Ruptured dissecting vertebral artery aneurysm detected by repeated angiography: case report

Neurosurgery. 1995 Jan;36(1):180-2; discussion 182-3. doi: 10.1227/00006123-199501000-00024.

Abstract

A case of a ruptured dissecting aneurysm of the vertebral artery, which was detected by repeated angiography (third time), is reported. A 59-year-old woman, whose preoperative angiogram showed no abnormality, underwent a bifrontal craniotomy and the total removal of the right frontal glioma. However, a subarachnoid hemorrhage was detected by computed tomography the day after the surgery. Conventional angiography performed on the same day revealed no definite abnormality. Nevertheless, 9 days after surgery, a second subarachnoid hemorrhage occurred. The dissecting aneurysm of the vertebral artery was revealed by angiography. It is important to suspect this type of aneurysm as a differential diagnosis when the cause of the subarachnoid hemorrhage is not clarified in the first angiogram.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, Ruptured / diagnostic imaging*
  • Aortic Dissection / diagnostic imaging*
  • Brain Neoplasms / surgery*
  • Cerebral Angiography*
  • Craniotomy
  • Female
  • Frontal Lobe / surgery*
  • Glioma / surgery*
  • Humans
  • Intracranial Aneurysm / diagnostic imaging*
  • Middle Aged
  • Postoperative Complications / diagnostic imaging*
  • Recurrence
  • Tomography, X-Ray Computed
  • Vertebral Artery / diagnostic imaging*