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Journal of Neurosurgical Sciences 1998 Marzo;42(1):41-5

lingua: Inglese

Association ­between an aneu­rysm of ­the ante­ri­or infe­ri­or cere­bral ­artery ­and an arter­i­ov­e­nous mal­for­ma­tion ­ fed by ­the ­same ­artery

Vincentelli F. 1, Caruso G. 2, Licastro G. 2, Rabehanta P. 1

1 Division of Neurosurgery “La Résidence du Parc”, Centre Hospitalier Privé, Marseille, France;
2 Division of Neurosurgery, Hospital of Legnano, ­USSL 34, Legnano (Milan), Italy


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An unusu­al ­case of dis­tal aneu­rysm of ­the ante­ri­or infe­ri­or cer­e­bel­lar ­artery (­AICA) asso­ciat­ed ­with a cer­e­bel­lar arter­i­ov­e­nous mal­for­ma­tion in a 35 ­year-­old wom­an is report­ed. The clin­i­cal pres­en­ta­tion ­was a sub­arach­noid hem­or­rhage, ­that is ­the sud­den ­onset of head­ache ­while ­she ­was driv­ing ­her ­car. In ­the fol­low­ing ­days ­the ­patient expe­ri­enced a cer­e­bel­lo­pon­tine ­angle syn­drome: unsteadi­ness, tin­nit­us ­and hear­ing ­loss in ­her ­left ­ear, ­along ­with ­drop epi­sodes. All symp­toms dis­ap­peared in ­about a ­week. She con­sult­ed a neu­ro­sur­geon ­only a ­month lat­er. On ­the ­day of admis­sion in ­the Neurosurgical Department of Résidence du Parc Clinic ­her neu­ro­log­i­cal stat­us ­was nor­mal. Neuroradiological inves­ti­ga­tions ­showed ­the asso­ci­a­tion ­between ­the ­two dis­tal AICA mal­for­ma­tions. At sur­gery it ­was pos­sible ­either to ­clip ­the aneu­rysm or to ­remove ­the ­AVM. The ori­gin of ­the hem­or­rhage ­has ­not ­been clear­ly iden­ti­fied. The ­patient ­had an unevent­ful recov­ery ­and ­returned to ­her ­job ­three ­months lat­er. The aneu­rysm ­was locat­ed on ­the ­same ­artery ­that sup­plied ­the ­AVM. This asso­ci­a­tion is ­rare at ­the ­AICA lev­el. The pos­sible devel­op­ment of ­the aneu­rysm ­induced by ­increase in ­flow ­through ­the ­AVM is dis­cussed in ­the ­light of Literature ­data.

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