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J Clin Neurosci


Title:Pseudoaneurysm presenting around polytetrafluoroethylene fiber following microvascular decompression: A case report and literature review
Author(s):Tamada T; Mikami T; Komura S; Suzuki H; Ukai R; Sugita S; Hasegawa T; Mikuni N;
Address:"Department of Neurosurgery, Sapporo Medical University, Japan. Department of Neurosurgery, Sapporo Medical University, Japan. Electronic address: tmikami@sapmed.ac.jp. Department of Surgical Pathology, Sapporo Medical University, Japan"
Journal Title:J Clin Neurosci
Year:2019
Volume:20190204
Issue:
Page Number:231 - 234
DOI: 10.1016/j.jocn.2019.01.041
ISSN/ISBN:1532-2653 (Electronic) 0967-5868 (Linking)
Abstract:"We report the first case of pseudoaneurysm associated with polytetrafluoroethylene fiber used in microvascular decompression (MVD). A 62-year-old female who had undergone MVD for hemifacial spasm 30 years ago presented with a 4-month history of progressive facial palsy. Computed tomography angiography revealed a large thrombosed aneurysm originating from the right posterior inferior cerebellar artery and having a mass effect upon the pons. The aneurysm was treated by trapping and bypass procedure. Intraoperatively, the pseudoaneurysm adhered to the dura mater, and the thrombus contained a large amount of polytetrafluoroethylene fiber. The cause and management of pseudoaneurysm after MVD is discussed"
Keywords:"Aneurysm, False/*etiology/surgery Computed Tomography Angiography Female Foreign-Body Reaction/*etiology/surgery Humans Microvascular Decompression Surgery/*adverse effects/instrumentation Middle Aged Polytetrafluoroethylene/*adverse effects Postoperative;"
Notes:"MedlineTamada, Tomoaki Mikami, Takeshi Komura, Syoichi Suzuki, Hime Ukai, Ryo Sugita, Shintaro Hasegawa, Tadashi Mikuni, Nobuhiro eng Case Reports Review Scotland 2019/02/09 J Clin Neurosci. 2019 May; 63:231-234. doi: 10.1016/j.jocn.2019.01.041. Epub 2019 Feb 4"

 
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