Treatment of large persistent primitive trigeminal artery aneurysm with blood flow diverter: a case report and literature review
10.3760/cma.j.cn113694-20190830-00541
- VernacularTitle:利用血流导向装置治疗大型原始三叉动脉动脉瘤一例并文献复习
- Author:
Hanwen HU
1
;
Jie LU
;
Jun WEN
Author Information
1. 广州市第十二人民医院神经内科 510620
- From:
Chinese Journal of Neurology
2020;53(5):356-360
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To report a case of large persistent primitive trigeminal artery aneurysm treated with dense reticular blood flow guide device (flow diverter, FD).Methods:The imaging and clinical data before and after treatment with FD of a 54 years old female patient with large persistent primitive trigeminal artery aneurysm with abducent nerve and oculomotor nerve insufficiency in the Department of Neurosurgery, the First Affiliated Hospital of Jinan University in December 2018 were analyzed retrospectively, and the related literature was reviewed.Results:Digital subtraction angiography (DSA) showed that the left primitive trigeminal artery was not closed, and the internal carotid artery communicated with the basilar artery through the original trigeminal artery. The aneurysm was located at the beginning of the original trigeminal artery and the size was about 18.41 mm×12.8 mm. The contrast agent in the aneurysm was significantly retained after the cavernous sinus segment of the internal carotid artery was implanted with FD. Eight months after operation, the left blepharoptosis disappeared, strabismus disappeared and eyeball movement was normal. DSA showed that there was no obvious development of aneurysm in the original trigeminal artery.Conclusion:For mature persistent primitive trigeminal artery related large or giant aneurysm, FD may be a better means of treatment.
