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KMID : 1005420050070020150
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Journal of Cerebrovascular and Endovascular Neurosurgery
2005 Volume.7 No. 2 p.150 ~ p.153
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Unusual Clinical Course of Giant Vertebral Artery Aneurysm after Proximal Artery Embolization: Case Report
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Lee Ki-Youl
Joo Won-Il
Lee Tae-Gyu
Lee Kwan-Sung
Hong Yong-Kil
Park Chun-Kun
Kang Joon-Ki
Jeun Sin-Soo
Kim Moon-Chan
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Abstract
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The authors present the case of a patient who suffered from cerebellar dysfunction, radiographically documented brainstem compression, and neurological deterioration after proximal artery occlusion in a giant vertebral artery aneurysm. Symptom resolution was achieved after complete embolization of remained lumen of aneurysm. The cause of neurological deterioration is brainstem compression due to mass effect of the aneurysm. In order to avoid this fatal complication, it is necessary to determine appropriate therapy for the vertebral artery giant aneurysm by evaluating cerebral blood flow and other factors about growth of aneurysm.
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KEYWORD
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Giant aneurysm, Embolization, Mass effect, Vertebral artery
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