scholarly journals Endoscopic Third Ventriculostomy for Obstructive Hydrocephalus Caused by a Large Upper Basilar Artery Aneurysm After Coil Embolization

2012 ◽  
Vol 52 (11) ◽  
pp. 832-834 ◽  
Author(s):  
Masayuki SATO ◽  
Yasunobu NAKAI ◽  
Tomoji TAKIGAWA ◽  
Shingo TAKANO ◽  
Akira MATSUMURA
Keyword(s):  
Basilar Artery ◽  
Coil Embolization ◽  
Endoscopic Third Ventriculostomy ◽  
Obstructive Hydrocephalus ◽  
Artery Aneurysm ◽  
Third Ventriculostomy ◽  
Basilar Artery Aneurysm

Endoscopic third ventriculostomy in obstructive hydrocephalus due to giant basilar artery aneurysm

2009 ◽  
Vol 110 (1) ◽  
pp. 14-18 ◽  
Author(s):  
Joachim M. K. Oertel ◽  
Yvonne Mondorf ◽  
Michael R. Gaab
Keyword(s):  
Basilar Artery ◽  
Endoscopic Treatment ◽  
Endoscopic Third Ventriculostomy ◽  
Obstructive Hydrocephalus ◽  
Third Ventricle ◽  
Clinical Signs ◽  
Artery Aneurysm ◽  
Third Ventriculostomy ◽  
Upward Displacement ◽  
Age Range

Obstructive hydrocephalus due to giant basilar artery (BA) aneurysm is a rare finding, and endoscopic treatment has not been reported. Here the authors present their experience with endoscopic third ventriculostomy (ETV) in obstructive hydrocephalus due to giant BA aneurysm. Between December 2000 and March 2007, 3 patients (2 men and 1 woman; age range 32–80 years) underwent an ETV for the treatment of obstructive hydrocephalus caused by a giant BA aneurysm. All 3 patients presented with cephalgia, nausea, vomiting, and a variable decrease in consciousness. An obstructive hydrocephalus caused by a giant BA aneurysm was found in each case as the underlying pathological entity. Intraoperatively, a narrowing of the third ventricle by upward displacement of the tegmentum was found in all 3 patients. A standard ETV was performed and included an inspection of the prepontine cisterns. The endoscopic treatment was successful in all patients with respect to clinical signs and radiological ventricular enlargement. No complications were observed. In all, the endoscopic ventriculostomy was proven to be a successful treatment option in obstructive hydrocephalus even if it is caused by untreated giant BA aneurysm.

scholarly journals Successful Coil Embolization of a Ruptured Basilar Artery Aneurysm in a Child with Leukemia: A Case Report

2014 ◽  
Vol 54 (2) ◽  
pp. 150-154 ◽  
Author(s):  
Shihori HAYASHI ◽  
Taketoshi MAEHARA ◽  
Maki MUKAWA ◽  
Masaru AOYAGI ◽  
Yoshikazu YOSHINO ◽  
...  
Keyword(s):  
Case Report ◽  
Basilar Artery ◽  
Coil Embolization ◽  
Artery Aneurysm ◽  
Basilar Artery Aneurysm

Thrombosis of a Fusiform Intracranial Aneurysm Induced by Overlapping Neuroform Stents Case Report

Neurosurgery ◽  
2007 ◽  
Vol 60 (5) ◽  
pp. E950-E951 ◽  
Author(s):  
Sameer A. Ansari ◽  
Jeffrey P. Lassig ◽  
Ewen Nicol ◽  
B. Gregory Thompson ◽  
Joseph J. Gemmete ◽  
...  
Keyword(s):  
Basilar Artery ◽  
Coil Embolization ◽  
Artery Aneurysm ◽  
Digital Subtraction ◽  
Spontaneous Thrombosis ◽  
Computed Tomographic ◽  
Basilar Artery Aneurysm ◽  
Computed Tomographic Scan ◽  
Neuroform Stent ◽  
Artery Reconstruction

Abstract OBJECTIVE To present a case of a true fusiform basilar artery aneurysm that underwent spontaneous thrombosis after placement of two overlapping Neuroform stents (Boston Scientific/Target, Fremont, CA). CLINICAL PRESENTATION A 45-year-old woman with transient syncopal episodes experienced a fall and presented to the emergency room. Incidentally, a non-contrast head computed tomographic scan and digital subtraction angiography demonstrated an unruptured, fusiform mid-basilar artery aneurysm. INTERVENTION Endovascular treatment was initiated by using a stent-assisted coil embolization technique with placement of a self-expanding, dedicated intracranial, Neuroform stent in the basilar artery across the aneurysm's fusiform neck. Attempts to access the aneurysm for coil embolization resulted in transient migration of the stent into the aneurysm sac. A second Neuroform stent was advanced in telescoping fashion for salvage and stable coverage across the entire aneurysm; therefore, coil embolization was deferred to allow stent endothelialization. After 6 weeks on dual antiplatelet therapy, the patient presented with transient ischemic symptoms suggesting top of the basilar artery syndrome. Subsequent magnetic resonance imaging scans and angiography indicated circumferential thrombus formation in the aneurysm sac but patent flow in the basilar artery. A computed tomographic scan at 6 months and digital subtraction angiography at 12 months confirmed complete thrombosis of the fusiform mid-basilar artery aneurysm with basilar artery reconstruction. CONCLUSION Overlapping Neuroform stents may induce spontaneous thrombosis of intracranial aneurysms and facilitate parent artery reconstruction through flow remodeling and stent endothelialization. Double stent placement may be a viable option in dissecting or fusiform intracranial aneurysms that are not amenable to open surgical treatment or endovascular coil embolization.

Giant Basilar Artery Aneurysm Presenting as a Third Ventricular Tumor

Neurosurgery ◽  
1983 ◽  
Vol 13 (6) ◽  
pp. 699-702 ◽  
Author(s):  
Bikash Bose ◽  
Bruce Northrup ◽  
Jewell Osterholm
Keyword(s):  
Basilar Artery ◽  
Obstructive Hydrocephalus ◽  
Artery Aneurysm ◽  
Giant Aneurysm ◽  
Giant Aneurysms ◽  
Basilar Artery Aneurysm ◽  
Unusual Phenomenon ◽  
Ventricular Tumors ◽  
Mass Lesions ◽  
Third Ventricular Tumor

Abstract Giant aneurysm of the basilar artery presenting as a 3rd ventricular tumor is an unusual phenomenon. We are reporting a case in which a patient with a giant aneurysm of the basilar artery presented with symptoms of headaches and gait disturbance secondary to obstructive hydrocephalus. Although giant aneurysms presenting as mass lesions have been reported, the computed axial tomographic findings in our case were unique. Giant aneurysms of the basilar artery may be considered in the differential diagnosis of 3rd ventricular tumors.

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