Korean Journal of Cerebrovascular Surgery  2005;7(2):150-153

Unusual Clinical Course of Giant Vertebral Artery Aneurysm after Proximal Artery Embolization: Case Report.

Ki Youl LEE 1 ; Won Il JOO ; Tae Kyu LEE ; Kwan Sung LEE ; Yong Kil HONG ; Chun Kun PARK ; Joon Ki KANG ; Sin Soo JEUN ; Moon Chan KIM

Affiliations

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Keywords

Giant aneurysm; Embolization; Mass effect; Vertebral artery

Country

Republic of Korea

Language

English

Abstract

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.