Stent-assisted Coil Embolization of Petrous ICA in a Teenager with Neurofibromatosis.
10.7461/jcen.2015.17.3.252
- Author:
Sang Hyuk LEE
1
;
Ji Hwan JANG
;
Kyu Hong KIM
;
Young Zoon KIM
Author Information
1. Department of Neurosurgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea. yzkim@skku.edu
- Publication Type:Case Report
- Keywords:
Cerebral aneurysm;
Subarachnoid hemorrhage;
Endovascular treatment
- MeSH:
Adolescent*;
Aneurysm;
Carotid Artery, Internal;
Cerebral Arteries;
Embolization, Therapeutic*;
Emergencies;
Headache;
Humans;
Intracranial Aneurysm;
Magnetic Resonance Imaging;
Male;
Nausea;
Neurofibromatoses*;
Stents;
Subarachnoid Hemorrhage;
Tinnitus;
Vomiting
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2015;17(3):252-256
- CountryRepublic of Korea
- Language:English
-
Abstract:
We herein report on a patient with a cerebral aneurysm located at the petrous portion of the internal carotid artery (ICA). An 18-year-old male, previously diagnosed with neurofibromatosis, was referred to our emergency service complaining of severe headache, pulsatile tinnitus, nausea, and vomiting which occurred suddenly. Neuro-radiological studies including computed tomography and magnetic resonance imaging of the cerebral artery showed a large aneurysm arising from the petrous segment of the left ICA. He was treated with a neuro-interventional technique such as intra-arterial stenting and coil embolization for the aneurysm. Several days after the interventional treatment, his symptoms were resolved gradually except for a mild headache. Symptomatic unruptured aneurysm at the petrous portion of the ICA is rare, and our patient was treated successfully using a neuro-intervention technique. Therefore, we describe a case of a petrous aneurysm treated with endovascular coils without compromising the ICA flow, and review the literature.
