Large basilar perforator pseudoaneurysm: A case report

Vistasp J. Daruwalla, Furqan H. Syed, Ali H. Elmokadem, Michael C. Hurley, Ali Shaibani, Sameer A. Ansari*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Basilar perforator aneurysms are rare and a communication between a basilar perforator and a separate pseudoaneurysm cavity is extremely rare. We describe a case presenting with high grade subarachnoid hemorrhage which on further investigation delineated a 2-3 mm dissecting basilar perforator aneurysm communicating superiorly into a contained 6 mm pseudoaneurysm cavity. This case illustrates an unusual neurovascular pathology with low potential for successful endovascular treatment such as coil embolization or intracranial flow diverter stenting. Conservative medical management remains the main stay of treatment for such poor surgical candidates.

Original languageEnglish (US)
Pages (from-to)662-665
Number of pages4
JournalInterventional Neuroradiology
Volume22
Issue number6
DOIs
StatePublished - Dec 1 2016

Keywords

  • Basilar perforator aneurysm
  • CT angiography
  • acute subarachnoid hemorrhage
  • endovascular coil embolization
  • flow diversion stenting

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

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