Endovascular management of a basilar artery false aneurysm secondary to endoscopic third ventriculostomy: Case report

Michael Horowitz, A. Leland Albright, Charles Jungreis, Elad I. Levy, Kevin Stevenson, Leslie N. Sutton, Robert H. Rosenwasser, Alan R. Cohen, Demetrius K. Lopes, L. Nelson Hopkins

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE AND IMPORTANCE: Third ventriculostomy for the management of noncommunicating hydrocephalus is a commonly performed procedure with a 5% complication rate. One of the known complications is basilar artery injury. CLINICAL PRESENTATION: We report a case of basilar artery injury, intraventricular hemorrhage, and false aneurysm formation in a 30-month-old boy after third ventricle floor fenestration. INTERVENTION: The false aneurysm was managed with endovascular trapping by use of Guglielmi detachable coils without morbidity. CONCLUSION: Endovascular therapy can be used successfully to manage vascular injury after third ventriculostomy.

Original languageEnglish (US)
Pages (from-to)1461-1465
Number of pages5
JournalNeurosurgery
Volume49
Issue number6
DOIs
StatePublished - Jan 1 2001
Externally publishedYes

Keywords

  • Basilar artery
  • Endovascular
  • Guglielmi detachable coils
  • Hemorrhage
  • Third ventriculostomy

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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