Neurological Surgery No Shinkei Geka Volume 31, Issue 7 (July 2003)

Vertebrobasilar Artery Dissection with Subarachnoid Hemorrhage after Brain Stem Infarct Showing an Improvement on Angiography : Case report Gakushi YOSHIKAWA 1 , Shunsuke KAWAMOTO 1 , Hiroyasu ONO 1 , Kyoko YAKOU 1 , Munehisa SHINOZAKI 1 , Kazuo TSUTSUMI 1 1Department of Neurosurgery, Showa General Hospital Keyword: dissection , subarachnoid hemorrhage , vertebral artery , infarction pp.803-809
Published Date 2003/7/10
  • Abstract
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A 66-year-old male presented with dysarthria and right hemiparesis. Cerebral angiography at onset showed oblit-eration of the basilar artery and dilatation in the left vertebral artery. The patient's clinical symptoms were exagger-ated and he was finally diagnosed to as suffering locked-in syndrome. Magnetic resonance imaging showed a brain stem infarction from the pons to the left middle cerebellar peduncle. We determined that the patient suffered dissec-tion of the left vertebral artery at the basilar artery and treated, using the conservative therapy him of strict blood pressure control.

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Neurological Surgery 脳神経外科
31巻7号 (2003年7月)
電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院