Basilar megadolicho trunk causing obstructive hydrocephalus at the foramina of Monro.
We report on a 54-year-old man with megadolicho basilar artery presenting with acute signs of raised intracranial pressure due to a compromise of cerebrospinal fluid (CSF) flow at the level of the foramina of Monro by the basilar apex extending more than 3 cm cranially to the dorsum sellae. The diagnosis was confirmed on computed tomographic angiography and emergent CSF drainage relieved symptoms immediately.
Thiex
Ruth
R
Department of Neurosurgery, Aachen University, 52057 Aachen, Germany. ruth.thiex@post.rwth-aachen.de
Mull
Michael
M
D001488:Basilar Artery / Q000000981:diagnostic imaging / Q000473:pathology*; D002552:Cerebral Ventricles; D002557:Cerebrospinal Fluid Shunts; D006801:Humans; D006849:Hydrocephalus / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy; D019586:Intracranial Hypertension / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed