Chronic fusiform aneurysm evolving into giant aneurysm in the basilar artery

Fusiform basilar aneurysm is a rare condition with elevated mortality within a few days if untreated. On the basis of clinical course, the fusiform aneurysm can be distinguished in an acute type, such as dissecting aneurysm, which usually causes subarachnoid hemorrhage or cerebral ischemia and in a...

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Bibliographic Details
Published in:Neurological sciences 2012-02, Vol.33 (1), p.111-115
Main Authors: Cappellari, Manuel, Tomelleri, Giampaolo, Piovan, Enrico, Bovi, Paolo, Moretto, Giuseppe, Gulli, Giosuè
Format: Article
Language:English
Subjects:
Aged, 80 and over
Aneurysm
Arteries
Basilar Artery - diagnostic imaging
Bleeding
Case Report
Case reports
Cerebral Angiography
Humans
Intracranial Aneurysm - diagnostic imaging
Ischemia
Ischemic Attack, Transient - diagnostic imaging
Male
Medicine
Medicine & Public Health
Mortality
Neurology
Neuroradiology
Neurosciences
Neurosurgery
Psychiatry
subarachnoid hemorrhage
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Summary:Fusiform basilar aneurysm is a rare condition with elevated mortality within a few days if untreated. On the basis of clinical course, the fusiform aneurysm can be distinguished in an acute type, such as dissecting aneurysm, which usually causes subarachnoid hemorrhage or cerebral ischemia and in a chronic type with a relatively slow growth, which may evolve into a giant aneurysm leading to serious complications. We report a case of an 80-year-old man with a surgically untreated fusiform aneurysm that evolved into a giant aneurysm of the basilar artery within 4 years. The patient presented recurrent ischemic events involving the posterior circulation without aneurysmal rupture or bleeding.
ISSN:1590-1874
1590-3478
DOI:10.1007/s10072-011-0628-y