Document Detail

Compression of the medulla oblongata and acute respiratory failure caused by rupture of a thrombosed large aneurysm of the anterior inferior cerebellar artery.
MedLine Citation:
PMID:  20671383     Owner:  NLM     Status:  MEDLINE    
A 65-year-old female presented with an extremely rare case of a ruptured thrombosed large aneurysm of the anterior inferior cerebellar artery (AICA) in which a local hematoma compressed the medulla oblongata and caused acute respiratory failure. She first presented with dizziness, general fatigue, and nausea 2 months before admission. She was hospitalized for intense general fatigue, nausea, and occipitalgia. Computed tomography and T(1)-weighted magnetic resonance imaging showed a heterogeneous lesion around the right cerebello-medullary cistern. Angiography revealed a fusiform aneurysm of the right AICA. Asphyxia occurred 4 days after admission and the patient underwent an emergency operation. No subarachnoid hematoma was present, but a hematoma around the ruptured portion markedly compressed the medulla oblongata. The medulla oblongata was adequately decompressed after subtotal removal of the aneurysm. The patient's respiratory status and consciousness level recovered after the operation.
Hirofumi Oyama; Akira Kito; Hideki Maki; Kenichi Hattori; Kuniaki Tanahashi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  50     ISSN:  1349-8029     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  2010  
Date Detail:
Created Date:  2010-07-30     Completed Date:  2010-12-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  571-3     Citation Subset:  IM    
Department of Neurosurgery, Ogaki Municipal Hospital, Ogaki, Gifu, Japan.
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MeSH Terms
Aneurysm, Ruptured / complications*,  diagnosis,  physiopathology,  surgery
Asphyxia / etiology,  physiopathology,  surgery
Cerebellum / blood supply*
Cerebral Angiography
Intracranial Aneurysm / complications*,  diagnosis,  physiopathology,  surgery
Intracranial Thrombosis / complications*,  diagnosis,  physiopathology,  surgery
Magnetic Resonance Imaging
Medulla Oblongata* / physiopathology,  surgery
Respiratory Insufficiency / diagnosis,  etiology*,  surgery
Tomography, X-Ray Computed

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