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Tony Chan (Hong Kong) described the case of a 61-year-old man with no previous medical history. The patient presented after a fall at work with a sudden onset of dizziness and chills, along with a fever of 39.4°C. He also reported an unsteady gait for two to three months and episodes of choking while eating.
A CT scan revealed a 4 cm round mass located anterior to the brainstem, causing obstructive hydrocephalus. CTA confirmed a 4 cm basilar trunk artery aneurysm.
After extensive discussions about the management strategy, the surgical team decided on a "semi-flow diverter" with loose filling using a jailing and bifemoral technique. This approach aimed to achieve slow thrombosis of the aneurysm while preserving the perforators.
Unfortunately, the procedure did not go as planned. Discover the complications encountered by the team.
