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An interesting case of survival to multiple ruptures of aneurysms, with persistent trigeminal artery, cranial nerve deficit, and evolutionary exposure of neurovascular treatment

Journal of Cerebrovascular and Endovascular Neurosurgery / Journal of Cerebrovascular and Endovascular Neurosurgery, (P)2234-8565; (E)2287-3139
2023, v.25 no.2, pp.189-195
https://doi.org/10.7461/jcen.2022.E2022.06.009
Héctor Lezcano (Department of Neurosurgery, Complejo Hospitalario Dr. Arnulfo Arias Madrid, Transístmica, Panamá)
María Fernanda Solorzano (General Medicine, University of Panama, Transístmica, Panamá)
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Abstract

Subarachnoid hemorrhage secondary to rupture of an aneurysm is a severe condition, associated with a high rate of morbidity and mortality. There are few cases in the literature of rupture of an aneurysm of the persistent trigeminal artery. This is the case of a 62-year-old female who has suffered multiple ruptures of aneurysms, in different decades of her life, with the development of de novo aneurysm, been this the presented case, a rupture of aneurysm of the persistent trigeminal artery. This patient has survival to these conditions and remain without important morbidity. The case manifested with a clinical picture of third and seventh cranial nerve deficit, which this last one, there are not previous publications of cases with this deficit. This aneurysm was embolized with coils, and the postoperative condition was satisfactory, been discharged at 4 postoperative days.

keywords
Brain aneurysm, De novo aneurysm, Persistent trigeminal artery, Cranial nerve deficit, Microsurgery, Endovascular

Journal of Cerebrovascular and Endovascular Neurosurgery