Dissecting aneurysm of basilar artery presenting with recurrent subarachnoid hemorrhage.
Spontaneous basilar dissecting aneurysms secondary to subarachnoid hemorrhage are rare, usually presenting with ischemia rather than a subarachnoid hemorrhage (SAH). A 63-year-old man who had SAH repeatedly from a ruptured basilar dissecting aneurysm was treated with endovascular occlusion of the unilateral vertebral artery. Postoperative angiograms 1 month after the procedure showed complete obliteration of the aneurysm. The clinical follow-up at 20 months showed no evidence of recurrent hemorrhage.
Nakahara
T
T
Department of Neurosurgery, Hiroshima University School of Medicine, Japan. tnakahar@iwa.att.ne.jp
Satoh
H
H
Mizoue
T
T
Kawamoto
H
H
Kohmo
Y
Y
Kurisu
K
K
D000784:Aortic Dissection / Q000175:diagnosis / Q000628:therapy*; D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000628:therapy*; D001488:Basilar Artery / Q000473:pathology; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis / Q000628:therapy*