{"id":"6cc72a26-81bf-43aa-8c09-d7a8da30ad97","slug":"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","title":"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","authors":["Toru Satoh","Yu Sato","Kenji Sugiu","Tomohito Hishikawa","Masafumi Hiramatsu","Jun Haruma","Isao Date"],"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.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/6cc72a26-81bf-43aa-8c09-d7a8da30ad97/featured/hero-1781561293534.png","publishDate":"2022-06-03T00:00:00.000Z","doi":"10.25259/SNI_253_2022","categories":["Neurovascular","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/6cc72a26-81bf-43aa-8c09-d7a8da30ad97/pdf"}