neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"neurosurgery-15Research ArticleНАБЛЮДЕНИЕ ИЗ ПРАКТИКИFROM PRACTICEСочетание множественных церебральных аневризм с фенестрацией базилярной артерииSurgical strategy at patients with multiple cerebral aneurysms combined with basilar artery fenestrationХейреддинАли СадекKheireddinA. S.Akheireddin@nsi.ruФилатовЮрий МихайловичFilatovJu. M.noemail@neicon.ruВиноградовЕвгений ВикторовичVinogradovE. V.noemail@neicon.ruФГБУ НИИ нейрохирургии им. Н.Н. Бурденко РАМНRussian FederationНИИ нейрохирургии им. Н.Н. Бурденко РАМНRussian Federation201305102017017578Copyright © Хейреддин А.С., Филатов Ю.М., Виноградов Е.В., 20172017Хейреддин А.С., Филатов Ю.М., Виноградов Е.В.Kheireddin A.S., Filatov J.M., Vinogradov E.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/15

Приведено описание редкого клинического наблюдения пациента 51 года с сочетанием множественных церебральных аневризм и фенестрацией проксимального сегмента базилярной артерии. Больному проведено поэтапное хирургическое лечение с клипированием аневризм проксимального сегмента основной артерии и супраклиноидного сегмента правой ВСА. Представлены данные трехмерной ангиографии, позволяющие четко определить диагноз. Приведенное наблюдение представляет интерес с точки зрения выявления редкой аномалии и ее сочетания с множественными аневризмами с помощью современных ангиографических методов исследований с трехмерной реконструкцией, планирования этапов хирургического лечения.

This article presents the rare clinical case of 51 years old male patient with multiple cerebral aneurysms combined with fenestration of proximal segment of basilar artery. This patient underwent step-by-step surgical treatment with clipping of right supraclinoid aneurysm and aneurysm of proximal segment of basilar artery. The presented data of 3D-angiography allow clarifying the diagnosis. This clinical case is of concern due to rare vessel abnormality combined with multiple cerebral aneurysms and its diagnostics using the modern angiographic methods with 3D-reconstruction useful for planning of surgical treatment steps.

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The authors declare that there are no conflicts of interest present.