Ruptured vertebrobasilar junction aneurysm associated with basilar artery fenestration

被引:14
作者
Eustacchio, S
Klein, GE
Pendl, G
机构
[1] KARL FRANZENS MED SCH,DEPT RADIOL,GRAZ,AUSTRIA
[2] UNIV HOSP,GRAZ,AUSTRIA
关键词
basilar artery; fenestration; subarachnoid hemorrhage; cerebral aneurysm; microsurgery;
D O I
10.1007/BF01411300
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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.
引用
收藏
页码:923 / 927
页数:5
相关论文
共 44 条
[21]   Surgical approaches for vertebro-basilar trunk aneurysms located in the midline [J].
Kawase, T ;
Bertalanffy, H ;
Otani, M ;
Shiobara, R ;
Toya, S .
ACTA NEUROCHIRURGICA, 1996, 138 (04) :402-410
[22]  
KRAYENBUHL H, 1957, VASKULAREN ERKRANKUN, P42
[23]   EVALUATION OF LARGE INTRACRANIAL ANEURYSM WITH 3-DIMENSIONAL MRI [J].
KURIHARA, N ;
TAKAHASHI, S ;
HIGANO, S ;
MATSUMOTO, K ;
YANAGAWA, I ;
TAKAHASHI, A ;
SAKAMOTO, K .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1995, 19 (05) :707-712
[24]  
LASJAUNIAS P, 1980, J NEURORADIOLOGY, V7, P157
[25]   ANEURYSM OF FENESTRATED BASILAR ARTERY [J].
MATRICALI, B ;
VANDULKEN, H .
SURGICAL NEUROLOGY, 1981, 15 (03) :189-191
[26]  
MIYAGI J, 1990, Neurological Surgery, V18, P1129
[27]   NONINVASIVE DIAGNOSIS OF INTERNAL CAROTID-ARTERY DISSECTIONS [J].
MULLGES, W ;
RINGELSTEIN, EB ;
LEIBOLD, M .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1992, 55 (02) :98-104
[28]  
NAKAJIMA J, 1993, PUBL ASTRON SOC JPN, V45, P477
[29]  
Nakasu Y, 1982, Nihon Geka Hokan, V51, P344
[30]   MORPHOLOGICAL AND HEMODYNAMIC ASPECTS OF CEREBRAL ANEURYSMS [J].
NUSSEL, F ;
WEGMULLER, H ;
HUBER, P .
ACTA NEUROCHIRURGICA, 1993, 120 (1-2) :1-6