Ruptured vertebrobasilar junction aneurysm associated with basilar artery fenestration.

Eustacchio, S; Klein, G E; Pendl, G · Acta Neurochir (Wien) · 1997

case_report · Level V

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Abstract

A case of a ruptured saccular aneurysm arising from the proximal portion of a partially duplicated basilar artery in a 36-year-old woman is reported. CT and lumbar puncture confirmed subarachnoid haemorrhage. Cerebral angiography detected a vertebrobasilar junction aneurysm associated with basilar artery fenestration. The patient underwent successful clipping and coating of the aneurysm by a right lateral suboccipital osteoclastic approach. Embryological development, pathogenesis, diagnostic and therapeutic difficulties of this vascular malformation are discussed in this report.

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