| Occlusion of the intradural vertebrobasilar artery. | |
| | |
MedLine Citation:
|
PMID: 634467 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The diagnosis of occlusion of the intradural vertebrobasilar artery (OIDVBA) was made by means of cerebral angiography in 22 patients. The clinical presentation, course and followup were studied in conjunction with the angiographic findings in each case and the following conclusions made. OIDVBA is not rare. It occurs one-fourth as often as occlusion of the carotid artery. The correct diagnosis is not made clinically before angiography in the majority of patients. Complete visualization of the neck and intracranial vasculature is necessary to document the occlusion. Atherosclerotic thrombosis is the most common type of occlusive lesion. The most common predisposing factors are atherosclerosis, hypertensive cardiovascular disease, diabetes mellitus, and developmental vertebrobasilar hypoplasia. Most patients with occlusion are in the 7th and 8th decades of life and transient attacks of vertebrobasilar ischemia precede the occlusion in one-half of the cases. Emboli usually lodge in the terminal portion of the basilar artery whereas thrombotic occlusions tend not to be located in a characteristic segment. A majority of patients diagnosed angiographically survive their OIDVBA, but most distal occlusions result in death, often following several weeks of coma. In the surviving majority, disturbance of gait, impairment of vision, and symptoms of transient vertebrobasilar ischemia are the most common sequelae. |
| | |
Authors:
|
J R Thompson; C R Simmons; A N Hasso; D B Hinshaw |
Related Documents
:
|
16628327 - Crossing chronic total occlusions of the iliac and femoral-popliteal vessels and the us... 39077 - Metabolic complications of acute arterial occlusions. 2020257 - Plasma endothelin levels during myocardial ischemia and reperfusion. 6955487 - Perception of vertical dimension. 14755827 - Stent implantation in right-sided patent ductus arteriosus to relieve severe cyanosis i... 11389427 - The role of type i collagen in aortic wall strength with a homotrimeric. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Neuroradiology Volume: 14 ISSN: 0028-3940 ISO Abbreviation: Neuroradiology Publication Date: 1978 Feb |
Date Detail:
|
Created Date: 1978-05-08 Completed Date: 1978-05-08 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 1302751 Medline TA: Neuroradiology Country: GERMANY, WEST |
Other Details:
|
Languages: eng Pagination: 219-29 Citation Subset: IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Basilar Artery / radiography* Cerebral Angiography Dura Mater / blood supply* Female Humans Intracranial Embolism and Thrombosis / radiography Male Middle Aged Vertebral Artery / radiography* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Unilateral exophthalmos caused by organized hematoma of the orbit--report of a case (author's transl...
Next Document: Amipaque myelography without late adhesive arachnoid changes.