Dissecting intracranial vertebral artery aneurysms.

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dc.contributor.authorBhattacharya, R Nen_US
dc.contributor.authorMenon, Gen_US
dc.contributor.authorNair, Sen_US
dc.date.accessioned2001-12-19en_US
dc.date.accessioned2009-06-03T11:54:22Z
dc.date.available2001-12-19en_US
dc.date.available2009-06-03T11:54:22Z
dc.date.issued2001-12-19en_US
dc.description17 references.en_US
dc.description.abstractDissecting aneurysms of the intracranial arteries are exceedingly rare vascular lesions that can produce acute cerebral or brain stem infarction in young healthy adults. They carry a high mortality rate. Two cases of dissecting vertebral artery aneurysms that presented with bleed, were successfully operated by trapping and excision of the dissecting segment. Both dissecting aneurysms were located distal to PICA origin. Both the patients developed post operative lower cranial nerve paresis and one developed lateral medullary syndrome, which improved subsequently. Dissecting aneurysms presenting with bleed should be surgically managed by trapping and excising the involved segment sparing the PICA origin or by interventional radiological techniques. Revascularisation procedures should be considered in addition to trapping of the main vertebral segment if PICA is involved in the trapped segment. The diagnostic and therapeutic difficulties associated with dissecting vertebral artery aneurysms and the controversies regarding their management have been reviewed.en_US
dc.description.affiliationDepartment of Neurosurgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum - 695011, India. rnb@sctimst.ker.nic.inen_US
dc.identifier.citationBhattacharya RN, Menon G, Nair S. Dissecting intracranial vertebral artery aneurysms. Neurology India. 2001 Dec; 49(4): 391-4en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/121200
dc.language.isoengen_US
dc.source.urihttps://neurologyindia.comen_US
dc.subject.meshAdulten_US
dc.subject.meshAneurysm, Dissecting --diagnosisen_US
dc.subject.meshAngiography, Digital Subtractionen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIntracranial Aneurysm --diagnosisen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshVertebral Artery --radiographyen_US
dc.titleDissecting intracranial vertebral artery aneurysms.en_US
dc.typeCase Reportsen_US
dc.typeJournal Articleen_US
dc.typeReviewen_US
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