title: [Dissecting aneurysm of the intracranial fenestrated vertebral artery submited to endovascular treatment: case report].
abstract: Dissecting aneurysms of the vertebral artery at its intracranial segment are uncommon lesions, mainly when associated to subarachnoid hemorrhage, being also rare fenestrations of the vertebral artery. They present high morbidity and mortality, with high rebleeding rate and difficulty of surgical approach. We present a 19 years old man who was victim of physical aggression in the occipto-cervical region, presenting subarachnoid hemorrhage and a dissecting aneurysm of the right vertebral artery, which had a fenestration, being submitted to endovascular treatment. We accomplished a literature review about this subject, proposing endovascular treatment as a therapeutic option for these cases.
authors.affiliation: Disciplina de Neurocirurgia do Hospital São Paulo (HSP) da Universidade Federal de São Paulo -Escola Paulista de Medicina (UNIFESP/EPM), Sao Paulo SP, Brasil.
authors.forename: Guilherme Cabral
authors.initials: GC
authors.lastname: de Andrade
authors.forename: Jean Gonçalves
authors.initials: JG
authors.lastname: de Oliveira
authors.forename: Rafi Felício Bauab
authors.initials: RF
authors.lastname: Dauar
authors.forename: Darcio Roberto
authors.initials: DR
authors.lastname: Nalli
authors.forename: Fernando Menezes
authors.initials: FM
authors.lastname: Braga
mesh_terms: D000328:Adult; D002533:Cerebral Angiography; D006801:Humans; D008297:Male; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*; D020217:Vertebral Artery Dissection / Q000000981:diagnostic imaging / Q000601:surgery*