Document Detail

Intraoperative visualization of bilateral thrombosis in the posterior inferior cerebellar artery apparent in the telovelomedullary segment.
MedLine Citation:
PMID:  25328728     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Unilateral posterior inferior cerebellar artery (PICA) thrombosis is frequent. However, bilateral PICA thrombosis is rare. Herein we report about an intraoperative visualization of a bilateral thrombosis of the telovelomedullary segment of the PICA. A 74-year-old woman was admitted to our department on day two of a bilateral PICA thrombosis with developing cerebellar infarction. Her Glasgow Coma Scale score dropped from 15 to 13, and cranial computed tomography revealed compression of the fourth ventricle with consecutive occlusive hydrocephalus. After the insertion of an external ventricular drainage, the patient underwent urgent suboccipital decompressive craniectomy with removal of infarcted cerebellar tonsils, which allowed the bilateral visualization of the thrombosed telovelomedullary segments. The surgical access may offer surgical therapeutic options in a hyperacute occlusion, such as thromb-/embolectomy or bypass procedures.
Edin Nevzati; Bawarjan Schatlo; Ali-Reza Fathi; Javier Fandino; Carl Muroi
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Publication Detail:
Type:  Journal Article     Date:  2014-09-28
Journal Detail:
Title:  Case reports in neurological medicine     Volume:  2014     ISSN:  2090-6668     ISO Abbreviation:  Case Rep Neurol Med     Publication Date:  2014  
Date Detail:
Created Date:  2014-10-20     Completed Date:  2014-10-20     Revised Date:  2014-10-22    
Medline Journal Info:
Nlm Unique ID:  101576451     Medline TA:  Case Rep Neurol Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  247652     Citation Subset:  -    
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