The unusual angiographic course of intracranial pseudoaneurysms.
Publication/Presentation Date
1-1-2015
Abstract
Although rare, traumatic intracranial pseudoaneurysms remain one of the most difficult vascular lesions to diagnose and treat. A 55-year-old male patient underwent endoscopic endonasal transphenoidal resection for a pituitary macroadenoma. The operation was complicated by an arterial bleed. The initial angiogram revealed pseudoaneurysm of the anterior choroidal artery. Although the pseudoaneurysm completely disappeared on the second angiogram, it was surprisingly found to have enlarged on the third angiogram. The lesion was successfully treated with flow-diversion using a pipeline embolization device. The present case demonstrates that the natural history of iatrogenic pseudoaneurysms may be unpredictable and misleading. Traumatic pseudoaneurysms should, therefore, be carefully followed when conservative treatment is elected or when the lesion seems to have spontaneously regressed. Flow-diversion seems to be a reasonable treatment option.
Volume
10
Issue
4
First Page
327
Last Page
330
ISSN
1793-5482
Published In/Presented At
Zanaty, M., Chalouhi, N., Jabbour, P., Starke, R. M., & Hasan, D. (2015). The unusual angiographic course of intracranial pseudoaneurysms. Asian journal of neurosurgery, 10(4), 327–330. https://doi.org/10.4103/1793-5482.162721
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
26425168
Department(s)
Administration and Leadership
Document Type
Article