Postpartum dissecting aneurysm of the basilar artery.
OBJECTIVE
Dissecting aneurysms arising from the vertebrobasilar complex are rare and difficult to manage. More of their natural history needs to be known before treatment can be optimized.


METHODS
We report a postpartum dissecting aneurysm of the right vertebrobasilar artery in a 31-year-old woman that was confirmed by angiographic identification of a double lumen. The intracranial segment of the right vertebral artery was thrombosed proximal to the aneurysm. The patient, managed conservatively, recovered well and, when reexamined 2 months later, was found to be neurologically intact. A repeat angiographic study at that time demonstrated that the aneurysm had resolved.


CONCLUSIONS
Proximal occlusion may have protected the aneurysm from rupture and further dissection, thereby making surgery unnecessary.
Van de Kelft
E
E
Department of Neurosurgery, Universitair Ziekenhuis Antwerpen, Edegem, Belgium.
Kunnen
J
J
Truyen
L
L
Heytens
L
L
D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis*; D001488:Basilar Artery / Q000473:pathology; D005260:Female; D006801:Humans; D049590:Postpartum Period