Giant Fusiform Basilar Artery Aneurysm Causing Obstructive Hydrocephalus
- 1 January 2002
- journal article
- case report
- Published by Georg Thieme Verlag KG in Journal of Neurological Surgery Part B: Skull Base
- Vol. 12 (4) , 197-202
- https://doi.org/10.1055/s-2002-35751-1
Abstract
A 58-year-old man presented with a sudden onset gait disturbance and urinary incontinence. Magnetic resonance (MR) imaging and MR angiography showed a fusiform basilar artery aneurysm, 2 cm in diameter and 5 cm long. The aneurysm was thrombosed except the ectatic basilar artery flowing through it. Compression of the cerebrospinal fluid (CSF) pathways caused obstructive hydrocephalus with resultant transependymal CSF leakage. Conventional angiography missed the aneurysm. A one-sided ventriculoperitoneal shunt was placed to treat the patient's hydrocephalus. The patient's symptoms improved after surgery. MR imaging and MR angiography were useful noninvasive methods of detecting the aneurysm, defining its relationship with surrounding structures, and determining the cause of the hydrocephalus.Keywords
This publication has 7 references indexed in Scilit:
- Giant basilar bifurcation aneurysm presenting as a third ventricular mass with unilateral obstructive hydrocephalus: case reportJournal of Clinical Neuroscience, 2001
- Hydrocephalus caused by dolichoectatic basilar artery. Case report.2000
- Acute Obstructive Hydrocephalus due to an Unruptured Basilar Bifurcation Aneurysm Associated with Bilateral Internal Carotid Occlusion. A Case Report.The Kurume Medical Journal, 1993
- Foramen Monroi - Blockade durch ein Riesenaneurysma der Arteria basilaris*min - Minimally Invasive Neurosurgery, 1990
- Multiple giant fusiform aneurysms with hydrocephalusSurgical Neurology, 1985
- Giant Basilar Artery Aneurysm Presenting as a Third Ventricular TumorNeurosurgery, 1983
- Obstructive hydrocephalus caused by a growing, giant aneurysm on the upper basilar arterySurgical Neurology, 1983