Evidence map›Paper›PMID 30227805›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2019

Multiple aneurysms on the subarcuate artery arising from the anterior inferior cerebellar artery in a patient with a Borden type I transverse-sigmoid dural arteriovenous fistula manifesting as subarachnoid hemorrhage: A case report.

Tomoaki Suzuki, Kouichirou Okamoto, Nobuyuki Genkai, Yasushi Ito, Hiroshi Abe

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Tomoaki Suzuki1 Department of Neurosurgery, Tachikawa General Hospital, Nagaoka, Niigata, Japan.
Kouichirou Okamoto2 Department of Translational Research, Brain Research Institute, Niigata University, Niigata, Japan.
Nobuyuki Genkai1 Department of Neurosurgery, Tachikawa General Hospital, Nagaoka, Niigata, Japan.
Yasushi Ito3 Department of Neurosurgery, Brain Research Institute, Niigata University, Niigata, Japan.
Hiroshi Abe1 Department of Neurosurgery, Tachikawa General Hospital, Nagaoka, Niigata, Japan.
Tachikawa Medical Center · JPNiigata University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeripheral anterior inferior cerebellar artery (AICA) aneurysms are rare and commonly associated with vascular malformations, such as cerebellar arteriovenous malformations (AVMs). We present a case wherein multiple AICA feeding aneurysms on the subarcuate artery as a feeding artery of a Borden type I transverse-sigmoid dural arteriovenous fistula (dAVF) manifested as subarachnoid hemorrhage. CASE DESCRIPTION: A 67-year-old woman presented with acute severe headache. Brain computed tomography (CT) demonstrated subarachnoid hemorrhage mainly in the posterior fossa. A transverse-sigmoid dAVF was detected on magnetic resonance angiography (MRA) and three-dimensional-CT angiography (3D-CTA), with no cortical venous reflex. The patient underwent conventional angiography, which showed multiple aneurysms on a small branch of the AICA, feeding a transverse-sigmoid dAVF (Borden type I). The AICA aneurysms seemed flow dependent and ruptured owing to high-flow arteriovenous shunts through the dAVF. Based on the source images of the MRA, the small artery arising from the AICA was considered the subarcuate artery, and it was confirmed on 3D-CTA after the artery was successfully embolized with Onyx without any complications. Multiple aneurysms on the subarcuate artery are extremely rare, and the artery has not been identified as a feeding artery of the transverse-sigmoid dAVF.

conclusionA rare case of multiple ruptured aneurysms on the subarcuate artery was reported in a patient with a Borden type I dAVF at the transverse-sigmoid sinuses manifesting as subarachnoid hemorrhage. Onyx embolization of the parent artery occlusion was feasible and useful in treating this type of feeding artery aneurysm of the AICA with a dAVF.

Indexed as

AgedCentral Nervous System Vascular MalformationsCerebellar DiseasesCerebral AngiographyComputed Tomography AngiographyDiagnosis, DifferentialDimethyl SulfoxideEmbolization, TherapeuticFemaleHumansIntracranial AneurysmPolyvinylsSubarachnoid HemorrhageTomography, X-Ray ComputedDimethyl SulfoxideOnyx copolymerPolyvinylsAnterior inferior cerebellar artery aneurysmdural arteriovenous fistulaOnyx embolizationparent artery occlusionsubarcuate artery

Identifiers

PMID30227805
PMCPMC6378525
OpenAlexW2892154170

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.