A persistent primitive hypoglossal artery-posterior inferior cerebellar artery convergence aneurysm treated by stent-assisted coil embolization: A case report.

Abstract:

RATIONALE:Persistent primitive hypoglossal artery (PPHA) is often associated with intracranial anomalies such as aneurysms. Surgical treatment of aneurysms on the PPHA is challenging due to that the posterior circulation depends solely on PPHA. PATIENT CONCERNS:A case of an 83-year-old woman with a large aneurysm on PPHA presented with vertigo was reported. DIAGNOSIS:Three-dimensional angiogram revealed a wide-neck aneurysm on the PPHA. INTERVENTIONS:The aneurysm was successfully treated using a novel low-profile visualized intraluminal support stent-assisted coiling technique. OUTCOMES:No complications occurred during the procedure. The final angiogram confirmed the patency of the posterior inferior cerebellar artery and the parent artery and its distal branches. LESSONS:Our case suggests that stent-assisted coil embolization is safe and effective for the treatment of aneurysms on the PPHA.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Zeng S,Yang D,Yang H,Xu LS,Xu MH

doi

10.1097/MD.0000000000017151

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

e17151

issue

39

eissn

0025-7974

issn

1536-5964

pii

00005792-201909270-00029

journal_volume

98

pub_type

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