{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T14:05:53Z","timestamp":1788617153202,"version":"build-2803163510"},"reference-count":8,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T00:00:00Z","timestamp":1661385600000},"content-version":"vor","delay-in-days":85,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Aneurysms of the recurrent artery of Heubner (RAH) are known to be one of the uncommon cerebral aneurysms, predominantly presenting with bleeding symptoms. Previously, nine cases of the RAH aneurysms have been reported, all of which were treated surgically or endovascularly and most cases developed postoperative cerebral infarct in the ipsilateral caudate nucleus. Herein, we report a man presenting with transient ischemic attack due to diffuse cerebral vasospasm from a minor non-disabling subarachnoid hemorrhage (SAH) from an RAH aneurysm. He visited our hospital 7 days after the first experience of a thunderclap headache complaining with transient unilateral motor weakness and thin SAH in the right sylvian fissure. Diagnostic catheter angiography revealed a dissecting fusiform aneurysm (8\u2009mm in size) originating from the left RAH contralateral to the thin SAH. Contrast-enhanced magnetic resonance vessel wall imaging (MR-VWI) helped to identify the ruptured nature of the RAH aneurysm. Owing to his delayed ischemic condition after minor SAH, he was conservatively treated with serial MR-VWI monitoring. The aneurysm was spontaneously obliterated with an asymptomatic lacunar infarct in the ipsilateral caudate nucleus in a month. Together, this case was considered as the dissecting aneurysm of RAH with a favorable outcome after the conservative management. Although long-term follow-up is mandatory because the disappearance of the vessel wall enhancement does not necessarily secure the permanent cure of the lesion, serial MR-VWI is helpful to diagnose the ruptured nature and monitor its chronological change in combination with conventional radiological imaging techniques.<\/jats:p>","DOI":"10.1055\/s-0042-1750712","type":"journal-article","created":{"date-parts":[[2022,8,26]],"date-time":"2022-08-26T01:01:02Z","timestamp":1661475662000},"page":"331-336","source":"Crossref","is-referenced-by-count":4,"title":["Spontaneous Obliteration of a Dissecting Aneurysm of Recurrent Artery of Heubner Monitored by Serial Magnetic Resonance Vessel Wall Imaging"],"prefix":"10.1055","volume":"17","author":[{"given":"Asuka","family":"Nakazaki","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hokkaido University Hospital, Sapporo, Japan"},{"name":"Department of Neurosurgery, Kushiro Rosai Hospital, Kushiro, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaki","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hokkaido University Hospital, Sapporo, Japan"},{"name":"Department of Neurosurgery, Kushiro Rosai Hospital, Kushiro, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masanori","family":"Isobe","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kushiro Rosai Hospital, Kushiro, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Radiology, Kushiro Rosai Hospital, Kushiro, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taichi","family":"Nomura","sequence":"additional","affiliation":[{"name":"Department of Neurology, Asahikawa Red Cross Hospital, Asahikawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fumiaki","family":"Fujihara","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Sasebo Chuo Hospital, Sasebo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toyohiko","family":"Isu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kushiro Rosai Hospital, Kushiro, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taku","family":"Sugiyama","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hokkaido University Hospital, Sapporo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiya","family":"Osanai","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hokkaido University Hospital, Sapporo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miki","family":"Fujimura","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hokkaido University Hospital, Sapporo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,8,25]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/S0090-3019(01)00396-2","article-title":"Characteristics of aneurysms arising from the horizontal portion of the anterior cerebral artery","volume":"55","author":"M Wanibuchi","year":"2001","journal-title":"Surg Neurol"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"244","DOI":"10.4103\/1793-5482.146658","article-title":"Recurrent artery of Heubner aneurysm","volume":"9","author":"Y Vellore","year":"2014","journal-title":"Asian J Neurosurg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"94","DOI":"10.21129\/nerve.2019.5.2.94","article-title":"Ruptured aneurysm of recurrent artery of Heubner: a case report","volume":"5","author":"C E Hong","year":"2019","journal-title":"Nerve"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"791","DOI":"10.15274\/INR-2014-10071","article-title":"Endovascular treatment of a ruptured flow aneurysm of the heubner artery as part of a moyamoya collateral network in a young patient with an occluded middle cerebral artery","volume":"20","author":"R S Bechan","year":"2014","journal-title":"Interv Neuroradiol"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1017\/cjn.2015.295","article-title":"Dissecting aneurysm of the recurrent artery of Heubner in a patient with osteogenesis imperfecta","volume":"42","author":"K Mansfield","year":"2015","journal-title":"Can J Neurol Sci"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1016\/j.wneu.2019.07.118","article-title":"Case of recurrent artery of Heubner aneurysm masquerading as partially thrombosed A1 aneurysm radiologically","volume":"130","author":"J Khoo","year":"2019","journal-title":"World Neurosurg"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"623","DOI":"10.4103\/neuroindia.NI_1034_16","article-title":"Ruptured dissecting aneurysm of the recurrent artery of Heubner: consideration of pathological findings","volume":"65","author":"A Ogata","year":"2017","journal-title":"Neurol India"},{"issue":"07","key":"ref8","doi-asserted-by":"crossref","first-page":"1262","DOI":"10.3174\/ajnr.A4722","article-title":"Quantitative assessment of circumferential enhancement along the wall of cerebral aneurysms using MR imaging","volume":"37","author":"S Omodaka","year":"2016","journal-title":"AJNR Am J Neuroradiol"}],"container-title":["Asian Journal of 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