Ruptured Vertebral Artery Dissecting Aneurysm Associated With Parent Artery Occlusion-Case Report
| Autor: | Masahiro Kameda, Hiroshi Sugatani, Takaho Tanimoto, Kaoru Terasaka, Toru Higashi, Kyoji Sakai |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
Subarachnoid hemorrhage medicine.diagnostic_test business.industry Vertebral artery Magnetic resonance imaging Dissection (medical) medicine.disease Lesion Aneurysm medicine.artery Occlusion Angiography Medicine Surgery Neurology (clinical) Radiology medicine.symptom business |
| Zdroj: | Neurologia medico-chirurgica. 43:298-300 |
| ISSN: | 1349-8029 0470-8105 |
| DOI: | 10.2176/nmc.43.298 |
| Popis: | A 63-year-old hypertensive man presented with vertebral artery (VA) dissection manifesting as subarachnoid hemorrhage located mainly in the posterior fossa. Left vertebral angiography on the day of hemorrhage showed complete occlusion of the left VA. Right vertebral angiography showed retrograde filling of the distal portion of the left VA and the left posterior inferior cerebellar artery, and a “double lumen”-like finding in the left VA. He was managed conservatively. Follow-up angiography on Day 29 showed spontaneous recanalization of the occlusive lesion and an almost normal arterial configuration. T2-weighted magnetic resonance (MR) imaging on Day 45 revealed multiple infarctions in the brainstem. T1-weighted MR imaging showed a high intensity area, suggestive of intramural hematoma, in the left VA. He was transferred to another hospital in a persistent vegetative state. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|