Document Detail

Dissecting aneurysm of the vertebral artery causing subarachnoid hemorrhage after non-hemorrhagic infarction--case report.
MedLine Citation:
PMID:  11153193     Owner:  NLM     Status:  MEDLINE    
A 45-year-old male presented with lateral medullary infarction. Cerebral angiography showed dissecting aneurysm as pearl and string sign in the right vertebral artery (VA). Conservative treatment was administered with antiplatelet agent. However, subarachnoid hemorrhage occurred 2 days after admission, inducing coma. Intraaneurysmal embolization and proximal occlusion of the right VA by intravascular surgery resulted in only mild neurological deficits. Conservative treatment including strict control of blood pressure is the first choice of treatment. Antiplatelet therapy and anticoagulant therapy should not be administered. Patients must be followed up by serial angiography and surgery considered if signs of aneurysmal progression are seen.
M Tsutsumi; T Kawano; T Kawaguchi; Y Kaneko; H Ooigawa
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  40     ISSN:  0470-8105     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  2000 Dec 
Date Detail:
Created Date:  2001-01-10     Completed Date:  2001-02-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  628-31     Citation Subset:  IM    
Department of Neurosurgery, Fukuoka Tokushukai Hospital, Kasuga, Fukuoka.
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MeSH Terms
Aneurysm, Dissecting / diagnosis,  therapy*
Brain Stem Infarctions / diagnosis,  surgery*
Diagnostic Imaging
Embolization, Therapeutic
Intracranial Aneurysm / diagnosis,  therapy*
Middle Aged
Subarachnoid Hemorrhage / diagnosis,  therapy*
Vertebral Artery / pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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