A rare case of fusiform basilar trunk aneurysm

Radiology Case Reports

article

Nguyen-Thi To Tran¹  Tran Chi Cuong¹  Le Minh Thang¹  Nguyen-Luu Giang¹  Ngo Minh Tuan¹  Nguyen-Dao Nhat Huy¹  Duong Hoang Linh¹  Mai-Van Muong¹  Nguyen Minh Duc¹ 

[1] Department of Surgery, Can Tho S.I.S General Hospital

关键词: Pediatric aneurysm;    Basilar aneurysm;    Stent-assisted coiling;    Dual antiplatelet therapy;   

DOI  :  10.1016/j.radcr.2022.06.046

学科分类：生物化学工程

来源: University of Washington * Department of Radiology

【 摘 要 】

Aneurysms in the posterior circulation and distal sites are more common among the pediatric population than among adults, with a male predominance. Symptoms of an aneurysm in the posterior circulation can include a stiff neck or severe headache due to a ruptured aneurysm , whereas an unruptured aneurysm can cause mass effects or neurological deficits. However, in children, the complete occlusion of the aneurysm while preserving the flow of the main artery can be difficult to achieve when attempting a stent-assisted coil embolization technique. A 25-month-old girl presented with left hemiparesis and was diagnosed with a basilar artery aneurysm 10 months prior, but she did not receive any specific treatment. No history of trauma and no significant familial history were recorded. Angiography showed a fusiform aneurysm on the basilar artery trunk, which was successfully occluded using stent-assisted coiling following dual antiplatelet therapy with clopidogrel and aspirin. She was discharged with the complete restoration of motor deficits.

【 授权许可】

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