title: Vertebrobasilar fusiform aneurysms.
abstract: Unlike saccular or berry aneurysms, which present more often with subarachnoid hemorrhage, fusiform aneurysms present more often with ischemic stroke or mass effect. The most time-tested treatment of fusiform vertebrobasilar aneurysms consists of flow reduction or flow reversal. Recently, flow diversion has been attempted with mixed results in the posterior circulation. Given the described pathophysiologic processes of fusiform aneurysms that may be altered with modern medical therapies, future investigators may look to medical treatment of these lesions, especially in cases of poor surgical candidates.
authors.affiliation: Department of Neurosurgery, UC College of Medicine, Cincinnati, OH, USA.
authors.forename: Joseph C
authors.initials: JC
authors.lastname: Serrone
authors.affiliation: Department of Neurosurgery, UC College of Medicine, Cincinnati, OH, USA.
authors.forename: Yair M
authors.initials: YM
authors.lastname: Gozal
authors.affiliation: Department of Neurosurgery, UC College of Medicine, Cincinnati, OH, USA.
authors.forename: Aaron W
authors.initials: AW
authors.lastname: Grossman
authors.affiliation: Comprehensive Stroke Center, UC Neuroscience Institute, Cincinnati, OH, USA.
authors.forename: Norberto
authors.initials: N
authors.lastname: Andaluz
authors.affiliation: Comprehensive Stroke Center, UC Neuroscience Institute, Cincinnati, OH, USA; Mayfield Clinic, Cincinnati, OH, USA.
authors.forename: Todd
authors.initials: T
authors.lastname: Abruzzo
authors.affiliation: Comprehensive Stroke Center, UC Neuroscience Institute, Cincinnati, OH, USA.
authors.forename: Mario
authors.initials: M
authors.lastname: Zuccarello
authors.affiliation: Comprehensive Stroke Center, UC Neuroscience Institute, Cincinnati, OH, USA. Electronic address: aringer@mayfieldclinic.com.
authors.forename: Andrew
authors.initials: A
authors.lastname: Ringer
mesh_terms: D001488:Basilar Artery / Q000000981:diagnostic imaging / Q000473:pathology; D057510:Endovascular Procedures; D006801:Humans; D015994:Incidence; D002532:Intracranial Aneurysm / Q000175:diagnosis* / Q000601:surgery*; D011859:Radiography; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000473:pathology
keywords: Aneurysm; Dolichoectatic; Fusiform; Vertebral; Vertebrobasilar