| Endovascular treatment of an aneurysm of a persistent primitive hypoglossal artery with complete resolution of brainstem compressive symptoms: case report. | |
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MedLine Citation:
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PMID: 21311281 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND IMPORTANCE: Aneurysms of the posterior circulation may manifest with neurological deficits related to mass effect on the brainstem. We present an unusual case of an aneurysm resulting in selective lower-extremity weakness and gait instability. CLINICAL PRESENTATION: A 61-year-old man presents with progressively worsening gait instability over the course of several months. A magnetic resonance image and computed tomographic angiogram demonstrate a persistent hypoglossal artery associated with an aneurysm invaginating into the pontomedullary junction. The patient manifested only lower-extremity symptoms. An endovascular approach through the right internal carotid artery and persistent primitive hypoglossal artery was assayed, coiling off the aneurysm with complete angiographic occlusion. One month after the procedure, the patient reported marked improvement in symptoms with residual difficulty walking. At the 1-year postprocedure interval, he reported nearly complete resolution of symptoms. CONCLUSION: Endovascular therapy of an aneurysm invaginating into the brainstem is safe and efficacious. |
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Authors:
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Ferdinand K Hui; Albert J Schuette; Charles M Cawley |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Neurosurgery Volume: 68 ISSN: 1524-4040 ISO Abbreviation: Neurosurgery Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-02-11 Completed Date: 2011-06-17 Revised Date: 2011-08-25 |
Medline Journal Info:
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Nlm Unique ID: 7802914 Medline TA: Neurosurgery Country: United States |
Other Details:
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Languages: eng Pagination: E854-7; discussion E857 Citation Subset: IM |
Affiliation:
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Cleveland Clinic Foundation Cerebrovascular Center Neurological Institute, Cleveland, Ohio, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Brain Stem
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pathology*,
surgery Constriction, Pathologic / diagnosis, etiology, surgery Endovascular Procedures / methods* Gait Disorders, Neurologic / diagnosis, etiology*, prevention & control* Humans Intracranial Aneurysm / complications*, diagnosis, surgery* Male Middle Aged Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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