Intraventricular aneurysms: Case reports and review of the literature

Abstract Background Intraventricular aneurysms are rare, with only 49 cases have been reported to date in the literature. Treatment of these aneurysms is difficult because of their deep location, small size, and specific angioarchitecture. Methods We report four patients with intraventricular aneury...

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Bibliographic Details
Published in:Clinical neurology and neurosurgery 2013-01, Vol.115 (1), p.57-64
Main Authors: Yuan, Zhu, Woha, Zhao, Weiming, Xu
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aneurysm
Aneurysms
Angiography
Arteries
Biological and medical sciences
Blood clots
Cardiovascular system
Case reports
Catheters
Cerebral Angiography - methods
Child
Child, Preschool
Distal anterior choroidal artery
Embolization
Embolization, Therapeutic - adverse effects
Embolization, Therapeutic - methods
Female
Headaches
Hemorrhage
Humans
Hypertension
Intracranial Aneurysm - diagnosis
Intracranial Aneurysm - diagnostic imaging
Intracranial Aneurysm - therapy
Intraventricular aneurysm
Intraventricular hemorrhage
Lateral posterior choroidal artery
Literature reviews
Male
Medical imaging
Medical sciences
Middle Aged
Neurology
Neurosurgery
Subarachnoid Hemorrhage - diagnostic imaging
Subarachnoid Hemorrhage - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Treatment Outcome
Veins & arteries
Young Adult
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Summary:Abstract Background Intraventricular aneurysms are rare, with only 49 cases have been reported to date in the literature. Treatment of these aneurysms is difficult because of their deep location, small size, and specific angioarchitecture. Methods We report four patients with intraventricular aneurysms. In the third patient, the aneurysm self-occluded during procedure of endovascular embolization, which has previously not been reported in the literature. Results The first patient was discharged without definitive treatment of his intraventricular aneurysm and died 1 year later. The third patient's aneurysm self-occluded during the procedure of endovascular embolization procedure. The aneurysms of the second and fourth patients were successfully embolized by coils and Onyx, respectively. Conclusions The conclusions drawn from our experience and a comprehensive review of the literature include the following: (1) intraventricular aneurysm should be considered in patients with isolated intraventricular hemorrhage; (2) intraventricular aneurysms are frequently very small (
ISSN:0303-8467
1872-6968
DOI:10.1016/j.clineuro.2012.04.014