Vertebrobasilar artery dissection presenting with simultaneous subarachnoid hemorrhage and brain stem infarction: Case report

Kensuke Murakami, Noboru Takahashi, Nobuhisa Matsumura, Kunihiko Umezawa, Hiroshi Midorikawa, Michiharu Nishijima

    研究成果: Article査読

    10 被引用数 (Scopus)

    抄録

    BACKGROUND: Intracranial dissecting aneurysms have been associated with subarachnoid hemorrhage (SAH) or cerebral ischemia. We encountered a patient presenting with simultaneous subarachnoid hemorrhage and brainstem infarction caused by a dissecting aneurysm of the vertebrobasilar artery, which was diagnosed by magnetic resonance imaging (MRI) but did not show abnormal findings on cerebral angiography. CASE DESCRIPTION: A 55-year-old man had sudden onset of headache and left abducens palsy. Computed tomography revealed a subarachnoid hemorrhage localized in the left prepontine cistern and the left cerebellomedullary fissure. Cerebral angiography showed neither a saccular aneurysm nor fusiform dilatation causing the subarachnoid hemorrhage. MRI demonstrated a small infarction in the left dorsal pons, and an intramural hematoma of the left vertebral artery and lower basilar artery. CONCLUSION: This is a rare case of a vertebrobasilar dissecting aneurysm that simultaneously caused both SAH and brain stem infarction. MRI should be performed in the acute phase of SAH of unknown origin to determine the possible coexistence of a dissecting aneurysm, as occurred in this case.

    本文言語English
    ページ(範囲)18-22
    ページ数5
    ジャーナルSurgical Neurology
    59
    1
    DOI
    出版ステータスPublished - 2003 1 1

    ASJC Scopus subject areas

    • Surgery
    • Clinical Neurology

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