Hemifacial spasm due to vertebral artery dissecting aneurysm treated with stent-in-stent placement; Pre- and post-treatment evaluation by 3D multifusion imaging using silent MR angiography

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Abstract

Background: Hemifacial spasm (HFS) due to vertebral artery (VA) dissecting aneurysm (VADA) is rare and endovascular treatment has been performed in selected cases. Case Description: We encountered a case of HFS caused by VADA that was managed with endovascular stent placement and additional stent-in-stent placement. Therapeutic strategies and benefits based on pre- and post-treatment evaluation by 3D multifusion imaging using silent MRA were discussed. Conclusion: This is the first case report of stent-in-stent placement in successful treatment of HFS caused by VADA, in which relief of neurovascular contact was demonstrated by multifusion imaging.

Original languageEnglish
Article number232
JournalSurgical Neurology International
Volume13
DOIs
Publication statusPublished - 2022

Keywords

  • Endovascular treatment
  • Hemifacial spasm
  • Multifusion imaging
  • Stent-in-stent
  • VA dissecting aneurysm

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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