Journal
NEUROSURGERY
Volume 49, Issue 6, Pages 1461-1464Publisher
OXFORD UNIV PRESS INC
DOI: 10.1097/00006123-200112000-00031
Keywords
basilar artery; endovascular; Guglielmi detachable coils; hemorrhage; third ventriculostomy
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OBJECTIVE AND IMPORTANCE: Third ventriculostomy for the management of noncommunicating hydrocephalus is a commonly performed procedure with a 5% complication rate. One of the known complications is basilar artery injury. CLINICAL PRESENTATION: We report a case of basilar artery injury, intraventricular hemorrhage, and false aneurysm formation in a 30-month-old boy after third ventricle floor fenestration. INTERVENTION: The false aneurysm was managed with endovascular trapping by use of Guglielmi detachable coils without morbidity. CONCLUSION: Endovascular therapy can be used successfully to manage vascular injury after third ventriculostomy.
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