Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Deep Intracerebral Hemorrhage Caused by Rupture of Distal Lenticulostriate Artery Aneurysm : A Report of Two Cases and a Literature Review

  • Choo, Yeon Soo (Department of Neurosurgery, Gangnam Severance Hospital, College of Medicine, Yonsei University) ;
  • Kim, Yong Bae (Department of Neurosurgery, Gangnam Severance Hospital, College of Medicine, Yonsei University) ;
  • Shin, Yong Sam (Department of Neurosurgery, Seoul St. Mary Hospital, College of Medicine, The Catholic University of Korea) ;
  • Joo, Jin Yang (Department of Neurosurgery, Gangnam Severance Hospital, College of Medicine, Yonsei University)
  • Received : 2014.02.04
  • Accepted : 2014.08.31
  • Published : 2015.11.28
Download PDF
⟨ Previous Next ⟩

Abstract

Intracerebral hemorrhage (ICH) is common among various types of storkes; however, it is rare in young patients and patients who do not have any risk factors. In such cases, ICH is generally caused by vascular malformations, tumors, vasculitis, or drug abuse. Basal ganglia ICH is rarely related with distal lenticulostriate artery (LSA) aneurysm. Since the 1960s, a total of 29 distal LSA aneurysm cases causing ICH have been reported in the English literature. Despite of the small number of cases, various treatment methods have been attempted : surgical clipping, endovascular treatment, conservative treatment, superficial temporal artery-middle cerebral artery anastomosis, and gamma-knife radiosurgery. Here, we report two additional cases and review the literature. Thereupon, we discerned that young patients with deep ICH are in need of conventional cerebral angiography. Moreover, initial conservative treatment with follow-up cerebral angiography might be a good treatment option except for cases with a large amount of hematoma that necessitates emergency evacuation. If the LSA aneurysm still persists or enlarges on follow-up angiography, it should be treated surgically or endovascularly.

