Weber Medicine & Clinical Case Reports


March 2019, Vol. 5 (1), ISSN:2449-1624

© Author(s) 2019. This work is distributed under the Creative Commons Attribution 3.0 License.

Research Article

Endovascular Treatment of Iatrogenic Internal Carotid Artery Bifurcation Dissecting Aneurysm following Craniopharyngioma Resection

Giancarlo Saal-Zapata MD1, Walter Durand MD1, Kenneth López MD2, Jesús Flores MD1, Dante Valer MD1, Ricardo Vallejos MD1 & Rodolfo Rodriguez MD1

1Department of Neurosurgery, Neuroradiology Unit, Hospital Nacional Guillermo Almenara Irigoyen - EsSalud, Lima, Perú.

2Department of Neurosurgery, Vascular and Tumor Surgery Unit, Hospital Nacional Guillermo Almenara Irigoyen - EsSalud, Lima, Perú.



Accepted 14th March, 2019; Available Online 15thMarch, 2019.


Abstract:

Dissecting intracranial aneurysms are rare. Even rare are those following resection of a craniopharyngioma. Herein, we report the case of a 42 year-old female who was admitted for surgery of a solid craniopharyngioma. One month after discharge is admitted again for loss of cerebro spinal fluid (CSF) through the nostrils: a fistula is diagnosed and was treated. In postoperative computed tomography (CT), a vascular dilation is observed, complementary digital subtraction angiography (DSA) reveals a dissecting aneurysm at the right internal carotid artery (ICA) bifurcation. Endovascular treatment is proposed and performed without complications. Endovascular treatment is a feasible option in cases of iatrogenic dissecting aneurysms after tumor removal.

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