{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T05:49:57Z","timestamp":1722318597885},"reference-count":11,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nIntracranial dissecting aneurysms (IDAs) are rare vascular lesions usually arising from the posterior circulation. The anterior cerebral artery (ACA) is an unusual location for this pathology. Even rarer is the occurrence of a transient de novo<\/jats:italic> third cranial nerve (CN) palsy after flow-diverting device (FDD) treatment of an ACA dissecting aneurysm.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA middle-aged man with a prior history of hypertension was admitted to our emergency department with severe headache and loss of consciousness after sexual intercourse. Imaging revealed a subarachnoid hemorrhage with stenosis of the left A1 segment of the ACA. Cerebral digital subtraction angiography confirmed a dissecting aneurysm of the left A1 segment. The aneurysm was treated with an FDD (Pipeline Shield). Transient isolated incomplete third CN palsy was documented 12 h after treatment. No evidence of ischemic or hemorrhagic strokes was found. The condition improved after a few days of empiric steroid treatment.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nAn FDD is a suitable alternative for the treatment of a ruptured IDA of the anterior circulation. Some infrequent complications associated with the device, such as de novo<\/jats:italic> cranial neuropathies, are yet to be studied.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_764_2021","type":"journal-article","created":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T06:33:39Z","timestamp":1632983619000},"page":"489","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Transient third cranial nerve palsy after pipeline shield treatment of a ruptured anterior cerebral artery dissecting aneurysm: Case report"],"prefix":"10.25259","volume":"12","author":[{"given":"David","family":"Vergara-Garcia","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Felipe","family":"Abaunza-Camacho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariana","family":"Agudelo-Arrieta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William Mauricio","family":"Riveros","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Caballero","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,9,30]]},"reference":[{"key":"10.25259\/SNI_764_2021\/ref-1","doi-asserted-by":"crossref","first-page":"100510","DOI":"10.1016\/j.inat.2019.100510","article-title":"Endovascular treatment of ruptured and unruptured intracranial dissecting aneurysms","volume":"18","author":"Ahmad","year":"2019","journal-title":"Interdiscip Neurosurg"},{"key":"10.25259\/SNI_764_2021\/ref-2","doi-asserted-by":"crossref","first-page":"436","DOI":"10.15274\/INR-2014-10042","article-title":"Use of the pipeline embolization device to treat recently ruptured dissecting cerebral aneurysms","volume":"20","author":"Chan","year":"2014","journal-title":"Interv Neuroradiol"},{"key":"10.25259\/SNI_764_2021\/ref-3","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1136\/jnis.2010.002964","article-title":"Oculomotor nerve palsy in the setting of an anterior cerebral A2 segment aneurysm","volume":"3","author":"Fairbanks","year":"2011","journal-title":"J Neurointerv Surg"},{"key":"10.25259\/SNI_764_2021\/ref-4","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1007\/s00234-016-1731-9","article-title":"Spontaneous dissections of the anterior cerebral artery: A meta-analysis of the literature and three recent cases","volume":"58","author":"Hensler","year":"2016","journal-title":"Neuroradiology"},{"key":"10.25259\/SNI_764_2021\/ref-5","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1177\/159101990401000409","article-title":"Dissecting aneurysm of the anterior cerebral artery presenting with thrombo-embolic complications. A case report","volume":"10","author":"Hofman","year":"2004","journal-title":"Interv Neuroradiol"},{"key":"10.25259\/SNI_764_2021\/ref-6","doi-asserted-by":"crossref","first-page":"1165","DOI":"10.1007\/s00701-019-03912-6","article-title":"Long-term results of flow diversion in the treatment of intracranial aneurysms: A retrospective data analysis of a single center","volume":"161","author":"Korkmazer","year":"2019","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_764_2021\/ref-7","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1016\/B978-0-12-811740-8.00059-9","article-title":"Chapter 35 - Dissecting Intracranial Aneurysms","volume-title":"Intracranial Aneurysms [Internet]","author":"Lodi","year":"2018"},{"key":"10.25259\/SNI_764_2021\/ref-8","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1136\/neurintsurg-2018-014204","article-title":"Treatment of intracranial aneurysms using the pipeline flex embolization device with shield technology: Angiographic and safety outcomes at 1-year follow-up","volume":"11","author":"Martinez-Galdamez","year":"2019","journal-title":"J Neurointerv Surg"},{"key":"10.25259\/SNI_764_2021\/ref-9","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1177\/1971400919834692","article-title":"Pipeline embolisation device with shield technology for the treatment of ruptured intracranial aneurysm","volume":"32","author":"Pasarikovski","year":"2019","journal-title":"Neuroradiol J"},{"key":"10.25259\/SNI_764_2021\/ref-10","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1136\/svn-2018-000192","article-title":"Safety of tirofiban and dual antiplatelet therapy in treating intracranial aneurysms","volume":"4","author":"Samaniego","year":"2019","journal-title":"Stroke Vasc Neurol"},{"key":"10.25259\/SNI_764_2021\/ref-11","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1093\/neuros\/nyz356","article-title":"Safety and effectiveness of the pipeline flex embolization device with shield technology for the treatment of intracranial aneurysms: Midterm results from a multicenter study","volume":"87","author":"Trivelato","year":"2020","journal-title":"Neurosurgery"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/transient-third-cranial-nerve-palsy-after-pipeline-shield-treatment-of-a-ruptured-anterior-cerebral-artery-dissecting-aneurysm-case-report\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/transient-third-cranial-nerve-palsy-after-pipeline-shield-treatment-of-a-ruptured-anterior-cerebral-artery-dissecting-aneurysm-case-report\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T06:33:49Z","timestamp":1632983629000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/transient-third-cranial-nerve-palsy-after-pipeline-shield-treatment-of-a-ruptured-anterior-cerebral-artery-dissecting-aneurysm-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,30]]},"references-count":11,"alternative-id":["10.25259\/SNI_764_2021"],"URL":"https:\/\/doi.org\/10.25259\/sni_764_2021","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,30]]},"article-number":"489"}}