Basilar fusiform aneurysm

Case contributed by Dr. Ekaterina Peshevich
Diagnosis certain


Referred for evaluation of a swallowing disorder.

Patient Data

Age: 70 years
Gender: Female



Fusiform dilatation of the basilar artery with calcium inclusions in the artery wall, with partial thrombosis. Hypoplastic right vertebral artery.

CT non contrast


Fusiform aneurysm of the basilar artery, partially thrombosed. Hypoplastic right vertebral artery.

Case Discussion

There is fusiform dilatation of the basilar artery, with partial thrombosis. the mass effect of the aneurysm seems to be having on to the brainstem, probably caused by swallowing disorder. The right vertebral artery is not clearly visible, it has a thin diameter.

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