Flow diversion of a recurrent, iatrogenic basilar tip aneurysm in a pediatric patient: case report.
J Neurosurg Pediatr
; 21(1): 90-93, 2018 01.
Article
em En
| MEDLINE
| ID: mdl-29027870
ABSTRACT
Endoscopic third ventriculostomy (ETV) is a common treatment for noncommunicating hydrocephalus. Although rare, vascular injury and traumatic pseudoaneurysm development during ETV have been reported. The authors present the case of a 13-year-old boy who underwent repeat ETV (rETV) for shunt and ETV failure, and who suffered an intraoperative subarachnoid hemorrhage due to iatrogenic injury to the basilar tip, with subsequent development of a pseudoaneurysm. Despite initial primary coil embolization, the aneurysm recurred and was definitively treated with flow diversion. In this report, the authors review complication rates associated with ETV and rETV as well as the emerging use of flow diversion and its applications in vessel reconstruction within the pediatric population.
Palavras-chave
BA = basilar artery; CISS = constructive interference in steady state; ETV = endoscopic third ventriculostomy; IVH = intraventricular hemorrhage; PCA = posterior cerebral artery; PCoA = posterior communicating artery; SAH = subarachnoid hemorrhage; basilar tip pseudoaneurysm; endoscopic third ventriculostomy; hydrocephalus; rETV = repeat ETV; vascular disorders
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ventriculostomia
/
Aneurisma Intracraniano
/
Falso Aneurisma
Tipo de estudo:
Etiology_studies
Limite:
Adolescent
/
Humans
/
Male
Idioma:
En
Revista:
J Neurosurg Pediatr
Assunto da revista:
NEUROCIRURGIA
/
PEDIATRIA
Ano de publicação:
2018
Tipo de documento:
Article