[Dissecting aneurysm of the intracranial fenestrated vertebral artery submited to endovascular treatment: case report].
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.
de Andrade
Guilherme Cabral
GC
Disciplina de Neurocirurgia do Hospital São Paulo (HSP) da Universidade Federal de São Paulo -Escola Paulista de Medicina (UNIFESP/EPM), Sao Paulo SP, Brasil.
de Oliveira
Jean Gonçalves
JG
Dauar
Rafi Felício Bauab
RF
Nalli
Darcio Roberto
DR
Braga
Fernando Menezes
FM
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*