Basilar Perforator Artery Aneurysm: Spontaneous Subarachnoid Hemorrhage Caused by the Rupture of a Small Aneurysm of a Pontine Perforating Vessel Originating from the Upper Basilar Artery Trunk; Conservative Management, with Fatal Outcome After Recurrent Hemorrhages and due to Severe Vasospasm

2020 ◽  
pp. 1271-1280
Author(s):  
Victoria Hellstern ◽  
Marta Aguilar Pérez ◽  
Muhammad AlMatter ◽  
Patricia Kohlhof-Meinecke ◽  
Hansjörg Bäzner ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Basilar Artery ◽  
Conservative Management ◽  
Fatal Outcome ◽  
Artery Aneurysm ◽  
Spontaneous Subarachnoid Hemorrhage ◽  
Small Aneurysm

scholarly journals An autopsy report of basilar artery aneurysm flow diversion complicated by postoperative day 3 hemorrhage from vessel rupture

2018 ◽  
Vol 11 (1) ◽  
pp. e014511 ◽  
Author(s):  
Azeem A Rehman ◽  
Ryan C Turner ◽  
Stephanie Wright ◽  
SoHyun Boo ◽  
Ansaar T Rai
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Basilar Artery ◽  
Artery Aneurysm ◽  
Symptomatic Improvement ◽  
Aneurysm Rupture ◽  
Flow Diversion ◽  
Atheromatous Plaque ◽  
Parent Artery ◽  
Autopsy Report ◽  
Complete Procedure

A middle-aged patient presented with posterior circulation symptoms attributable to a large eccentric basilar trunk aneurysm. The planned treatment was flow diversion with loose coil packing which was successfully performed using a Pipeline Flex device deployed from the basilar to the left posterior cerebral artery. The complete procedure including live biplane fluoroscopy was digitally recorded. The patient had symptomatic improvement postoperatively and was discharged on day 1. The patient suffered a cardiac arrest on postoperative day 3 secondary to massive intraventricular and subarachnoid hemorrhage. An aneurysm rupture was suspected; however, postmortem examination showed an intact aneurysm sac. The hemorrhage was attributed to a small focal rent in the distal basilar artery next to an atheromatous plaque. The Pipeline device was visible through the rent. This is an autopsy report documenting an injury to the parent artery and not the aneurysm as a source of fatal delayed subarachnoid hemorrhage following flow diversion.

RUPTURED ANEURYSM AT THE PERFORATING ARTERY SUPPLYING THE INSULA

Neurosurgery ◽  
2009 ◽  
Vol 65 (1) ◽  
pp. E206-E207 ◽  
Author(s):  
Servet Inci ◽  
Atila Akbay ◽  
Burcu Hazer ◽  
Kivilcim Yavuz ◽  
Tuncalp Ozgen
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Clinical Presentation ◽  
Artery Aneurysm ◽  
Intracerebral Hematoma ◽  
Aged Patients ◽  
Perforating Artery ◽  
Proximal Middle Cerebral Artery ◽  
Small Aneurysm

Abstract OBJECTIVE Aneurysms originating from perforating branches of the middle cerebral artery are quite rare. Most of them arise from the lenticulostriate arteries, frequently located within the basal ganglia. We report a perforating artery aneurysm that was entirely embedded within the limen insulae. CLINICAL PRESENTATION A 41-year-old man presented with an insular hematoma without subarachnoid hemorrhage caused by rupture of a small aneurysm on a perforating artery of the proximal middle cerebral artery supplying the insula. INTERVENTION This rare aneurysm was resected via the transsylvian-insular approach. CONCLUSION Although very rare, perforating artery aneurysms should be considered in young or middle-aged patients with an atypical intracerebral hematoma. This report discusses radiological and surgical characteristics of this unusual aneurysm.

A true mycotic (Aspergillus) aneurysm leading to fatal subarachnoid hemorrhage in a patient with hereditary hemorrhagic telangiectasia

1971 ◽  
Vol 35 (1) ◽  
pp. 71-76 ◽  
Author(s):  
Peter Davidson ◽  
David M. Robertson
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Basilar Artery ◽  
Hereditary Hemorrhagic Telangiectasia ◽  
Artery Aneurysm ◽  
Content Type ◽  
Intracranial Involvement ◽  
Basilar Artery Aneurysm ◽  
Fine Print

✓ A mycotic basilar artery aneurysm, in which Aspergillus was identified histologically, was found to be the cause of a massive subarachnoid hemorrhage in a 75-year-old man who suffered from hereditary hemorrhagic telangiectasia; there was no evidence of intracranial involvement by the latter disorder.

Meningioma Associated with Aneurysm and Subarachnoid Hemorrhage: Case Report and Review of the Literature

Neurosurgery ◽  
1987 ◽  
Vol 20 (1) ◽  
pp. 24-26 ◽  
Author(s):  
Gary M. Bloomgarden ◽  
Thomas N. Byrne ◽  
Dennis D. Spencer ◽  
Michael D. Heafner
Keyword(s):  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
Ophthalmic Artery ◽  
Artery Aneurysm ◽  
Ct Scans ◽  
Review Of The Literature ◽  
Anterior Clinoid Process ◽  
Computed Tomographic ◽  
Spontaneous Subarachnoid Hemorrhage

Abstract A patient presented with spontaneous subarachnoid hemorrhage after a prolonged episode of coughing. A preoperative computed tomographic (CT) scan confirmed subarachnoid hemorrhage, but demonstrated no other lesion. Arteriography revealed an ophthalmic artery aneurysm. Operation revealed the aneurysm to be intracavernous without sign of prior rupture; however, a small hemorrhagic meningioma was removed from the ipsilateral anterior clinoid process. In this case, coincidental meningioma and aneurysm presented as a subarachnoid hemorrhage secondary to tumor hemorrhage. The follow-up of cases of subarachnoid hemorrhage with negative arteriography with sequential CT scans is discussed.

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