Basilar Artery Perforator Aneurysms - The Phantom Menace of the Intracranial Universe.

Klail, Tomas; Pilgram-Pastor, Sara; Serrallach, Bettina Lara; Noti, Luca; Raabe, Max; Bervini, David; Goldberg, Johannes; Kaesmacher, Johannes; Piechowiak, Eike I; Z'Graggen, Werner; Gralla, Jan; Dobrocky, Tomas (2024). Basilar Artery Perforator Aneurysms - The Phantom Menace of the Intracranial Universe. (In Press). Interventional neuroradiology, p. 15910199241264439. Sage 10.1177/15910199241264439

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Cerebral perforators are end-arteries that vascularize specific deep territories in the cerebral hemispheres and brainstem. Due to improved imaging quality, these aneurysms are increasingly diagnosed in clinical routine. High resolution 3D angiographic images are mandatory and in some occasions fusion images might be helpful to detect these aneurysms. Basilar artery perforator aneurysms (or BAPAs) are one of the most common subtypes of perforator aneurysms and might cause subarachnoid hemorrhage along the brainstem (perimesencephalic hemorrhage). Due to the limited evidence, the management of BAPAs may pose a challenge in clinical routine. While some aneurysms can be managed conservatively, a few might require treatment to prevent rebleeding. We present the cases of two patients with BAPAs managed at our center in order to increase the awareness on these potentially underdiagnosed aneurysms.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic and Interventional Neuroradiology
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurosurgery

UniBE Contributor:

Klail, Tomas, Pilgram-Pastor, Sara Magdalena, Serrallach, Bettina Lara, Noti, Luca Lorenz, Bervini, David, Goldberg, Johannes, Kaesmacher, Johannes, Piechowiak, Eike Immo, Z'Graggen, Werner Josef, Gralla, Jan, Dobrocky, Tomas

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2385-2011

Publisher:

Sage

Language:

English

Submitter:

Pubmed Import

Date Deposited:

24 Jul 2024 10:00

Last Modified:

25 Jul 2024 00:16

Publisher DOI:

10.1177/15910199241264439

PubMed ID:

39041414

Uncontrolled Keywords:

Aneurysm endovascular perforator

URI:

https://boris.unibe.ch/id/eprint/199166

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