Recurrent life-threatening haemoptysis from a bleeding vertebral artery pseudoaneurysm: A diagnostic dilemma.
A bleeding vertebral artery pseudoaneurysm is a rare cause of haemoptysis. Pseudoaneurysm can arise due to radionecrosis from previous radiotherapy in the base of skull and neck region and may present with haemoptysis many years later. It is important to be aware of this entity in the work-up of haemoptysis, particularly in patients with previous base of skull and neck radiotherapy. Our patient was successfully treated with endovascular occlusion.
Department of Neuroradiology, The Walton Centre, UK.
Arun
A
Chandran
Department of Neuroradiology, The Walton Centre, UK drbiswas77@doctors.net.uk.
Shubhabrata
S
Biswas
Whiston Hospital, UK.
James Leon
JL
Hartley
Department of Neuroradiology, The Walton Centre, UK.
Hans Christean
HC
Nahser
ENT/Head and Neck Surgery, University Hospital Aintree, UK.
Jeffrey
J
Lancaster
Department of Neuroradiology, The Walton Centre, UK.
Mani
M
Puthuran
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology*; D015901:Angiography, Digital Subtraction; D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006469:Hemoptysis / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology*; D012008:Recurrence; D019292:Skull Base Neoplasms / Q000532:radiotherapy / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014711:Vertebral Artery
Haemoptysis; chordoma; pseudoaneurysm; vertebral artery