Vertebral Artery Dissection

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Kintomo Takakura - One of the best experts on this subject based on the ideXlab platform.

  • nonsurgical treatment of unruptured intracranial Vertebral Artery Dissection with serial follow up angiography
    Journal of Neurosurgery, 1994
    Co-Authors: Chifumi Kitanaka, Tomio Sasaki, Junichi Tanaki, Masanori Kuwahara, Akira Teraoka, Kintomo Takakura
    Abstract:

    ✓ The question of whether unruptured intracranial Vertebral Artery Dissections should be treated surgically or nonsurgically still remains unresolved. In this study, six consecutive patients with intracranial Vertebral Artery Dissection presenting with brain-stem ischemia without subarachnoid hemorrhage (SAH) were treated nonsurgically with control of blood pressure and bed rest, and five received follow-up review with serial angiography. No further progression of Dissection or associated SAH occurred in any of the cases, and all patients returned to their previous lifestyles. In the serial angiograms in five patients, the findings continued to change during the first few months after onset. Four cases ultimately showed “angiographic cure,” while fusiform aneurysmal dilatation of the affected vessel persisted in one case. In one patient, arterial Dissection was visualized on the second angiogram despite negative initial angiographic findings. These results indicate that intracranial Vertebral Artery disse...

  • nonsurgical treatment of unruptured intracranial Vertebral Artery Dissection with serial follow up angiography
    Journal of Neurosurgery, 1994
    Co-Authors: Chifumi Kitanaka, Tomio Sasaki, Junichi Tanaki, Masanori Kuwahara, Akira Teraoka, Kintomo Takakura
    Abstract:

    The question of whether unruptured intracranial Vertebral Artery Dissections should be treated surgically or nonsurgically still remains unresolved. In this study, six consecutive patients with intracranial Vertebral Artery Dissection presenting with brain-stem ischemia without subarachnoid hemorrhage (SAH) were treated non-surgically with control of blood pressure and bed rest, and five received follow-up review with serial angiography. No further progression of Dissection or associated SAH occurred in any of the cases, and all patients returned to their previous lifestyles. In the serial angiograms in five patients, the findings continued to change during the first few months after onset. Four cases ultimately showed "angiographic cure," while fusiform aneurysmal dilatation of the affected vessel persisted in one case. In one patient, arterial Dissection was visualized on the second angiogram despite negative initial angiographic findings. These results indicate that intracranial Vertebral Artery Dissection presenting without SAH can be treated nonsurgically, with careful angiographic follow-up monitoring. Persistent aneurysmal dilatation as a sequela of arterial Dissection seemed to form a subgroup of fusiform aneurysms of the posterior circulation. These aneurysms may be prone to late bleeding and may require surgical treatment.

  • rebleeding from Vertebral Artery Dissection after proximal clipping
    Journal of Neurosurgery, 1992
    Co-Authors: Chifumi Kitanaka, Tadashi Morimoto, Tomio Sasaki, Kintomo Takakura
    Abstract:

    ✓ The authors present the case of a patient with Vertebral Artery Dissection that rebled after being treated by proximal clipping. This is the second report of such a case. The results indicated that proximal clipping is not free from the risk of rebleeding, and a better alternative surgical technique should always be sought when treating Vertebral Artery Dissections.

Shawn J Bird - One of the best experts on this subject based on the ideXlab platform.

Chifumi Kitanaka - One of the best experts on this subject based on the ideXlab platform.

  • nonsurgical treatment of unruptured intracranial Vertebral Artery Dissection with serial follow up angiography
    Journal of Neurosurgery, 1994
    Co-Authors: Chifumi Kitanaka, Tomio Sasaki, Junichi Tanaki, Masanori Kuwahara, Akira Teraoka, Kintomo Takakura
    Abstract:

    ✓ The question of whether unruptured intracranial Vertebral Artery Dissections should be treated surgically or nonsurgically still remains unresolved. In this study, six consecutive patients with intracranial Vertebral Artery Dissection presenting with brain-stem ischemia without subarachnoid hemorrhage (SAH) were treated nonsurgically with control of blood pressure and bed rest, and five received follow-up review with serial angiography. No further progression of Dissection or associated SAH occurred in any of the cases, and all patients returned to their previous lifestyles. In the serial angiograms in five patients, the findings continued to change during the first few months after onset. Four cases ultimately showed “angiographic cure,” while fusiform aneurysmal dilatation of the affected vessel persisted in one case. In one patient, arterial Dissection was visualized on the second angiogram despite negative initial angiographic findings. These results indicate that intracranial Vertebral Artery disse...

  • nonsurgical treatment of unruptured intracranial Vertebral Artery Dissection with serial follow up angiography
    Journal of Neurosurgery, 1994
    Co-Authors: Chifumi Kitanaka, Tomio Sasaki, Junichi Tanaki, Masanori Kuwahara, Akira Teraoka, Kintomo Takakura
    Abstract:

    The question of whether unruptured intracranial Vertebral Artery Dissections should be treated surgically or nonsurgically still remains unresolved. In this study, six consecutive patients with intracranial Vertebral Artery Dissection presenting with brain-stem ischemia without subarachnoid hemorrhage (SAH) were treated non-surgically with control of blood pressure and bed rest, and five received follow-up review with serial angiography. No further progression of Dissection or associated SAH occurred in any of the cases, and all patients returned to their previous lifestyles. In the serial angiograms in five patients, the findings continued to change during the first few months after onset. Four cases ultimately showed "angiographic cure," while fusiform aneurysmal dilatation of the affected vessel persisted in one case. In one patient, arterial Dissection was visualized on the second angiogram despite negative initial angiographic findings. These results indicate that intracranial Vertebral Artery Dissection presenting without SAH can be treated nonsurgically, with careful angiographic follow-up monitoring. Persistent aneurysmal dilatation as a sequela of arterial Dissection seemed to form a subgroup of fusiform aneurysms of the posterior circulation. These aneurysms may be prone to late bleeding and may require surgical treatment.

  • rebleeding from Vertebral Artery Dissection after proximal clipping
    Journal of Neurosurgery, 1992
    Co-Authors: Chifumi Kitanaka, Tadashi Morimoto, Tomio Sasaki, Kintomo Takakura
    Abstract:

    ✓ The authors present the case of a patient with Vertebral Artery Dissection that rebled after being treated by proximal clipping. This is the second report of such a case. The results indicated that proximal clipping is not free from the risk of rebleeding, and a better alternative surgical technique should always be sought when treating Vertebral Artery Dissections.

Christina Bergqvist - One of the best experts on this subject based on the ideXlab platform.

Tobias Neumannhaefelin - One of the best experts on this subject based on the ideXlab platform.