Keywords

References

  1. Ahn JY, Cho JH, Lee JW : Distal lenticulostriate artery aneurysm in deep intracerebral haemorrhage. J Neurol Neurosurg Psychiatry 78 : 1401-1403, 2007 https://doi.org/10.1136/jnnp.2007.120204
  2. Albert FK, Wirtz CR, Forsting M, Jansen O, Polarz H, Mittermaier G, et al. : Image guided excision of a ruptured feeding artery "pedicle aneurysm" associated with an arteriovenous malformation in a child : case report. Comput Aided Surg 2 : 5-10, 1997 https://doi.org/10.3109/10929089709149078
  3. Bhat DI, Shukla DP, Somanna S : Subarachnoid hemorrhage from a ruptured proximal lenticulostriate artery aneurysm. Neurol India 60 : 128-129, 2012 https://doi.org/10.4103/0028-3886.93621
  4. Binning M, Duhon B, Couldwell WT : Partially thrombosed lateral lenticulostriate aneurysm presenting with embolic stroke : case illustration. J Neurosurg Pediatr 5 : 190, 2010 https://doi.org/10.3171/2009.9.PEDS09156
  5. Cai X, Han S, Feske SK, Chou SH : Pearls and oy-sters : small but consequential : intracerebral hemorrhage caused by lenticulostriate artery aneurysm. Neurology 80 : e89-e91, 2013 https://doi.org/10.1212/WNL.0b013e31828406a2
  6. Chalouhi N, Tjoumakaris S, Gonzalez LF, Dumont AS, Shah Q, Gordon D, et al. : Onyx embolization of a ruptured lenticulostriate artery aneurysm in a patient with moyamoya disease. World Neurosurg 80 : 436.e7-e10, 2013
  7. Eddleman CS, Surdell D, Pollock G, Batjer HH, Bendok BR : Ruptured proximal lenticulostriate artery fusiform aneurysm presenting with subarachnoid hemorrhage : case report. Neurosurgery 60 : E949; discussion E949, 2007 https://doi.org/10.1227/01.NEU.0000255439.21495.BB
  8. Ellis JA, D'Amico R, Altschul D, Leung R, Connolly ES, Meyers PM : Medial lenticulostriate artery aneurysm presenting with isolated intraventricular hemorrhage. Surg Neurol Int 2 : 92, 2011 https://doi.org/10.4103/2152-7806.82374
  9. Endo M, Ochiai C, Watanabe K, Yoshimoto Y, Wakai S : [Ruptured peripheral lenticulostriate artery aneurysm in a child : case report]. No Shinkei Geka 24 : 961-964, 1996
  10. Gandhi CD, Gilad R, Patel AB, Haridas A, Bederson JB : Treatment of ruptured lenticulostriate artery aneurysms. J Neurosurg 109 : 28-37, 2008 https://doi.org/10.3171/JNS/2008/109/7/0028
  11. Grabel JC, Levine M, Hollis P, Ragland R : Moyamoya-like disease associated with a lenticulostriate region aneurysm. Case report. J Neurosurg 70 : 802-803, 1989 https://doi.org/10.3171/jns.1989.70.5.0802
  12. Gupta AK, Rao VR, Mandalam KR, Kumar S, Joseph S, Unni M, et al. : Thrombosis of multiple aneurysms of a lateral lenticulostriate artery. An angiographic follow-up. Neuroradiology 31 : 193-195, 1989 https://doi.org/10.1007/BF00698855
  13. Harreld JH, Zomorodi AR : Embolization of an unruptured distal lenticulostriate aneurysm associated with moyamoya disease. AJNR Am J Neuroradiol 32 : E42-E43, 2011 https://doi.org/10.3174/ajnr.A1993
  14. Hemphill JC 3rd, Bonovich DC, Besmertis L, Manley GT, Johnston SC : The ICH score : a simple, reliable grading scale for intracerebral hemorrhage. Stroke 32 : 891-897, 2001 https://doi.org/10.1161/01.STR.32.4.891
  15. Heran NS, Heran MS, Woolfenden AR : A corticosteroid-responsive aneurysmal lenticulostriate vasculopathy. Neurology 61 : 1624-1625, 2003 https://doi.org/10.1212/01.WNL.0000096169.15486.00
  16. Horn EM, Zabramski JM, Feiz-Erfan I, Lanzino G, McDougall CG : Distal lenticulostriate artery aneurysm rupture presenting as intraparenchymal hemorrhage : case report. Neurosurgery 55 : 708, 2004 https://doi.org/10.1227/01.NEU.0000134561.59093.D7
  17. Kalani MY, Martirosyan NL, Nakaji P, Spetzler RF : Microsurgical clipping of an unruptured lenticulostriate aneurysm. J Clin Neurosci 19 : 1578-1580, 2012 https://doi.org/10.1016/j.jocn.2012.03.006
  18. Kaptain GJ, Sheehan JP, Kassell NF : Lenticulostriate artery aneurysm in infancy. Case illustration. J Neurosurg 94 : 538, 2001 https://doi.org/10.3171/jns.2001.94.3.0538
  19. Kidoguchi J, Chiba M, Murakami T, Saiki I, Kanaya H, Tazawa M, et al. : [A case of systemic lupus erythematosus associated with an aneurysm of the lenticulostriate artery]. No Shinkei Geka 15 : 1221-1225, 1987
  20. Kochar PS, Morrish WF, Hudon ME, Wong JH, Goyal M : Fusiform lenticulostriate artery aneurysm with subarachnoid hemorrhage : the role for superselective angiography in treatment planning. Interv Neuroradiol 16 : 259-263, 2010 https://doi.org/10.1177/159101991001600305
  21. Kuroda S, Houkin K, Kamiyama H, Abe H : Effects of surgical revascularization on peripheral artery aneurysms in moyamoya disease : report of three cases. Neurosurgery 49 : 463-467; discussion 467-468, 2001
