Abstract
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.
MeSH terms
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Adult
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Aneurysm, Ruptured / diagnostic imaging
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Aneurysm, Ruptured / surgery*
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Basilar Artery / abnormalities*
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Basilar Artery / diagnostic imaging
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Basilar Artery / surgery
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Cerebral Angiography
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Craniotomy
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Female
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Humans
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Intracranial Aneurysm / diagnostic imaging
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Intracranial Aneurysm / surgery*
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Intracranial Arteriovenous Malformations / diagnostic imaging
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Intracranial Arteriovenous Malformations / surgery*
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Microsurgery
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Subarachnoid Hemorrhage / diagnostic imaging
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Subarachnoid Hemorrhage / surgery*
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Tomography, X-Ray Computed
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Vertebrobasilar Insufficiency / diagnostic imaging
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Vertebrobasilar Insufficiency / surgery*