Spontaneous obliteration of a dissecting aneurysm of recurrent artery of heubner monitored by serial magnetic resonance vessel wall imaging

Nakazaki, Asuka; Ito, Masaki; Isobe, Masanori; Takahashi, Takeshi; Nomura, Taichi; Fujihara, Fumiaki; Isu, Toyohiko; Sugiyama, Taku; Osanai, Toshiya; Fujimura, Miki

Spontaneous obliteration of a dissecting aneurysm of recurrent artery of heubner monitored by serial magnetic resonance vessel wall imaging

Nakazaki, Asuka; Ito, Masaki; Isobe, Masanori et al.

Asian journal of neurosurgery, 2022, 17(2), 331-336

Permalink : https://hdl.handle.net/2115/93198

このアイテムのアクセス数:133件（2026-08-18 11:39 集計）

閲覧可能ファイル

ファイル	フォーマット	サイズ	閲覧回数	説明
Nakazaki ITO AJNS_35921	pdf	1.37 MB	84

論文情報

ファイル出力 EndNote Basic出力 Mendeley出力

アクセス権	open access
URI	https://hdl.handle.net/2115/93198
タイトル	Spontaneous obliteration of a dissecting aneurysm of recurrent artery of heubner monitored by serial magnetic resonance vessel wall imaging
著者	Nakazaki, Asuka ; Ito, Masaki ; Isobe, Masanori ; Takahashi, Takeshi ; Nomura, Taichi ; Fujihara, Fumiaki ; Isu, Toyohiko ; Sugiyama, Taku ; Osanai, Toshiya ; Fujimura, Miki
著者名 Nakazaki, Asuka
e-Rad_Researcher 10399850 著者名 Ito, Masaki
著者名 Isobe, Masanori
著者名 Takahashi, Takeshi
著者名 Nomura, Taichi
著者名 Fujihara, Fumiaki
著者名 Isu, Toyohiko
e-Rad_Researcher 70748863 著者名 Sugiyama, Taku
e-Rad_Researcher 90622788 著者名 Osanai, Toshiya
e-Rad_Researcher 00361098 著者名 Fujimura, Miki
言語	英語
キーワード	MRI
	Recurrent artery of heubner
	Vascular disorder
	Vessel wall imaging
発行日	2022-08-25
収録物名	Asian journal of neurosurgery
巻(号)	17(2)
ページ	331-336
抄録	Aneurysms of the recurrent artery of Heubner (RAH) are known to be one of the uncommon cerebral aneurysms, predominantly presenting with bleeding symptoms. Previously, nine cases of the RAH aneurysms have been reported, all of which were treated surgically or endovascularly and most cases developed postoperative cerebral infarct in the ipsilateral caudate nucleus. Herein, we report a man presenting with transient ischemic attack due to diffuse cerebral vasospasm from a minor non-disabling subarachnoid hemorrhage (SAH) from an RAH aneurysm. He visited our hospital 7 days after the first experience of a thunderclap headache complaining with transient unilateral motor weakness and thin SAH in the right sylvian fissure. Diagnostic catheter angiography revealed a dissecting fusiform aneurysm (8 mm in size) originating from the left RAH contralateral to the thin SAH. Contrast-enhanced magnetic resonance vessel wall imaging (MR-VWI) helped to identify the ruptured nature of the RAH aneurysm. Owing to his delayed ischemic condition after minor SAH, he was conservatively treated with serial MR-VWI monitoring. The aneurysm was spontaneously obliterated with an asymptomatic lacunar infarct in the ipsilateral caudate nucleus in a month. Together, this case was considered as the dissecting aneurysm of RAH with a favorable outcome after the conservative management. Although long-term follow-up is mandatory because the disappearance of the vessel wall enhancement does not necessarily secure the permanent cure of the lesion, serial MR-VWI is helpful to diagnose the ruptured nature and monitor its chronological change in combination with conventional radiological imaging techniques.
資源タイプ	学術雑誌論文
出版タイプ	Version of Record
権利情報	Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
PISSN	1793-5482
EISSN	2248-9614
関連情報 (isIdenticalTo)	出版社版DOI https://doi.org/10.1055/s-0042-1750712