Giant Serpentine Vertebrobasilar Aneurysm with Vertebral Artery Hypoplasia and Fenestration- A Case Report
Intracranial aneurysm in paediatric age group is rare and association of the aneurysm with congenital vertebral artery anomaly is further rarer. We describe such a case in an 11-year-old male patient who consulted a paediatrician about headache and vertigo, and a noncontrast CT (NCCT) head reveale...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2015-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/5645/11125_CE(RA1)_F(T)_PF1(PAK)_PFA(AK)_PF2(PAG).pdf |
| Summary: | Intracranial aneurysm in paediatric age group is rare and association of the aneurysm with congenital vertebral artery anomaly is
further rarer. We describe such a case in an 11-year-old male patient who consulted a paediatrician about headache and vertigo, and
a noncontrast CT (NCCT) head revealed peripherally calcified hyperdense mass in prepontine and basal cisterns. Magnetic resonance
imaging (MRI) including contrast enhanced magnetic resonance angiography (MRA) revealed partially thrombosed giant serpentine
aneurysm of right vertebrobasilar artery and contralateral hypoplastic vertebral artery with fenestration. The nondominant left vertebral
artery gave off the posterior inferior cerebellar artery, then became hypoplastic and joined with its counterpart to form the basilar artery.
This pattern is called as type 9. The patient was kept on conservative management. The role of MRI in this congenital anomaly and its
association with vertigo and aneurysm of vertebro-basilar artery is discussed. |
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| ISSN: | 2249-782X 0973-709X |