Türk Nöroşirürji Dergisi 2022 , Vol 32 , Num 1
A Giant Vertebral Aneurysm Presented with Cough and Dyspnea, An Extraordinary Case Report and Review of the Literature
Yigit Can SENOL1,Ayberk KARAMAN1,Halis Emre CIFTCI1,Elif ORHUN1,Bige SAYIN2,Ilkay AKMANGIT2,Ergun DAGLIOGLU1
1Ankara Bilkent City Hospital, Department of Neurosurgery, Ankara, Turkey
2Ankara Bilkent City Hospital, Department of Interventional Radiology, Ankara, Turkey
Abstract: We report an exceptional case of vertebral artery aneurysm presented with dyspnea and cough which is hidden under symptoms of bronchiectasis. Literature showed that cough can be an exceptional symptom of vertebral aneurysms.

Vertebral aneurysms presented with cough are rare and might be confused with other lung diseases such as pneumonia, chronic obstructive lung disease (COPD) or bronchiectasis.

Introduction: Giant intracranial aneurysms are rare entities defined by a diameter of at least 25 mm, accounting for 5% of all cases of intracranial aneurysm. These aneurysms can be treated with endovascular; flow diverters, stents, primary coiling and combined treatments and vascular procedures such as clipping, or bypass surgeries. In the present case report, because of the main symptoms of cough and dyspnea, aneurysm diagnoses are delayed and the patient had a treatment of bronchiectasis over a year.

Conclusion: Cough and dyspnea can be the only symptoms of the aneurysms. Vertebral aneurysm should be in the differential diagnoses of coughs that don"t alleviate. Anahtar Kelimeler : Vertebral Artery Aneurysm, Endovascular Treatment, Cough, Dyspnea