Basilar trunk saccular aneurysms associated with fenestration are infrequent. Surgical treatment of a basilar trunk aneurysm is difficult because of its anatomic environment and complicated surgical exposure. We experienced two cases of basilar fenestration aneurysm, and the patients were treated using Guglielmi detachable coils. The usefulness of 3-dimensional digital subtraction angiography and efficacy of endovascular treatment for basilar trunk aneurysms with associated fenestration is discussed in this article, and the relevant literature is reviewed.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2006.10.004 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Two types of arteriopathies, arteriomegaly and aneurysms, frequently develop at diverse locations in vertebrobasilar dolichoectasia patients: A retrospective analysis and a meta-analysis.
J Clin Neurosci
January 2025
Department of Neurovascular Research, Kobe City Medical Center General Hospital, 2-1-1 Minatojima Minamimachi, Chuo-ku, Kobe, Hyogo 650-0047, Japan; Department of Neurosurgery, Seijinkai Shimizu Hospital, 11-2 Yamadanakayoshimicho, Nishikyo-ku, Kyoto, Japan.
Background: Past studies have reported that vertebrobasilar dolichoectasia (VBD) patients may develop similar arteriopathies other than the vertebrobasilar system. However, the details of these VBD-related arteriopathies are still unclear.
Methods: We retrospectively enrolled patients diagnosed with VBD at two stroke centers in Japan between January 2012 and December 2023.
Double ophthalmic arteries originating from the internal carotid artery and persistent primitive trigeminal artery.
Surg Radiol Anat
December 2024
Department of Radiology, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minamikoshigaya, Koshigaya-shi, Saitama, 343-8555, Japan.
Purpose: Ophthalmic artery (OphA) embryogenesis is a complex process with various origins. We describe herein a case in which the OphA stemmed from the persistent primitive trigeminal artery (PPTA), which has never been reported.
Methods: A man in his 70s was admitted to our hospital following the sudden onset of altered consciousness.
Small basilar artery fenestration mimicking an aneurysm.
Surg Radiol Anat
November 2024
Department of Neurosurgery, Nakamura Memorial Hospital, South 1, West 14, Chuo-ku, Sapporo, 060-8570, Hokkaido, Japan.
Fenestration of the basilar artery is a well-known anatomical variant which can be misdiagnosed as arterial dissection. Misdiagnosis as an aneurysm is also possible and has been reported. A 41-year-old woman was referred to our hospital for evaluation of a suspected aneurysm of the proximal basilar artery trunk found on 1.
View Article and Find Full Text PDFEndovascular Treatment for Ruptured Intracranial Posterior Circulation Aneurysms: Complications and Clinical Outcomes.
World Neurosurg
October 2024
Department of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China. Electronic address:
Article Synopsis
- - The study analyzed 194 patients treated for ruptured intracranial aneurysms, finding that 29.4% experienced complications during hospitalization, with an overall mortality rate of 11.9%.
- - After a median follow-up of nearly 46.5 months, 81.4% of patients had favorable outcomes, while 18.5% had unfavorable results, leading to 1-year and 5-year survival rates of 89.5% and 85.4%, respectively.
- - Key risk factors for complications included involvement of the basilar artery and use of external ventricular drainage; for unfavorable outcomes, advanced age and poor initial health status were significant predictors.
Two Cases of Subarachnoid Hemorrhage with Microaneurysmal Changes and Spontaneous Disappearance in the Basilar Artery.
NMC Case Rep J
July 2024
Department of Neurosurgery, Sugita Genpaku Memorial Obama Municipal Hospital, Obama, Fukui, Japan.
A 79-year-old woman presented at our hospital with sudden headache and vomiting. Computed tomography revealed diffuse subarachnoid hemorrhage. Although digital subtraction angiography (DSA) performed on admission and on the following day revealed no vascular abnormalities, DSA on Day 22 revealed microaneurysmal changes in the dorsal basilar artery.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!