Patient and aneurysm characteristics of 10 patients with vertebrobasilar junction aneurysms

Patient No./Sex/ AgeClinical PresentationAneurysmTimingTreatmentInitial/Final Result (%)Outcome (months)Angiographic Follow-UpRemarks
1/F/75SAH + IVH, HH V10-mm, dumbbell, fenestration2 daysCoil occlusion100GOS 3 (43)RefusedDependent in nursing home
2/F/46SAH, HH III12 mm, fenestration2 daysCoil occlusion90–90GOS 1 (30)30 monthsAdditional AcomA aneurysm coiled
3/M/31SAH, HH III7 mm10 daysCoil occlusion100–100GOS 1 (18)6 months
4/F/52SAH, HH II5 mm, fenestration2 daysCoil occlusion100–100GOS 1 (24)24 months
5/F/44SAH + IVH, HH IV6 mm, fenestration3 daysCoil occlusion, EVD100GOS 5 (0.2)Died of vasospasm
6/M/64SAH + IVH, HH I10 mm, dumbbell fenestration2 daysCoil occlusion, EVD100–100GOS 1 (27)12 monthsDied 27 months later of cardiac disease
7/M/29SAH + IVH, HH III12-mm, dumbbell2 daysCoil occlusion90–100GOS 1 (6)6 monthsProgressive thrombosis, aneurysm + V4 segments bilaterally
8/M/55SAH + IVH, HH II5 mm, fenestration6 daysCoil occlusion100–90GOS 1 (27)27 months
9/F/70SAH + IVH, HH V17 mm, fenestration1 dayCoil occlusion EVD100GOS (0.1)Died of SAH
10/M/30Mass effect: neck pain, right sided muscle, weakness, and swallowing difficulty47 mm, partially thrombosedBilateral vertebral artery occlusion, V3 right, V4 left, later coiling via PcomA0–100GOS 1 (24)24 monthsProgressive complete thrombosis and partial involution aneurysm + V4 segments bilaterally; mass effect cured
  • Note:—IVH indicates intraventricular hemorrhage; GOS, Glasgow Outcome Scale; –, not applicable; EVD, extraventricular drainage; PcomA, posterior communicating artery; AcomA, anterior communicating artery; SAH, subarachnoid hemorrhage; HH, Hunt and Hess scale.