Anterior Choroidal Artery Syndrome occurring after endovascular coiling Treatment : Report of Two Cases.
- Author:
Young Han LEE
1
;
Kum WHANG
;
Ji Yong LEE
;
Myung Soon KIM
;
Myeong Sub LEE
Author Information
1. Department of Radiology, Yonsei University Wonju College of Medicine, Korea. cursor2@yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Anterior choroidal artery infarction;
Intracranial aneurysm;
Interventional radiology
- MeSH:
Adenosine;
Aneurysm;
Arteries;
Cerebral Infarction;
Choroid;
Endovascular Procedures;
Hemianopsia;
Intracranial Aneurysm;
Neurologic Manifestations;
Paresis;
Radiology, Interventional;
Vasodilator Agents
- From:Korean Journal of Cerebrovascular Surgery
2008;10(3):524-527
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Anterior choroidal artery (AChA) syndrome is widely known to be composed of a triad of hemiparesis, hemisensory loss and homonymous hemianopia. AChA syndrome is an unusual complication of aneurysmal treatment. This report documents two cases of AChA syndrome that occurred after an endovascular aneurysmal coiling procedure. Both cases showed complete recovery of the neurologic deficit at the time of discharge. To avoid this complication, meticulous caution is required to preserve the posterior communicating artery, the AChA and the various perforators during an endovascular procedure. When AChA syndrome occurs, immediate treatment is necessary, including vasodilators, thrombolytics and close observation of the patient's clinical status.
