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Endovascular management of a basilar artery false aneurysm secondary to endoscopic third ventriculostomy: case report
M Horowitz1, A L Albright, C Jungreis
1Department of Neurosurgery, University of Pittsburgh Medical Center, Presbyterian University Hospital, Pennsylvania 15213-2582, USA. horowitz@neuronet.pitt.edu
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.
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