Large basilar perforator pseudoaneurysm: A case report

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

doi:10.1177/1591019916659261

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 journal › Article › peer-review

12 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 language	English (US)
Pages (from-to)	662-665
Number of pages	4
Journal	Interventional Neuroradiology
Volume	22
Issue number	6
DOIs	https://doi.org/10.1177/1591019916659261
State	Published - 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

Access to Document

10.1177/1591019916659261

Cite this

@article{99bd8b71bf1044699a08717c41822407,

title = "Large basilar perforator pseudoaneurysm: A case report",

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.",

keywords = "Basilar perforator aneurysm, CT angiography, acute subarachnoid hemorrhage, endovascular coil embolization, flow diversion stenting",

author = "Daruwalla, {Vistasp J.} and Syed, {Furqan H.} and Elmokadem, {Ali H.} and Hurley, {Michael C.} and Ali Shaibani and Ansari, {Sameer A.}",

note = "Publisher Copyright: {\textcopyright} SAGE Publications.",

year = "2016",

month = dec,

day = "1",

doi = "10.1177/1591019916659261",

language = "English (US)",

volume = "22",

pages = "662--665",

journal = "Interventional Neuroradiology",

issn = "1591-0199",

publisher = "Centauro srl",

number = "6",

}

TY - JOUR

T1 - Large basilar perforator pseudoaneurysm

T2 - A case report

AU - Daruwalla, Vistasp J.

AU - Syed, Furqan H.

AU - Elmokadem, Ali H.

AU - Hurley, Michael C.

AU - Shaibani, Ali

AU - Ansari, Sameer A.

N1 - Publisher Copyright: © SAGE Publications.

PY - 2016/12/1

Y1 - 2016/12/1

N2 - 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.

AB - 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.

KW - Basilar perforator aneurysm

KW - CT angiography

KW - acute subarachnoid hemorrhage

KW - endovascular coil embolization

KW - flow diversion stenting

UR - http://www.scopus.com/inward/record.url?scp=84994521869&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84994521869&partnerID=8YFLogxK

U2 - 10.1177/1591019916659261

DO - 10.1177/1591019916659261

M3 - Article

C2 - 27485048

AN - SCOPUS:84994521869

SN - 1591-0199

VL - 22

SP - 662

EP - 665

JO - Interventional Neuroradiology

JF - Interventional Neuroradiology

IS - 6

ER -

Large basilar perforator pseudoaneurysm: A case report

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this