An unusual aneurysm of a basilar perforating artery presenting with a subarachnoid haemorrhage

Autor: Vino Apok, Howard L. Brydon, Andrew Tarnaris
Rok vydání: 2012
Předmět:
Zdroj: British Journal of Neurosurgery. 27:105-107
ISSN: 1360-046X
0268-8697
DOI: 10.3109/02688697.2012.717977
Popis: A 65-year-old man had a perimesencephalic subarachnoid haemorrhage with normal angiography initially. After a rebleed 5 days later, a repeat angiogram revealed a pea-like aneurysm a short distance behind and below the basilar bifurcation. It was not amenable to endovascular treatment and the feeding vessel was coagulated and divided at open surgery via a sub temporal approach. He developed a right hemiparesis and dysphasia, from which he slowly recovered. Basilar perforating artery aneurysms are extremely rare, with only 4 previous cases reported.
Databáze: OpenAIRE