Rebleeding from intracranial dissecting aneurysm in the vertebral artery.
نویسندگان
چکیده
We describe two patients with rebleeding from intracranial vertebral artery dissecting aneurysms during the acute stage. One patient had excellent results after emergency surgery. A review of recent reports including 60 patients with this disorder revealed a rebleeding rate of 30%, mostly during the acute stage. This suggests that a ruptured dissecting aneurysm in the vertebral artery is at risk for rebleeding during the acute stage, similar to a saccular aneurysm in the same location.
منابع مشابه
Early Rebleeding after Internal Trapping of a Ruptured Vertebral Artery Dissecting Aneurysm: A Case Report
aneurysms of the vertebrobasilar system has been reported to account for 4.5% of intracranial SAH (1). Since ruptured VA dissecting aneurysms are associated with a higher incidence of rebleeding (2, 3), early diagnosis and treatment are required (4). Due to its lower invasiveness and good outcomes, endovascular treatment has been considered an alternative treatment modality for ruptured VA diss...
متن کاملEndovascular Treatments for Ruptured Intracranial Vertebral Artery Dissecting Aneurysms: Experience in 16 Patients
Objective Intracranial vertebral artery dissecting aneurysms are rare lesions that are considered an important cause of spontaneous subarachnoid hemorrhage. We report our decade-long experience in treating ruptured intracranial vertebral artery dissecting aneurysms. Materials and Methods This retrospective single-center study included 21 consecutive patients between February 2005 and March 20...
متن کاملVertebral artery dissecting aneurysm rebleeding after proximal occlusion--case report.
A 38-year-old male presented with vertebral artery dissecting aneurysm manifesting as subarachnoid hemorrhage. An attempt at trapping the aneurysm failed, so the vertebral artery could only be clipped proximally. Rebleeding occurred, resulting in death, probably due to excessive length of the dissection requiring thrombosis and/or retrograde dissection due to back pressure from the contralatera...
متن کاملRebleeding from a vertebral artery dissecting aneurysm after endovascular internal trapping: adverse effect of intrathecal urokinase injection or incomplete occlusion?-case report-.
A 67-year-old woman suffered rebleeding from a ruptured vertebral artery dissecting aneurysm after endovascular internal trapping. The dissecting aneurysm was initially successfully occluded with the affected vertebral artery using detachable coils. However, rebleeding from the aneurysm occurred on the next day. The rebleeding may have resulted from the thrombolytic effect of urokinase, which w...
متن کاملDissecting aneurysms of the intracranial vertebral artery.
Among 86 patients with aneurysms arising from the vertebral artery or its branches, 24 had dissecting aneurysms. The patients with dissecting aneurysms were characteristically relatively young males. Twenty-one patients presented with subarachnoid hemorrhage (SAH) and three with ischemia. Severe headache or neck pain occurred in all three patients with ischemia. Five of the 21 patients with SAH...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Stroke
دوره 21 11 شماره
صفحات -
تاریخ انتشار 1990