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Selective endovascular treatment of a traumatic basilar aneurysm after endoscopic third ventriculostomy

Marco Túlio Salles Rezende1, Laurent Spelle, Michel Piotin

  • 1Department of Interventional Neuroradiology, Fondation Rothschild, Paris, France. marcotuliorezende@gmail.com

Neuroradiology
|January 29, 2008
PubMed

Insights

A rare traumatic basilar aneurysm occurred after endoscopic third ventriculostomy in a child. Endovascular embolization successfully treated this complication, highlighting a feasible therapeutic option.

Area of Science:

  • Neurosurgery
  • Endovascular Therapy
  • Pediatric Neurology

Background:

  • Endoscopic third ventriculostomy (ETV) is a neurosurgical procedure for hydrocephalus.
  • Complications can include vascular injury, though rare.
  • Traumatic aneurysms are an uncommon but serious sequela.

Observation:

  • A 4-year-old girl developed intraventricular and subarachnoid hemorrhage post-ETV.
  • Cerebral angiography identified a traumatic basilar artery aneurysm.
  • The aneurysm resulted from direct basilar artery injury during the procedure.

Findings:

  • Selective endovascular embolization using Guglielmi detachable coils was performed.
  • The procedure successfully occluded the traumatic basilar aneurysm.
  • This demonstrates the feasibility of endovascular management for such injuries.

Implications:

  • Endovascular therapy offers a viable treatment for traumatic basilar aneurysms post-ETV.
  • Minimally invasive techniques can manage complex vascular complications.
  • This case expands therapeutic options in pediatric neurosurgery.

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