Development and rupture of a de novo basilar artery aneurysm after surgical removal of a cerebellar arteriovenous malformation
| Autor: | Sergio Giombini, E. Ciceri, S. Brock |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Cerebellum Ventriculoperitoneal Shunt Arteriovenous Malformations Fatal Outcome Postoperative Complications Aneurysm medicine.artery medicine Basilar artery Humans Vasospasm Intracranial cardiovascular diseases Neurologic Examination medicine.diagnostic_test business.industry Vascular disease Angiography Digital Subtraction Intracranial Aneurysm Arteriovenous malformation Interventional radiology Middle Aged Subarachnoid Hemorrhage medicine.disease Magnetic Resonance Imaging Cerebral Angiography Surgery medicine.anatomical_structure Angiography cardiovascular system Neurology (clinical) Radiology Tomography X-Ray Computed business Craniotomy Magnetic Resonance Angiography Follow-Up Studies Hydrocephalus Artery |
| Zdroj: | Acta Neurochirurgica. 145:1117-1120 |
| ISSN: | 0942-0940 0001-6268 |
| Popis: | The de novo development of an aneurysm in an previously normal artery is an uncommon event. We describe a patient who developed a de novo bleeding aneurysm of the basilar artery in the three weeks following the surgical removal of a large cerebellar AVM. METHOD-FINDINGS: A 48-year-old man suddenly developed transient headache, vertigo and disturbance of balance. Neuroradiological examinations showed the presence of a large AVM of the right cerebellar hemisphere. The AVM was removed successfully; following the operation there were repeated bleeding episodes at the operating site, requiring surgical evacuation. Three weeks after the AVM removal he suffered from a massive subarachnoid haemorrhage due to the rupture of an aneurysm developed de novo in the basilar artery.This is the first reported case, to our knowledge, of a de novo aneurysm developed in an artery hemodynamically related to a surgically removed AVM. This complication was probably due to the postoperative hemodynamic changes in the vessels afferent to the AVM, associated with arterial wall dysplasia. |
| Databáze: | OpenAIRE |
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