title: Growing dissecting aneurysm of basilar trunk treated with stent-assisted coiling.
abstract: Growing basilar dissecting aneurysm is a scarce but increasingly recognized entity, accounting for a significant risk of death and disability. Controversy exists regarding the optimal management. A 61-year-old man presented with dysarthria and left hemiparesis attributable to a basilar trunk dissecting aneurysm. Antiplatelet therapy was instituted, and the patient's clinical condition markedly improved. However, he developed severe headache, dysarthria, and left hemiparesis 35 days later. Angiography revealed significant enlargement of the aneurysm, and stent-assisted coiling was then uneventfully performed. The patient remained clinically stable with only mild left-sided hemiparesis at the 2-year clinical follow-up.
authors.affiliation: Department of Neurosurgery, The Third Bethune Hospital (China-Japan Union Hospital), Norman Bethune Health Science Center of Jilin University, Changchun, Jilin Province, People's Republic of China.
authors.forename: Chao
authors.initials: C
authors.lastname: Fu
authors.affiliation: Department of Neurosurgery, The Third Bethune Hospital (China-Japan Union Hospital), Norman Bethune Health Science Center of Jilin University, Changchun, Jilin Province, People's Republic of China.
authors.forename: Conghai
authors.initials: C
authors.lastname: Zhao
authors.affiliation: Department of Neurosurgery, The Third Bethune Hospital (China-Japan Union Hospital), Norman Bethune Health Science Center of Jilin University, Changchun, Jilin Province, People's Republic of China.
authors.forename: Hang
authors.initials: H
authors.lastname: Zhao
authors.affiliation: Department of Neurosurgery, The Third Bethune Hospital (China-Japan Union Hospital), Norman Bethune Health Science Center of Jilin University, Changchun, Jilin Province, People's Republic of China.
authors.forename: Dongyuan
authors.initials: D
authors.lastname: Li
authors.affiliation: Department of Neurosurgery, The Third Bethune Hospital (China-Japan Union Hospital), Norman Bethune Health Science Center of Jilin University, Changchun, Jilin Province, People's Republic of China. Electronic address: fc616@126.com.
authors.forename: Weidong
authors.initials: W
authors.lastname: Yu
mesh_terms: D000784:Aortic Dissection / Q000150:complications / Q000601:surgery*; D004401:Dysarthria / Q000209:etiology / Q000601:surgery*; D057510:Endovascular Procedures; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010291:Paresis / Q000209:etiology / Q000601:surgery*; D015607:Stents; D016896:Treatment Outcome
keywords: Basilar artery; dissecting aneurysm; endovascular treatment; stent- assisted coil embolization