TY - JOUR
T1 - Ruptured lenticulostriate artery aneurysm
T2 - A report of a case treated with endovascular embolisation
AU - Roccatagliata, Luca
AU - Pileggi, Marco
AU - Cianfoni, Alessandro
AU - Gralla, Jan
PY - 2020/10/7
Y1 - 2020/10/7
N2 - A 65-year-old woman presented to the emergency department with sudden onset of left-sided weakness, headache and vomiting. A cerebral CT showed an acute intracerebral haemorrhage involving the right caudate nucleus and lentiform nucleus with mild midline shift and intraventricular extension. CT angiography did not reveal aneurysm or other vascular anomaly. Conventional cerebral angiography demonstrated a 3 mm right medial lenticulostriate branch aneurysm, arising from the right anterior cerebral artery (ACA). Endovascular treatment was performed from the left internal carotid via the anterior communicating artery into the right ACA. Complete occlusion was achieved with injection of N-butyl-2-cyanoacrylate. The patient had neurological rehabilitation during hospitalisation followed by outpatient physical therapy. Two years later, clinical follow-up demonstrated excellent recovery.
AB - A 65-year-old woman presented to the emergency department with sudden onset of left-sided weakness, headache and vomiting. A cerebral CT showed an acute intracerebral haemorrhage involving the right caudate nucleus and lentiform nucleus with mild midline shift and intraventricular extension. CT angiography did not reveal aneurysm or other vascular anomaly. Conventional cerebral angiography demonstrated a 3 mm right medial lenticulostriate branch aneurysm, arising from the right anterior cerebral artery (ACA). Endovascular treatment was performed from the left internal carotid via the anterior communicating artery into the right ACA. Complete occlusion was achieved with injection of N-butyl-2-cyanoacrylate. The patient had neurological rehabilitation during hospitalisation followed by outpatient physical therapy. Two years later, clinical follow-up demonstrated excellent recovery.
KW - interventional radiology
KW - neuroimaging
UR - http://www.scopus.com/inward/record.url?scp=85092598798&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85092598798&partnerID=8YFLogxK
U2 - 10.1136/bcr-2020-236649
DO - 10.1136/bcr-2020-236649
M3 - Article
C2 - 33028571
AN - SCOPUS:85092598798
VL - 13
JO - BMJ Case Reports
JF - BMJ Case Reports
SN - 1757-790X
IS - 10
M1 - e236649
ER -