"Double Trouble": Ultra-Early Formation and Rupture of a De Novo Terminal Basilar Artery Aneurysm After Aneurysmal Subarachnoid Hemorrhage.

IF 2.8 Q2 PERIPHERAL VASCULAR DISEASE

Vascular Health and Risk Management Pub Date : 2026-04-23 eCollection Date: 2026-01-01 DOI:10.2147/VHRM.S582055

Ying Wang, Fenghua Chen, Hua Chen, Longbo Zhang

{"title":"\"Double Trouble\": Ultra-Early Formation and Rupture of a De Novo Terminal Basilar Artery Aneurysm After Aneurysmal Subarachnoid Hemorrhage.","authors":"Ying Wang, Fenghua Chen, Hua Chen, Longbo Zhang","doi":"10.2147/VHRM.S582055","DOIUrl":null,"url":null,"abstract":"Introduction: The formation of de novo intracranial aneurysms (DNIAs) often occurs months or years after the initial identification of an intracranial aneurysm. Consensus on surveillance after surgery remains elusive.Case presentation: A 53-year-old woman presented with a recurrent subarachnoid hemorrhage (SAH) caused by a rapidly expanding de novo basilar tip aneurysm, which developed and ruptured within 6 days of a previous SAH due to the rupture of a posterior communicating artery aneurysm. Both SAH incidents were successfully treated with microsurgical clipping. A computed tomography angiography at a 1-year follow-up did not detect any DNIAs.Conclusion: DNIAs can form within days after primary surgery. Therefore, conducting early postoperative angiography is crucial to detect and manage DNIAs and prevent SAH, especially in high-risk cases. In addition, since DNIAs are more prone to rupture, early clinical intervention is recommended.","PeriodicalId":23597,"journal":{"name":"Vascular Health and Risk Management","volume":"22 ","pages":"582055"},"PeriodicalIF":2.8000,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116535/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Vascular Health and Risk Management","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2147/VHRM.S582055","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PERIPHERAL VASCULAR DISEASE","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: The formation of de novo intracranial aneurysms (DNIAs) often occurs months or years after the initial identification of an intracranial aneurysm. Consensus on surveillance after surgery remains elusive.

Case presentation: A 53-year-old woman presented with a recurrent subarachnoid hemorrhage (SAH) caused by a rapidly expanding de novo basilar tip aneurysm, which developed and ruptured within 6 days of a previous SAH due to the rupture of a posterior communicating artery aneurysm. Both SAH incidents were successfully treated with microsurgical clipping. A computed tomography angiography at a 1-year follow-up did not detect any DNIAs.

Conclusion: DNIAs can form within days after primary surgery. Therefore, conducting early postoperative angiography is crucial to detect and manage DNIAs and prevent SAH, especially in high-risk cases. In addition, since DNIAs are more prone to rupture, early clinical intervention is recommended.

查看原文本刊更多论文

“双重麻烦”：动脉瘤性蛛网膜下腔出血后基底动脉末端动脉瘤的超早期形成和破裂。

新生颅内动脉瘤（DNIAs）的形成通常发生在颅内动脉瘤最初发现数月或数年后。手术后监测的共识仍然难以捉摸。病例介绍：一名53岁的女性因颅底尖端动脉瘤快速扩张引起的复发性蛛网膜下腔出血（SAH），由于后交通动脉瘤破裂，该动脉瘤在先前的SAH后6天内发展并破裂。两例SAH均通过显微外科夹持成功治疗。1年随访的计算机断层血管造影未发现任何dnia。结论：DNIAs可在原发性手术后数天内形成。因此，术后早期进行血管造影对于发现和处理DNIAs，预防SAH至关重要，尤其是在高危病例中。此外，由于dnia更容易破裂，建议早期临床干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Vascular Health and Risk Management PERIPHERAL VASCULAR DISEASE-

CiteScore

4.20

自引率

3.40%

发文量

109

审稿时长

16 weeks

期刊介绍： An international, peer-reviewed journal of therapeutics and risk management, focusing on concise rapid reporting of clinical studies on the processes involved in the maintenance of vascular health; the monitoring, prevention, and treatment of vascular disease and its sequelae; and the involvement of metabolic disorders, particularly diabetes. In addition, the journal will also seek to define drug usage in terms of ultimate uptake and acceptance by the patient and healthcare professional.