{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T13:44:49Z","timestamp":1767015889590},"reference-count":29,"publisher":"Baishideng Publishing Group Inc.","issue":"20","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Clin Cases"],"abstract":"BACKGROUND<\/jats:p>\n Subarachnoid hemorrhage is a severe neurological condition that requires prompt and appropriate treatment to prevent complications. Aneurysms are the most common cause of spontaneous subarachnoid hemorrhage. Conversely, basilar artery perforator aneurysms (BAPAs) are a rare etiology. There is no consensus on the optimal management of ruptured BAPAs in the acute setting.<\/jats:p>\n CASE SUMMARY<\/jats:p>\n We present a case series of 3 patients with ruptured BAPAs who were treated at our institution. Two patients had a modified Fisher grade of I, and one had a grade of IV on initial presentation. The aneurysms were detected by computed tomography angiography in two cases and conventional angiography in one case. The 3 patients underwent endovascular treatment with Guglielmi detachable coils. Post-treatment, the patients had good clinical outcomes, and follow-up brain computed tomography scans showed reduced subarachnoid hemorrhage without any new hemorrhage. However, one patient experienced a cerebral infarction 2 months later and eventually succumbed to the condition. The other 2 patients showed progressive recovery, and no aneurysm recurrence was observed at the 2-year follow-up.<\/jats:p>\n CONCLUSION<\/jats:p>\n Endovascular treatment may be a preferable approach for managing ruptured BAPAs compared with surgical intervention or conservative management. Early detection and prompt treatment is important to achieve favorable patient outcomes.<\/jats:p>","DOI":"10.12998\/wjcc.v12.i20.4337","type":"journal-article","created":{"date-parts":[[2024,6,30]],"date-time":"2024-06-30T03:17:23Z","timestamp":1719717443000},"page":"4337-4347","source":"Crossref","is-referenced-by-count":3,"title":["An unusual etiology of subarachnoid hemorrhage, basilar artery perforator aneurysms, in Macao: Three case reports and review of literature"],"prefix":"10.12998","volume":"12","author":[{"given":"Ieong-Chon","family":"Man","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tam-Man","family":"Pan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kuok-Cheong","family":"U","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2060","published-online":{"date-parts":[[2024,7,16]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199608000-00034"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1016\/j.emc.2016.06.011"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1177\/1591019916659261"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.3171\/2014.7.JNS132411"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-015-1634-1"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2016-012407"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.3171\/JNS-07\/09\/0654"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2011.04.049"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2012-010557"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2016.10.038"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-005-0615-2"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000337576.98984.E4"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-009-0416-0"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.3109\/02688690903572095"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2012-010387"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000000308"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuchi.2016.03.003"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2016-012891"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.1177\/1591019917720807"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2019.01.026"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2020.10.021"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.2176\/nmccrj.cr.2019-0143"},{"key":"B23","doi-asserted-by":"publisher","DOI":"10.1177\/1591019920987913"},{"key":"B24","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2020.03.042"},{"key":"B25","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.18021"},{"key":"B26","doi-asserted-by":"publisher","DOI":"10.4103\/0028-3886.304111"},{"key":"B27","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2021.12.034"},{"key":"B28","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2020.104855"},{"key":"B29","doi-asserted-by":"publisher","DOI":"10.1007\/s00062-021-01133-y"}],"container-title":["World Journal of Clinical Cases"],"original-title":[],"link":[{"URL":"https:\/\/www.wjgnet.com\/2307-8960\/full\/v12\/i20\/4337.htm","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.wjgnet.com\/2307-8960\/full\/v12\/i20\/4337.htm","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,30]],"date-time":"2024-06-30T06:48:31Z","timestamp":1719730111000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.wjgnet.com\/2307-8960\/full\/v12\/i20\/4337.htm"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,16]]},"references-count":29,"journal-issue":{"issue":"20"},"URL":"https:\/\/doi.org\/10.12998\/wjcc.v12.i20.4337","relation":{},"ISSN":["2307-8960"],"issn-type":[{"value":"2307-8960","type":"print"}],"subject":[],"published":{"date-parts":[[2024,7,16]]}}}