CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2017; 01(02): 114-116
DOI: 10.1055/s-0037-1601450
Case Report
Indian Society of Vascular and Interventional Radiology

Lenticulostriate Artery Aneurysm Associated with Cerebral Arteriovenous Malformation: Report of Rare Association and Its Endovascular Management

Santhosh Kumar Kannath
1   Department of Imaging Sciences and Interventional Radiology, Neurointervention Center, Sree Chitra Tirunal Institute of Medical Sciences and Technology, Trivandrum, Kerala, India
,
Jayadevan Enakshy Rajan
1   Department of Imaging Sciences and Interventional Radiology, Neurointervention Center, Sree Chitra Tirunal Institute of Medical Sciences and Technology, Trivandrum, Kerala, India
› Author Affiliations
Further Information

Publication History

Publication Date:
28 July 2017 (online)

Abstract

Aneurysms involving the lenticulostriate arteries are rare and are described in the literature in small case series or single-case reports. In this report, we discuss a case of a young woman who presented with acute lateral ventricular bleed and was found to have an arteriovenous malformation within the corona radiata and an aneurysm involving the distal lenticulostriate artery. The aneurysm was treated successfully by endovascular embolization. In deep-seated arteriovenous malformations (AVMs) that are conventionally treated by stereotactic radiosurgery, a targeted approach for treatment of an associated aneurysm could be considered to reduce the risk of rebleed until the AVM is obliterated.

 
  • References

  • 1 Vargas J, Walsh K, Turner R, Chaudry I, Turk A, Spiotta A. Lenticulostriate aneurysms: a case series and review of the literature. J Neurointerv Surg 2015; 7 (03) 194-201
  • 2 Lama S, Dolati P, Sutherland GR. Controversy in the management of lenticulostriate artery dissecting aneurysm: a case report and review of the literature. World Neurosurg 2014; 81 (02) 441.e1-441.e7
  • 3 Kim EJ, Halim AX, Dowd CF. , et al. The relationship of coexisting extranidal aneurysms to intracranial hemorrhage in patients harboring brain arteriovenous malformations. Neurosurgery 2004; 54 (06) 1349-1357 , discussion 1357–1358
  • 4 Stein K-P, Wanke I, Forsting M. , et al. Associated aneurysms in supratentorial arteriovenous malformations: impact of aneurysm size on haemorrhage. Cerebrovasc Dis 2015; 39 (02) 122-129
  • 5 Stapf C, Mohr JP, Pile-Spellman J. , et al. Concurrent arterial aneurysms in brain arteriovenous malformations with haemorrhagic presentation. J Neurol Neurosurg Psychiatry 2002; 73 (03) 294-298
  • 6 Redekop G, TerBrugge K, Montanera W, Willinsky R. Arterial aneurysms associated with cerebral arteriovenous malformations: classification, incidence, and risk of hemorrhage. J Neurosurg 1998; 89 (04) 539-546
  • 7 Chalouhi N, Tjoumakaris S, Gonzalez LF. , et al. Onyx embolization of a ruptured lenticulostriate artery aneurysm in a patient with moyamoya disease. World Neurosurg 2013; 80 (3-4): 436.e7-436.e10
  • 8 Kano H, Kondziolka D, Flickinger JC. , et al. Stereotactic radiosurgery for arteriovenous malformations, Part 4: management of basal ganglia and thalamus arteriovenous malformations. J Neurosurg 2012; 116 (01) 33-43
  • 9 Krings T, Hans F-J, Geibprasert S, Terbrugge K. Partial “targeted” embolisation of brain arteriovenous malformations. Eur Radiol 2010; 20 (11) 2723-2731