Neurological Surgery No Shinkei Geka Volume 28, Issue 11 (November 2000)

Vertebral Arterial Dissection with Subarachnoid Hemorrhage after Ischemic Onset Toru INAGAKI 1,2 , Koji SAITO 1 , Akira HIRANO 1 , Takaaki KATO 1 , Shinsuke IRIE 1 , Tomohiro MURAKAMI 1 1Kushiro Neurosurgical Hospital 2Shiroishi Neurological Hospital Keyword: arterial dissection , ischemia , subarachnoid hemorrhage pp.997-1002
Published Date 2000/11/10
  • Abstract
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A case is reported of the vertebral arterial dissection presenting initially with cerebellar infarction, and which subsequently occured with subarachnoid hemorrhage 14 days later. A 75-year old male was admit-ted because of vertigo and ataxia. MR T2-weighted imaging showed a hyperintensity areas on the left cerebellar hemisphere and MR angiography showed multiple stenotic lesions in the left vertebral artery. We diagnosed his illness as dissection of the left vertebral artery and antiplatelet therapy and the blood pressure control were carried out. Fourteen days after the onset, the patient complained of sudden onset of headache and subarachnoid hemorrhage was confirmed on CT scan. Proximal clip occlusion of the left vertebral artery and OA-PICA anastomosis was carried out immediately. The patient was discharged with slight truncal ataxia. We evaluated the features of this vertebral arterial dissection presenting with sub-arachnoid hemorrhage after ischemic stroke with reference to another reported cases.

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Neurological Surgery 脳神経外科
28巻11号 (2000年11月)
電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院