scholarly journals Surgical clip occlusion of the V3 segment to prevent recurrent cerebral infarction associated with extracranial vertebral artery dissection: A case report

2020 ◽  
Vol 11 ◽  
pp. 337
Author(s):  
Ryo Aiura ◽  
Masaki Matsumoto ◽  
Tohru Mizutani ◽  
Tatsuya Sugiyama ◽  
Daisuke Tanioka
Keyword(s):  
Cerebral Infarction ◽  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Parent Artery ◽  
Surgical Clip ◽  
Parent Artery Occlusion ◽  
Extracranial Vertebral Artery ◽  
Collateral Vessels ◽  
Clip Occlusion

Background: Recurrent cerebral infarction caused by traumatic extracranial vertebral artery dissection (EVAD) is treated medically and surgically. We report a case of EVAD that was treated using surgical clip occlusion of the V3 segment to prevent recurrent cerebral infarction. Case Description: A 48-year-old man was admitted for a cerebral infarction caused by EVAD and was treated using 200 mg/day cilostazol. Afterward, the cerebral infarction recurred. Digital subtraction angiography revealed that initial severe stenosis of the VA ostium resulted in the final occlusion and that collateral vessels to the VA remained. We continued antiplatelet therapy, but the cerebral infarction recurred due to thromboembolism of the collateral vessels. Parent artery occlusion was planned. We exposed the V3 segment of the VA and clipped it to prevent the recurrence of cerebral infarction. Conclusion: Surgical clip occlusion of the V3 segment was effective for treating recurrent cerebral infarction caused by traumatic EVAD that had remained an issue despite continuing medical therapy.

Dissecting aneurysm of the radiculomedullary artery originating from extracranial vertebral artery dissection in a patient with rheumatoid cervical spine disease: an unusual cause of subarachnoid hemorrhage

2007 ◽  
Vol 7 (6) ◽  
pp. 660-663 ◽  
Author(s):  
Shingo Toyota ◽  
Akatsuki Wakayama ◽  
Yasunori Fujimoto ◽  
Shiro Sugiura ◽  
Toshiki Yoshimine
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Dissecting Aneurysm ◽  
Cranial Computed Tomography ◽  
Artery Dissection ◽  
Parent Artery ◽  
Atlantoaxial Joint ◽  
Computed Tomography Scanning ◽  
Extracranial Vertebral Artery

✓The authors report the case of a 65-year-old woman with atlantoaxial subluxation caused by rheumatoid arthritis. The patient had been hospitalized because of an infection after a total-knee replacement, when she suddenly lost consciousness and became apneic after an episode of intractable neck pain. Cranial computed tomography scanning demonstrated subarachnoid hemorrhage (SAH), and angiography revealed a dissecting aneurysm of the radiculomedullary artery that had originated from an extracranial vertebral artery dissection at the level of the atlantoaxial joint. Although coil embolization for the parent artery, including the dissecting aneurysm, was performed successfully, the patient died of worsening infection. The authors believe that the SAH occurred because of a ruptured dissecting aneurysm in the intradural portion of the radiculomedullary artery.

Extracranial vertebral artery dissection after trauma: A 5-year review

1997 ◽  
Vol 84 (1) ◽  
pp. 94-94 ◽  
Author(s):  
L. C. Thibodeaux ◽  
A. T. Hearn ◽  
J. L. Peschiera ◽  
R. M. Deshmukh ◽  
G. M. Kerlakian ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Extracranial Vertebral Artery

scholarly journals Ultrasound findings in spontaneous extracranial vertebral artery dissection.

Stroke ◽  
1993 ◽  
Vol 24 (12) ◽  
pp. 1910-1921 ◽  
Author(s):  
M Sturzenegger ◽  
H P Mattle ◽  
A Rivoir ◽  
F Rihs ◽  
C Schmid
Keyword(s):  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Ultrasound Findings ◽  
Extracranial Vertebral Artery

A case of extracranial vertebral artery dissection with spontaneous recovery

1997 ◽  
Vol 6 (3) ◽  
pp. 197-201
Author(s):  
Annamaria Casali ◽  
Stefano Gaiani ◽  
Fabio Piscaglia ◽  
Laura Gramantieri ◽  
Livia Masi ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Spontaneous Recovery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Extracranial Vertebral Artery
Sign in / Sign up

Export Citation Format

Share Document