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. 2007 Oct;28(9):1747–1751. doi: 10.3174/ajnr.A0654

Patient and aneurysm characteristics of 10 patients with vertebrobasilar junction aneurysms

Patient No./Sex/ Age Clinical Presentation Aneurysm Timing Treatment Initial/Final Result (%) Outcome (months) Angiographic Follow-Up Remarks
1/F/75 SAH + IVH, HH V 10-mm, dumbbell, fenestration 2 days Coil occlusion 100 GOS 3 (43) Refused Dependent in nursing home
2/F/46 SAH, HH III 12 mm, fenestration 2 days Coil occlusion 90–90 GOS 1 (30) 30 months Additional AcomA aneurysm coiled
3/M/31 SAH, HH III 7 mm 10 days Coil occlusion 100–100 GOS 1 (18) 6 months
4/F/52 SAH, HH II 5 mm, fenestration 2 days Coil occlusion 100–100 GOS 1 (24) 24 months
5/F/44 SAH + IVH, HH IV 6 mm, fenestration 3 days Coil occlusion, EVD 100 GOS 5 (0.2) Died of vasospasm
6/M/64 SAH + IVH, HH I 10 mm, dumbbell fenestration 2 days Coil occlusion, EVD 100–100 GOS 1 (27) 12 months Died 27 months later of cardiac disease
7/M/29 SAH + IVH, HH III 12-mm, dumbbell 2 days Coil occlusion 90–100 GOS 1 (6) 6 months Progressive thrombosis, aneurysm + V4 segments bilaterally
8/M/55 SAH + IVH, HH II 5 mm, fenestration 6 days Coil occlusion 100–90 GOS 1 (27) 27 months
9/F/70 SAH + IVH, HH V 17 mm, fenestration 1 day Coil occlusion EVD 100 GOS (0.1) Died of SAH
10/M/30 Mass effect: neck pain, right sided muscle, weakness, and swallowing difficulty 47 mm, partially thrombosed Bilateral vertebral artery occlusion, V3 right, V4 left, later coiling via PcomA 0–100 GOS 1 (24) 24 months Progressive 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.