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Case Reports
. 2011 Feb 21;3(1):50-3.
doi: 10.1159/000324825.

The challenge of managing fusiform basilar artery aneurysms: from acute ischemic stroke to a massive subarachnoid hemorrhage

Sofia Bezerra  1 , Eduardo Casaroto, Monique Bueno Alves, Leonardo Ierardi Goulart, Marcelo Annes, Gisele Sampaio Silva
Affiliations
Case Reports

The challenge of managing fusiform basilar artery aneurysms: from acute ischemic stroke to a massive subarachnoid hemorrhage

Sofia Bezerra et al. Case Rep Neurol. .

Abstract

We present the case of a patient with acute brain stem ischemic stroke who was found to have a fusiform basilar aneurysm with a thrombus within the dilated vessel. Three days after the ischemic stroke, the patient had a massive subarachnoid hemorrhage and died. This case illustrates the difficulties in the acute management of ischemic events in patients with basilar fusiform aneurysms, because the natural history of this disease encompasses both bleeding and thrombosis.

Keywords: Fusiform basilar aneurysm; Ischemic stroke; Subarachnoid hemorrhage.

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Figures

Fig. 1
Fig. 1
a Noncontrast CT scan showing a hyperdense basilar artery. b CTA showing an intraluminal basilar thrombus. c CTA reconstruction showing a fusiform basilar aneurysm. d Brain magnetic diffusion-weighted resonance imaging showing an acute pontine infarction. e, f Noncontrast CT scans showing a diffuse subarachnoid hemorrhage (Fisher grade 3).
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