Dissecting aneurysm of the intracranial fenestrated vertebral artery submited to endovascular treatment: case report

Dissecting aneurysms of the vertebral artery at its intracranial segment are uncommon lesions, mainly when associated to subarachnoid hemorrhage, being also rare fenestrations of the vertebral artery. They present high morbidity and mortality, with high rebleeding rate and difficulty of surgical app...

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Published inArquivos de neuro-psiquiatria Vol. 63; no. 2A; pp. 352 - 356
Main Authors de Andrade, Guilherme Cabral, de Oliveira, Jean Gonçalves, Dauar, Rafi Felício Bauab, Nalli, Darcio Roberto, Braga, Fernando Menezes
Format Journal Article
LanguagePortuguese
Published Brazil 01.06.2005
Subjects
Adult
Cerebral Angiography
Humans
Male
Subarachnoid Hemorrhage - diagnostic imaging
Subarachnoid Hemorrhage - surgery
Tomography, X-Ray Computed
Treatment Outcome
Vascular Surgical Procedures - methods
Vertebral Artery Dissection - diagnostic imaging
Vertebral Artery Dissection - surgery
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Summary:Dissecting aneurysms of the vertebral artery at its intracranial segment are uncommon lesions, mainly when associated to subarachnoid hemorrhage, being also rare fenestrations of the vertebral artery. They present high morbidity and mortality, with high rebleeding rate and difficulty of surgical approach. We present a 19 years old man who was victim of physical aggression in the occipto-cervical region, presenting subarachnoid hemorrhage and a dissecting aneurysm of the right vertebral artery, which had a fenestration, being submitted to endovascular treatment. We accomplished a literature review about this subject, proposing endovascular treatment as a therapeutic option for these cases.
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ISSN:0004-282X
DOI:10.1590/S0004-282X2005000200031