Ruptured saccular aneurysm of distal vertebral artery fenestration managed with Guglielmi detachable coils and intraventricular tissue plasminogen activator.

@article{Kubo2005RupturedSA,
  title={Ruptured saccular aneurysm of distal vertebral artery fenestration managed with Guglielmi detachable coils and intraventricular tissue plasminogen activator.},
  author={Michiya Kubo and Lotfi Hacein-Bey and Panayiotis N Varelas and John L. Ulmer and Denise M. Lemke and Joseph F. Cusick},
  journal={Surgical neurology},
  year={2005},
  volume={63 3},
  pages={244-8; discussion 248}
}
BACKGROUND Aneurysms associated with vertebrobasilar fenestrations are uncommon. We report on an unusual presentation of such aneurysm with a dedicated arterial pedicle, manifesting with significant intraventricular hemorrhage. Equally important, the aneurysm was managed in a multidisciplinary fashion, which, we think, greatly contributed to a good outcome. CASE DESCRIPTION A 55-year-old man presented in good condition after subarachnoid and massive intraventricular hemorrhage. The aneurysm… CONTINUE READING

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