Endovascular management of a basilar artery false aneurysm secondary to endoscopic third ventriculostomy: case report

Neurosurgery. 2001 Dec;49(6):1461-4; discussion 1464-5. doi: 10.1097/00006123-200112000-00031.


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.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / therapy*
  • Basilar Artery / diagnostic imaging
  • Basilar Artery / injuries*
  • Cerebral Angiography
  • Child, Preschool
  • Embolization, Therapeutic*
  • Humans
  • Hydrocephalus / diagnostic imaging
  • Hydrocephalus / surgery*
  • Intracranial Aneurysm / diagnostic imaging
  • Intracranial Aneurysm / therapy*
  • Male
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / therapy*
  • Ventriculostomy / adverse effects*