Early Rupture of Distal Aica Pseudoaneurysm Posttranslabyrnith Approach for Vestibular Schwannoma
Bibliographic record
Abstract
Background Vestibular schwannoma resection can be performed through different approaches; the translabyrinthine approach is often utilized when the goal involves minimal cerebellar hemispheric retraction without an attempt to preserve hearing. Anterior inferior cerebellar artery (AICA) pseudoaneurysm is a potential traumatic result from dissection of the local vasculature that was previously reported after radiation therapy. Case Report We report an unusual case of a distal AICA pseudoaneurysm rupture as an early complication of vestibular schwannoma resection following a translabyrinthine approach in a 67-year-old woman who developed diffuse subarachnoid and posterior fossa intraventricular hemorrhage as a result. An external ventricular drain was placed and an endovascular treatment of the aneurysm was attempted. Conclusion To our knowledge, this is the first reported case of a distal AICA pseudoaneurysm rupture as a direct result of vestibular schwannoma surgical resection. The underlying mechanism is not fully clear; however, the fibrogenicity of the tumor with the possibility of compromising the wall of the vessel as a result of direct trauma during the surgery might explain such a surgical complication.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.003 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".