Case Report: Thrombosis of a ruptured fusiform basilar apex aneurysm after stenting and selective coiling

Abstract

Large fusiform and dissecting type intracranial aneurysms represent a challenge to both endovascular as well
as microsurgical treatment approaches. Those involving
the upper basilar artery and basilar apex represent a particular challenge. In many cases these aneurysms are not
amenable to intravascular coiling without occluding the
parent vessel. Clip reconstructions of such aneurysms
are technically difficult, and are also associated with a
high probability of morbidity and mortality. We present
an interesting case involving a ruptured fusiform aneurysm of the basilar apex