Hemorrhage due to a pseudoaneurysm on a dural-pial anastomosis after decompression for Chiari malformation type I: case report
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Hemorrhage due to a pseudoaneurysm on a dural-pial anastomosis after decompression for Chiari malformation type I : case report. / Dahl, Rasmus Holmboe; Kelsen, Jesper; Hansen, Klaus; Hauerberg, John; Benndorf, Goetz.
In: Acta Neurochirurgica, Vol. 164, 2022, p. 3215–3219.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Hemorrhage due to a pseudoaneurysm on a dural-pial anastomosis after decompression for Chiari malformation type I
T2 - case report
AU - Dahl, Rasmus Holmboe
AU - Kelsen, Jesper
AU - Hansen, Klaus
AU - Hauerberg, John
AU - Benndorf, Goetz
N1 - Publisher Copyright: © 2022, The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.
PY - 2022
Y1 - 2022
N2 - While intracranial aneurysms rarely develop after neurosurgical procedures, delayed pseudoaneurysm formation after foramen magnum decompression (FMD) has never been reported. A 52-year-old woman presented with an atypical subarachnoid hemorrhage in the posterior fossa 12 years after a FMD for symptomatic Chiari malformation type I was performed. A pseudoaneurysm on a dural-pial anastomosis was identified as the bleeding source and successfully occluded by endovascular means with full clinical recovery of the patient. Injury to the distal posterior inferior cerebellar artery related to surgery and postoperative infection likely caused formation of a dural-pial anastomosis. Additionally, hemodynamic stress or dissection may have contributed to delayed pseudoaneurysm formation and rupture.
AB - While intracranial aneurysms rarely develop after neurosurgical procedures, delayed pseudoaneurysm formation after foramen magnum decompression (FMD) has never been reported. A 52-year-old woman presented with an atypical subarachnoid hemorrhage in the posterior fossa 12 years after a FMD for symptomatic Chiari malformation type I was performed. A pseudoaneurysm on a dural-pial anastomosis was identified as the bleeding source and successfully occluded by endovascular means with full clinical recovery of the patient. Injury to the distal posterior inferior cerebellar artery related to surgery and postoperative infection likely caused formation of a dural-pial anastomosis. Additionally, hemodynamic stress or dissection may have contributed to delayed pseudoaneurysm formation and rupture.
KW - Case report
KW - Chiari malformation type I
KW - Dural-pial anastomosis
KW - Foramen magnum decompression
KW - Pseudoaneurysm
KW - Transmastoid branch of the occipital artery
U2 - 10.1007/s00701-022-05341-4
DO - 10.1007/s00701-022-05341-4
M3 - Journal article
C2 - 36063230
AN - SCOPUS:85137592109
VL - 164
SP - 3215
EP - 3219
JO - Acta Neurochirurgica, Supplement
JF - Acta Neurochirurgica, Supplement
SN - 0065-1419
ER -
ID: 325631805