title: The challenge of managing fusiform basilar artery aneurysms: from acute ischemic stroke to a massive subarachnoid hemorrhage.
abstract: We present the case of a patient with acute brain stem ischemic stroke who was found to have a fusiform basilar aneurysm with a thrombus within the dilated vessel. Three days after the ischemic stroke, the patient had a massive subarachnoid hemorrhage and died. This case illustrates the difficulties in the acute management of ischemic events in patients with basilar fusiform aneurysms, because the natural history of this disease encompasses both bleeding and thrombosis.
authors.affiliation: Department of Pontifícia Universidade Católica do Rio Grande do Sul - PUCRS, Federal University of São Paulo, São Paulo, Brazil.
authors.forename: Sofia
authors.initials: S
authors.lastname: Bezerra
authors.forename: Eduardo
authors.initials: E
authors.lastname: Casaroto
authors.forename: Monique
authors.initials: M
authors.lastname: Bueno Alves
authors.forename: Leonardo
authors.initials: L
authors.lastname: Ierardi Goulart
authors.forename: Marcelo
authors.initials: M
authors.lastname: Annes
authors.forename: Gisele
authors.initials: G
authors.lastname: Sampaio Silva