Neurological Surgery No Shinkei Geka Volume 30, Issue 3 (March 2002)
Japanese

Treatment for the Ruptured Bilateral Vertebral Dissecting Aneurysms Ken SOMEKAWA 1 , Kazuya NAGATA 1 , Shunsuke KAWAMOTO 1 , Hajime FURUYA 1 , Daisuke TANIOKA 1 , Ayako ISOO 1 1Department of Neurosurgery, Showa General Hospital Keyword: dissecting aneurysm , vertebral artery , bilateral , hemodynamic stress pp.321-325
Published Date 2002/3/10
DOI https://doi.org/10.11477/mf.1436902187
  • Abstract
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We report a case of a bilateral vertebral dissecting aneurysm associated with subarachnoid hemorrhage. Proximal ligation of the vertebral artery on the ruptured side combined with wrapping of the contralateral dissection failed to prevent fatal rebleeding. Since enlargement of the contralateral dissection was observed by postoperative angiography, rupture of the growing contralateral dissecting aneurysm may have caused rebleeding. Hemodynamic changes following the occlusion of one vertebral artery might have led to enlargement and subsequent rupture of the contralateral dissection.


Copyright © 2002, Igaku-Shoin Ltd. All rights reserved.

基本情報

03012603.30.3.jpg
Neurological Surgery 脳神経外科
30巻3号 (2002年3月)
電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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