Fusiform aneurysm of the vertebral artery presenting hemifacial spasm treated by intravascular embolization: Case report

Kenichi Sato, Masayuki Ezura, Akira Takahashi, Takashi Yoshimoto

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

BACKGROUND: A rare case of fusiform vertebral artery aneurysm causing hemifacial spasm was successfully treated by intravascular embolization. CASE DESCRIPTION: A 53-year-old man presented with left hemifacial spasm persisting for 2 years. No other clinical symptoms were observed. Vertebral angiography revealed a fusiform aneurysm of the left vertebral artery, and thin-slice spoiled gradient-recalled acquisition magnetic resonance imaging demonstrated the aneurysm compressing the root exit zone of the left facial nerve. The parent artery was occluded together with the aneurysm by intravascular embolization with Guglielmi detachable coils (GDCs). The patient is free of left hemifacial spasm without any complication. CONCLUSION: Hemifacial spasm caused by aneurysms, especially fusiform aneurysms, is quite rare but can be treated by parent artery occlusion and coiling the aneurysm with GDCs.

Original languageEnglish
Pages (from-to)52-55
Number of pages4
JournalSurgical Neurology
Volume56
Issue number1
DOIs
Publication statusPublished - 2001 Sep 11

Keywords

  • Fusiform vertebral artery aneurysm
  • Guglielmi detachable coils
  • Hemifacial spasm
  • Intravascular therapy

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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