Endovascular management of a basilar artery false aneurysm secondary to endoscopic third ventriculostomy: case report.
OBJECTIVE
Third ventriculostomy for the management of noncommunicating hydrocephalus is a commonly performed procedure with a 5% complication rate. One of the known complications is basilar artery injury.


METHODS
We report a case of basilar artery injury, intraventricular hemorrhage, and false aneurysm formation in a 30-month-old boy after third ventricle floor fenestration.


METHODS
The false aneurysm was managed with endovascular trapping by use of Guglielmi detachable coils without morbidity.


CONCLUSIONS
Endovascular therapy can be used successfully to manage vascular injury after third ventriculostomy.
Horowitz
M
M
Department of Neurosurgery, University of Pittsburgh Medical Center, Presbyterian University Hospital, Pennsylvania 15213-2582, USA. horowitz@neuronet.pitt.edu
Albright
A L
AL
Jungreis
C
C
Levy
E I
EI
Stevenson
K
K
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D001488:Basilar Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D002533:Cerebral Angiography; D002675:Child, Preschool; D004621:Embolization, Therapeutic; D006801:Humans; D006849:Hydrocephalus / Q000000981:diagnostic imaging / Q000601:surgery*; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D014696:Ventriculostomy / Q000009:adverse effects*