Aneurysm of the anterior choroidal artery with intraventricular hematoma and hydrocephalus

Abstract

✓ An aneurysm of the intraventricular portion of the anterior choroidal artery is reported. Rupture of the aneurysmal sac had given rise to extensive intraventricular clotting, cisternal blockade, and the development of hypertensive tetraventricular hydrocephalus. A combination of pneumoencephalography, angiography, and tomography defined the exact nature and topography of the lesion. The vascular malformation was removed and a ventriculoatrial shunt inserted. The patient, who was severely arteriosclerotic and hypertensive, died from myocardial infarction 3 months after surgical treatment.