Evidence map›Paper›PMID 37502388›Full record

ArticleJournal of neuroendovascular therapy2020

A Case of Subarachnoid Hemorrhage with Dissecting Aneurysm of the Anterior Choroidal Artery.

Yusuke Funakoshi, Hirotoshi Imamura, Natsuhi Sasaki, Shoichi Tani, Hidemitsu Adachi, Ryu Fukumitsu, Tadashi Sunohara, Yoshihiro Omura, Yuichi Matsui, Tatsumaru Fukuda and 5 more

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In one paragraph

Article in Journal of neuroendovascular therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

15 authors at 1 institution in 1 country.

Yusuke FunakoshiDepartment of Neurosurgery, Kobe City Medical Center General Hospital, Chuo-ku, Kobe, Hyogo, Japan.
Hirotoshi ImamuraDepartment of Neurosurgery, Kobe City Medical Center General Hospital, Chuo-ku, Kobe, Hyogo, Japan.
Natsuhi SasakiDepartment of Neurosurgery, Kobe City Medical Center General Hospital, Chuo-ku, Kobe, Hyogo, Japan.
Shoichi TaniDepartment of Neurosurgery, Kobe City Medical Center General Hospital, Chuo-ku, Kobe, Hyogo, Japan.
Hidemitsu AdachiDepartment of Neurosurgery, Kobe City Medical Center General Hospital, Chuo-ku, Kobe, Hyogo, Japan.
Ryu FukumitsuDepartment of Neurosurgery, Kobe City Medical Center General Hospital, Chuo-ku, Kobe, Hyogo, Japan.
Tadashi SunoharaDepartment of Neurosurgery, Kobe City Medical Center General Hospital, Chuo-ku, Kobe, Hyogo, Japan.
Yoshihiro OmuraDepartment of Neurosurgery, Kobe City Medical Center General Hospital, Chuo-ku, Kobe, Hyogo, Japan.
Yuichi MatsuiDepartment of Neurosurgery, Kobe City Medical Center General Hospital, Chuo-ku, Kobe, Hyogo, Japan.
Tatsumaru FukudaDepartment of Neurosurgery, Kobe City Medical Center General Hospital, Chuo-ku, Kobe, Hyogo, Japan.
Ryo AkiyamaDepartment of Neurosurgery, Kobe City Medical Center General Hospital, Chuo-ku, Kobe, Hyogo, Japan.
Kazufumi HoriuchiDepartment of Neurosurgery, Kobe City Medical Center General Hospital, Chuo-ku, Kobe, Hyogo, Japan.
Shinji KajiuraDepartment of Neurosurgery, Kobe City Medical Center General Hospital, Chuo-ku, Kobe, Hyogo, Japan.
Masashi ShigeyasuDepartment of Neurosurgery, Kobe City Medical Center General Hospital, Chuo-ku, Kobe, Hyogo, Japan.
Nobuyuki SakaiDepartment of Neurosurgery, Kobe City Medical Center General Hospital, Chuo-ku, Kobe, Hyogo, Japan.
Kobe City Medical Center General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Dissecting aneurysms of the anterior choroidal artery (AchoA) are extremely rare, with only a few reported cases. Herein, we report an extremely rare case of subarachnoid hemorrhage with dissecting aneurysm of the AchoA. Case Presentation: A 68-year-old man was hospitalized for sudden onset of headache, progressive consciousness disorder, and right hemiparesis. He had a prior medical history of systemic lupus erythematosus (SLE), and was taking prednisolone (50 mg/day) for 15 months. CT showed subarachnoid hemorrhage in the left side of the basal cistern and Sylvian fissure. Left internal carotid artery (ICA) angiography revealed a fusiform aneurysm of the AchoA. He was diagnosed with a ruptured dissecting aneurysm of the AchoA because the shape of aneurysm was fusiform and there was laminar flow inside the aneurysm. Parent artery occlusion (PAO) was performed to prevent re-hemorrhage on the day of onset. Although ventricular drainage for acute hydrocephalus was performed after AchoA occlusion, his consciousness disorder did not improve. Postoperative angiography at 1-week recovery from the procedure revealed disappearance of the AchoA, including the dissecting aneurysm. However, he died following septic shock caused by pneumonia at 1 month after the procedure. Conclusion: We report an extremely rare case of subarachnoid hemorrhage with a dissecting aneurysm of the AchoA. Vasculitis caused by SLE and a vulnerability of the vessel wall following chronic steroid use are potential causes of the dissecting aneurysm of the AchoA.

Indexed as

anterior choroidal arterydissecting aneurysmsubarachnoid hemorrhage

Identifiers

PMID37502388
PMCPMC10370647
OpenAlexW3002075395

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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.