| Dissecting giant vertebro-basilar aneurysms. | |
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MedLine Citation:
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PMID: 12715187 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECT: Vertebro-basilar dissecting aneurysms (VDAs) are very rare in children. Strokes or subarachnoid hemorrhage are characteristic clinical manifestations, but often only non-specific symptoms are found. Radiological diagnosis may be difficult to obtain and therapy hard to perform. We report on a child who presented with an intracranial mass effect due to a giant VDA. METHODS: The patient was a 8-year-old girl with right hemiparesis, ataxia, dysphagia and dysphonia and worsening of her neurological deficits. Neuroimaging discovered a giant dissecting aneurysm arising from the left vertebral artery and involving the vertebro-basilar junction. Endovascular treatment by coil embolization was performed. The post-operative course initially showed a remarkable improvement in her clinical condition. Afterwards, she developed cerebral hemorrhage and died. CONCLUSION: VDAs may have an unusual presentation and their therapy still remains a challenge. Endovascular embolization is a valid option but, as it is surgery, it may cause the death of the patient. |
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Authors:
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Luca Massimi; Jacques Moret; Giampiero Tamburrini; Concezio Di Rocco |
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Publication Detail:
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Type: Case Reports; Journal Article; Review Date: 2003-03-25 |
Journal Detail:
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Title: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery Volume: 19 ISSN: 0256-7040 ISO Abbreviation: Childs Nerv Syst Publication Date: 2003 Apr |
Date Detail:
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Created Date: 2003-04-25 Completed Date: 2003-09-02 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 8503227 Medline TA: Childs Nerv Syst Country: Germany |
Other Details:
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Languages: eng Pagination: 204-10 Citation Subset: IM |
Affiliation:
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Pediatric Neurosurgery, Catholic University School of Medicine, Largo A. Gemelli, 8, 00168 Rome, Italy. lucamax30@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aneurysm, Dissecting*
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radiography,
therapy Basilar Artery* Cerebral Angiography Child Embolization, Therapeutic / methods Fatal Outcome Female Humans Intracranial Aneurysm* / radiography, therapy Magnetic Resonance Imaging Tomography, X-Ray Computed Vertebral Artery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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