title: Coil embolization for a ruptured posterior cerebral artery aneurysm with vertebrobasilar dolichoectasia.
abstract: A 74-year-old man suffered sudden loss of consciousness at home. Computed tomography revealed severe subarachnoid hemorrhage and an unusual posterior cerebral artery (PCA) aneurysm with vertebrobasilar dolichoectasia (VBD). The aneurysm was located in the right hypothalamus. VBD associated with a distal lesion makes endovascular treatment difficult because of the elongation and tortuosity of the access route. However, endovascular coil embolization was successful for the present ruptured PCA aneurysm with VBD.
authors.affiliation: Department of Neurosurgery, Hamanomachi Hospital, Fukuoka, Japan. s-yamaguchi23@samba.ocn.ne.jp
authors.forename: Shinya
authors.initials: S
authors.lastname: Yamaguchi
authors.forename: Osamu
authors.initials: O
authors.lastname: Ito
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Maeda
authors.forename: Hideki
authors.initials: H
authors.lastname: Murata
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Imamoto
authors.forename: Fumiaki
authors.initials: F
authors.lastname: Yuhi
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Natori
authors.forename: Koichiro
authors.initials: K
authors.lastname: Matsukado
mesh_terms: D000368:Aged; D017542:Aneurysm, Ruptured / Q000150:complications / Q000473:pathology* / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000473:pathology* / Q000628:therapy*; D008297:Male; D016896:Treatment Outcome; D014715:Vertebrobasilar Insufficiency / Q000150:complications / Q000473:pathology / Q000628:therapy*