J Korean Neurosurg Soc.  1994 Jul;23(7):821-826.

Nontraumatic Intracranial Dissecting Aneurysm of Vertebral Artery: Case Report

Affiliations
  • 1Department of Neurosurgery, College of Medicine, Hallym University, Seoul, Korea.

Abstract

We present two cases with dissecting aneurysm of intracranial vertebral artery. One of them had brain stem infarction and the other one developed subarachnoid hemorrhage. Cerebral angiogram revealed fusiform dilatation with proximal and distal narrowing of the affected vessel. Magnetic resonance imaging showed subacute blood clot inthe right vertebral artery which suggested dissection. Differentiation from vasospasm and from atherosclerosis is critical. At surgical exposure, the aneurysms were appeared as dark-purplish sausage like masses. The proximal portions of the intracranial vertebral arteries were clipped. The post-operative courses were benign and at present they regained their normal daily lives.

Keyword

Dissecting aneurysm; Vertebral artery; Brain stem infarction; Subarachnoid hemorrhage; Proximal clipping

MeSH Terms

Aneurysm
Aneurysm, Dissecting*
Atherosclerosis
Brain Stem Infarctions
Dilatation
Magnetic Resonance Imaging
Subarachnoid Hemorrhage
Vertebral Artery*
Full Text Links
  • JKNS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr