Ruptured distal anterior inferior cerebellar artery aneurysm following stereotactic irradiation for vestibular schwannoma: case report.

Abstract:

:A 73-year-old woman presented with diffuse subarachnoid hemorrhage from a ruptured fusiform aneurysm directly arising from the right distal anterior inferior cerebellar artery. Six years before admission, she had undergone stereotactic irradiation for right vestibular schwannoma, under a diagnosis based on neuroimaging. The aneurysm was located within the radiation field. We performed trapping and resection of the aneurysm via a right lateral suboccipital craniotomy, and the patient made a good recovery. Histological examination revealed no evidence of elastic lamina in the aneurysm wall, suggesting pseudoaneurysm caused by radiation-induced vascular injury. Aneurysm formation after radiotherapy is relatively rare and often manifests as fatal hemorrhage. Long-term surviving patients who have received intracranial irradiation should undergo sequential follow up for possible vascular involvement.

authors

Yamaguchi S,Kato T,Takeda M,Ikeda H,Kitamura K

doi

10.2176/nmc.49.202

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

202-5

issue

5

eissn

0470-8105

issn

1349-8029

pii

JST.JSTAGE/nmc/49.202

journal_volume

49

pub_type

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