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Vertebral Artery Aneurysm: Acute Subarachnoid Hemorrhage Due to a Dissecting V4 Aneurysm, Treatment with a Flow Diverter Stent, and Complete Reconstruction of the Vessel Lumen

  • Muhammad AlMatter
  • Marta Aguilar Pérez
  • Hans Henkes
Living reference work entry

Abstract

We describe the clinical course, radiological findings, and endovascular treatment of a 58-year-old male patient who presented with headache due to a minor subarachnoid hemorrhage (SAH) resulting from a dissecting aneurysm of the intradural segment (V4) of the right vertebral artery. The aneurysm was treated on day seven after the onset of the headache by means of flow diversion with complete obliteration on the angiographic follow-up studies. The affected segment of the vertebral artery was reconstructed, and the posterior inferior cerebellar artery (PICA), which was covered by the flow diverter, remained patent. There was no recurrent hemorrhage, and the patient was asymptomatic apart from headache and neck stiffness during the follow-up period. The use of flow diversion in the setting of acute SAH due to intracranial arterial dissection is the main topic of this case report.

Keywords

Dissecting aneurysm SAH Flow diverter Vertebrobasilar aneurysm 

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Muhammad AlMatter
    • 1
  • Marta Aguilar Pérez
    • 1
  • Hans Henkes
    • 1
  1. 1.Neuroradiologische Klinik, NeurozentrumKlinikum StuttgartStuttgartGermany

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