was to repair the injuries to the PLC and biceps femoris. The second stage involved anterior cruciate ligament reconstruction. The outcomes were excellent, with a stable knee, excellent range of motion, and improvement in the palsy. The patient was able to return to judo competition 27 weeks after the injury. To the best of our knowledge, this is the first case report describing a return to sports following CPN palsy with multiple-ligament knee injury.

scholarly journals A case report showing unusual atrial communication with severe regurgitation of multiple valves and pulmonary aneurysm: double atrial septum with persistent interatrial space

2021 ◽  
Vol 5 (7) ◽  
Author(s):  
José Antonio Ortiz de Murua ◽  
Laura de la Fuente Blanco ◽  
Alberto Trigo-Bautista ◽  
María José Ruiz-Olgado
Keyword(s):  
Case Report ◽  
Pulmonary Artery ◽  
Pulmonary Regurgitation ◽  
Artery Aneurysm ◽  
Transoesophageal Echocardiography ◽  
Atrial Septum ◽  
Systolic Murmur ◽  
Pulmonary Artery Aneurysm ◽  
First Case ◽  
Sternal Border

Abstract Background We discuss an unusual association: double atrial septum, pulmonary artery aneurysm, and severe regurgitation of multiple valves. Case summary A 70-year-old man was admitted into the hospital because of progressive dyspnoea. Physical examination showed a blood pressure of 132/70 mmHg, a systolic murmur on the right upper sternal border, another systolic murmur at the apex, and a diastolic murmur at the lower left sternal border. Electrocardiogram revealed atrial fibrillation and complete left bundle branch block. Transthoracic echocardiography showed mitral prolapse, severe mitral, aortic, and pulmonary regurgitation, a 60 mm diameter pulmonary artery aneurysm, mild to moderate tricuspid regurgitation, and moderate pulmonary hypertension. Transoesophageal echocardiography also showed an unusual atrial communication consisting of a double atrial septum with a mid-line chamber between both atria. A cardiac magnetic resonance scan was performed and confirmed echocardiography findings and QP:QS ratio = 1.3. Discussion In our knowledge, this is the first case report with this association. We present the main clinical features of the double atrial septum with persistent interatrial space, its echocardiography anatomy, differential diagnosis, and embryology.

Embolization of a Giant Splenic Artery Aneurysm with Only Proximal Coil Embolization: A Case Report

2003 ◽  
Vol 12 (03) ◽  
pp. 209-210
Author(s):  
Michael Herskowitz ◽  
Yair Safriel ◽  
Virgilio Gillego
Keyword(s):  
Case Report ◽  
Endovascular Therapy ◽  
Coil Embolization ◽  
Splenic Artery ◽  
Operative Time ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
First Case

Traditionally giant splenic artery aneurysms have been treated by surgery. We present the first case report of a patient with a giant splenic artery aneurysm that was successfully treated exclusively by transcatheter technique with only proximal embolization. Potentially, this technique makes more patients eligible for endovascular therapy and reduces operative time.

scholarly journals Rupture of a hepatic artery aneurysm during therapy for cerebral vasospasm following clipping for a ruptured cerebral aneurysm: A case report

Nosotchu ◽  
2011 ◽  
Vol 33 (1) ◽  
pp. 160-163 ◽  
Author(s):  
Hideo Saito ◽  
Hideki Matsuura ◽  
Takahiro Kohji ◽  
Tatsumi Yamanome ◽  
Kuniaki Ogasawara ◽  
...  
Keyword(s):  
Case Report ◽  
Cerebral Aneurysm ◽  
Hepatic Artery ◽  
Cerebral Vasospasm ◽  
Artery Aneurysm ◽  
Hepatic Artery Aneurysm

scholarly journals Case Report: Meningioma with Intra-tumoural Haemorrhage Secondary to Ruptured Distal Anterior Cerebral Artery Aneurysm

2013 ◽  
Vol 7 (1) ◽  
pp. 32-34 ◽  
Author(s):  
Ibrahim Alnaami ◽  
Ping Ho ◽  
Jian-Qiang Lu ◽  
Blaise Wheatley
Keyword(s):  
Case Report ◽  
Brain Tumour ◽  
Cerebral Artery ◽  
Brain Tumours ◽  
Anterior Cerebral Artery ◽  
Artery Aneurysm ◽  
Cerebral Angiogram ◽  
First Case ◽  
Anterior Cerebral Artery Aneurysm ◽  
Cerebral Artery Aneurysm

Background: Brain tumours that are associated with cerebral aneurysms are rare occurrences, whereas the coexistence of brain tumours and intra-tumoural aneurysms is even rarer. There have been 12 brain tumour cases that have been reported in the literature that describe an aneurysm within a brain tumour, with 4 of these tumours being meningiomas. Case description: A 34-year-old male patient presented with sudden-onset headache, and an inter-hemispheric meningioma with intra-tumoural bleeding was found due to a ruptured embedded anterior cerebral artery aneurysm. The aneurysm was diagnosed incidentally on the third cerebral angiogram, while the initial 2 angiograms were negative. The patient was treated with endovascular aneurysm embolisation that was followed by tumour resection. Conclusion: This paper is the first case report to describe the coexistence of a meningioma and an aneurysm, which presented with intra-tumoural haemorrhage that was negative on the initial cerebral angiogram. Unlike previous case reports, the aneurysm in this case was located with an anterior cerebral artery distribution.

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