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Ruptured vertebrobasilar junction aneurysm associated with basilar artery fenestration

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Summary

A case of a ruptured saccular aneurysm arising from the proximal portion of a partially duplicated basilar artery in a 36-year-old woman is reported. CT and lumbar puncture confirmed subarachnoid haemorrhage. Cerebral angiography detected a vertebrobasilar junction aneurysm associated with basilar artery fenestration. The patient underwent successful clipping and coating of the aneurysm by a right lateral suboccipital osteoclastic approach. Embryological development, pathogenesis, diagnostic and therapeutic difficulties of this vascular malformation are discussed in this report.

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Authors and Affiliations

  1. Department of Neurosurgery, Karl-Franzens Medical School and University Hospital Graz, Graz, Austria

    S. Eustacchio & G. Pendl

  2. Department of Radiology, Karl-Franzens Medical School and University Hospital Graz, Graz, Austria

    G. E. Klein

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  1. S. Eustacchio
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  2. G. E. Klein
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  3. G. Pendl
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Eustacchio, S., Klein, G.E. & Pendl, G. Ruptured vertebrobasilar junction aneurysm associated with basilar artery fenestration. Acta neurochir 139, 923–927 (1997). https://doi.org/10.1007/BF01411300

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