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  • Title: Endovascular management of a basilar artery false aneurysm secondary to endoscopic third ventriculostomy: case report.
    Author: Horowitz M, Albright AL, Jungreis C, Levy EI, Stevenson K.
    Journal: Neurosurgery; 2001 Dec; 49(6):1461-4; discussion 1464-5. PubMed ID: 11859828.
    Abstract:
    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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