  22. 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 81 : 441.e1-e7, 2014 https://doi.org/10.1016/j.wneu.2012.12.006
  23. Lan Z, Li J, You C, Chen J : Successful use of Gamma Knife surgery in a distal lenticulostriate artery aneurysm intervention. Br J Neurosurg 26 : 89-90, 2012 https://doi.org/10.3109/02688697.2011.591949
  24. Larrazabal R, Pelz D, Findlay JM : Endovascular treatment of a lenticulostriate artery aneurysm with N-butyl cyanoacrylate. Can J Neurol Sci 28 : 256-259, 2001 https://doi.org/10.1017/S0317167100001426
  25. Lehmann P, Toussaint P, Depriester C, Legars D, Deramond H : [Lenticulostriate aneurysms. Radioclinical study]. J Neuroradiol 30 : 115-120, 2003
  26. Maeda K, Fujimaki T, Morimoto T, Toyoda T : Cerebral aneurysms in the perforating artery manifesting intracerebral and subarachnoid haemorrhage--report of two cases. Acta Neurochir (Wien) 143 : 1153-1156, 2001 https://doi.org/10.1007/s007010100006
  27. Matushita H, Amorim RL, Paiva WS, Cardeal DD, Pinto FC : Idiopathic distal lenticulostriate artery aneurysm in a child. J Neurosurg 107 (5 Suppl) : 419-424, 2007
  28. McCormick WF, Rosenfield DB : Massive brain hemorrhage : a review of 144 cases and an examination of their causes. Stroke 4 : 946-954, 1973 https://doi.org/10.1161/01.STR.4.6.946
  29. Murakami H, Mine T, Nakamura T, Aki T, Suzuki K : [Intracerebral hemorrhage due to rupture of true aneurysms of the lenticulostriate artery in moyamoya disease. Case report]. Neurol Med Chir (Tokyo) 24 : 794-799, 1984 https://doi.org/10.2176/nmc.24.794
  30. Narayan P, Workman MJ, Barrow DL : Surgical treatment of a lenticulostriate artery aneurysm. Case report. J Neurosurg 100 : 340-342, 2004 https://doi.org/10.3171/jns.2004.100.2.0340
  31. Ohta H, Ito Z, Nakajima K, Fukasawa H, Uemura K : [A case report of ruptured lenticulostriate artery aneurysm with arteriovenous malformation (author's transl)]. No To Shinkei 32 : 839-846, 1980
  32. Oka K, Maehara F, Tomonaga M : Aneurysm of the lenticulostriate artery--report of four cases. Neurol Med Chir (Tokyo) 31 : 582-585, 1991 https://doi.org/10.2176/nmc.31.582
  33. Okuma A, Oshita H, Funakoshi T, Shikinami A, Yamada H : [A case of aneurysm in the cerebral myoyamoya vessel--aneurysmal rupture during cerebral angiography and spontaneous regression of the aneurysm (author's transl)]. No Shinkei Geka 8 : 181-185, 1980
  34. Petrela M, Xhumari A, Azdurian E, Vreto G : [Aneurysm of the terminal part of the lenticulostriate artery]. Neurochirurgie 38 : 50-52, 1992
  35. Sakai K, Mizumatsu S, Terasaka K, Sugatani H, Higashi T : Surgical treatment of a lenticulostriate artery aneurysm. Case report. Neurol Med Chir (Tokyo) 45 : 574-577, 2005 https://doi.org/10.2176/nmc.45.574
  36. Schurmann K, Brock M, Samii M : Circumscribed hematoma of the lateral ventricle following rupture of an intraventricular saccular arterial aneurysm. Case report. J Neurosurg 29 : 195-198, 1968 https://doi.org/10.3171/jns.1968.29.2.0195
  37. Takeuchi S, Takasato Y, Masaoka H, Hayakawa T, Otani N, Yoshino Y, et al. : Bilateral lenticulostriate artery aneurysms. Br J Neurosurg 23 : 543-544, 2009 https://doi.org/10.1080/02688690902789166
  38. Tsai YH, Wang TC, Weng HH, Wong HF : Embolization of a ruptured lenticulostriate artery aneurysm. J Neuroradiol 38 : 242-245, 2011 https://doi.org/10.1016/j.neurad.2010.12.004
  39. 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 7 : 194-201, 2015 https://doi.org/10.1136/neurintsurg-2013-010969
  40. Vates GE, Arthur KA, Ojemann SG, Williams F, Lawton MT : A neurocytoma and an associated lenticulostriate artery aneurysm presenting with intraventricular hemorrhage : case report. Neurosurgery 49 : 721-725, 2001
  41. Viswanathan A, Rakich SM, Engel C, Snider R, Rosand J, Greenberg SM, et al. : Antiplatelet use after intracerebral hemorrhage. Neurology 66 : 206-209, 2006 https://doi.org/10.1212/01.wnl.0000194267.09060.77
  42. Wong GK, Chou HL, Poon WS, Zhu XL, Yu SC, Ahuja AT : Spontaneous resolution of an aneurysm arising from a penetrating branch of the middle cerebral artery. J Clin Neurosci 16 : 601-602, 2009 https://doi.org/10.1016/j.jocn.2008.06.006

Cited by

  1. Aneurysm of lenticulostriate artery in a patient presenting with hemorrhage in the caudate nucleus and lateral ventricle-delayed appearance and spontaneous resolution vol.9, pp.1, 2015, https://doi.org/10.4103/sni.sni_126_18
  2. Basal ganglion hematoma evacuation and clipping of middle cerebral artery aneurysm by neuroendoscopy : A case report vol.97, pp.18, 2015, https://doi.org/10.1097/md.0000000000010606
  3. Distal lenticulostriate artery aneurysm in a patient with atherosclerotic intracranial artery occlusion vol.40, pp.3, 2015, https://doi.org/10.3995/jstroke.10525