Choroid plexus AVM with anomalous origin of the capsulothalamic artery: A case report
| Autor: | Shigeru Yamauchi, Keiji Murata, Akimasa Nishio, Hidetoshi Ikeda, Tomoya Ishiguro, Taichiro Kawakami |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Infarction Arteriovenous malformation medicine.disease 030218 nuclear medicine & medical imaging Surgery Anterior choroidal artery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure medicine Intracranial Arteriovenous Malformations Choroid plexus Radiology Embolization business 030217 neurology & neurosurgery Cerebral angiography Optic radiation |
| Zdroj: | Interventional Neuroradiology. 24:76-81 |
| ISSN: | 2385-2011 1591-0199 |
| Popis: | Background and importance Traditionally, it has been believed that the plexal segment of the anterior choroidal artery (AChoA) can be sacrificed safely. Here, we present a case of choroid plexus arteriovenous malformation (AVM) in which the capsulothalamic artery originated from distal plexal segment of the AChoA. Clinical presentation A 45-year-old man was diagnosed with arteriovenous malformation involving the left inferior horn in screening MRI. Preceding stereotactic radiosurgery, transarterial target embolization was performed. In this procedure, 20% n-butyl-2-cyanoacrylate (NBCA) was successfully injected from the lateral plexal branch of the AChoA. After embolization, right homonymous hemianopsia developed due to cerebral infarction on the left optic radiation. This infarction was considered to be within the territory of the capsulothalamic artery. Conclusion This anomalous capsulothalamic artery might be formed by hemodynamic compromise of the brain surrounding AVM in early gestation. We must be aware of this unusual anatomical variation to avoid ischemic complication in embolization of the AChoA. |
| Databáze: | OpenAIRE |
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