SPONTANEOUS DISSECTING ANEURYSMS OF THE BASILAR ARTERY PRESENTING WITH A SUBARACHNOID HEMORRHAGE - REPORT OF 2 CASES

被引:51
作者
HOSODA, K [1 ]
FUJITA, S [1 ]
KAWAGUCHI, T [1 ]
SHOSE, Y [1 ]
YONEZAWA, K [1 ]
SHIRAKUNI, T [1 ]
HAMASAKI, M [1 ]
机构
[1] HIMEJI & SHINSUMA HOSP,HYOGO BRAIN & HEART CTR,DEPT NEUROSURG,KOBE,JAPAN
关键词
DISSECTING ANEURYSM; BASILAR ARTERY; SUBARACHNOID HEMORRHAGE; MAGNETIC RESONANCE IMAGING;
D O I
10.3171/jns.1991.75.4.0628
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A spontaneous dissecting aneurysm of the basilar artery is a rare disorder, usually presenting with ischemia rather than a subarachnoid hemorrhage (SAH). Two cases are described of a dissecting aneurysm of the basilar artery presenting with an SAH. Vertebral angiography revealed a double lumen to the basilar artery. Magnetic resonance (MR) imaging detected the intramural hematoma. One patient was treated conservatively, and the other underwent operative intervention with wrapping of the aneurysm. The usefulness of MR imaging in the diagnosis and the treatment options are discussed.
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收藏
页码:628 / 633
页数:6
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