Science Journal of Clinical Medicine
Volume 4, Issue 2, March 2015, Pages: 26-28
Received: Dec. 9, 2014;
Accepted: Dec. 19, 2014;
Published: Feb. 27, 2015
Views 3698 Downloads 164
Yordan Spirdonov, Department of Radiology, University Hospital “Tsaritsa Yoanna-ISUL” Sofia, Bulgaria
Plamen Getsov, Department of Radiology, University Hospital “Tsaritsa Yoanna-ISUL” Sofia, Bulgaria
Grigorii Nedelkov, Department of Radiology, University Hospital “Tsaritsa Yoanna-ISUL” Sofia, Bulgaria
Evguenia Vassileva, Department of Neurology, University Hospital “Tsaritsa Yoanna-ISUL” Sofia, Bulgaria
Marko Klissurski, Department of Neurology, University Hospital “Tsaritsa Yoanna-ISUL” Sofia, Bulgaria
Marin Daskalov, Department of Neurology, University Hospital “Tsaritsa Yoanna-ISUL” Sofia, Bulgaria
Isolated basilar artery dissection is a rare vascular pathology with varied clinical presentations and prognoses. We report a case of a 54-year-old woman, presented with subarachnoid hemorrhages (Hunt-Hess grade II). Brain computed tomography demonstrated a perimesencephalic pattern of haemorrhage. Magnetic resonance angiography revealed an isolated basilar artery dissection. Conservative treatment was performed. A complete resolution of the clinical symptoms occurs over a period of 30 days. There was no recurrent haemorrhage. On a follow-up magnetic resonance angiography three months later, a complete resolution of the intramural haematoma in the basilar artery was demonstrated. Some of the cases of basilar artery dissection with perimesencephalic pattern of subarachnoid haemorrhages could have a good prognosis, and could be treated conservatively.
Good Outcome in Isolated Basilar Artery Dissection, Science Journal of Clinical Medicine.
Vol. 4, No. 2,
2015, pp. 26-28.
Mokri B, Houser OW, Sandok BA, Piepgras D. Spontaneous dissections of the vertebral arteries. Neurology 1988; 38: 880-885.
Ruecker M, Furtner M, Knoflach M, Werner P, Gotwald T, Chemelli A, Zangerle A, Prantl B, Matosević B, Schmidauer C, Schmutzhard E, Willeit J, Kiechl S. Basilar artery dissection: series of 12 consecutive cases and review of the literature. Cerebrovasc Dis 2010; 30: 267-276.
Kim CH, Son YJ, Paek SH, Han MH, Kim JE, Chung YS, Kwon BJ, Oh CW, Han DH. Clinical analysis of vertebrobasilar dissection.Acta Neurochir (Wien)2006; 148: 395-404.
Kim BM, Suh SH, Park SI, Shin YS, Chung EC, Lee MH, Kim EJ, Koh JS, Kang HS, Roh HG, Won YS, Chung PW, Kim YB, Suh BC. Management and clinical outcome of acute basilar artery dissection. AJNR Am J Neuroradiol 2008; 29: 1937- 4.
Masson C, Krespy Y, Masson M, Colombani JM. Magnetic resonance imaging in basilar artery dissection. Stroke 1993; 24: 1264-1266.
Cánovas D, Gil A, Jato M, de Miquel M, Rubio F. Clinical outcome of spontaneous non-aneurysmal subarachnoid hemorrhage in 108 patients. European Journal of Neurology 2012; 19: 457-61.
Gijn JV, Rinkel GJ. Subarachnoid haemorrhage: diagnosis, causes and management. Brain 2001; 124: 249-278.
Rinkel GJ, Wijdicks EF, Vermeulen M, Ramos LM, Tanghe HL, Hasan D et al. Nonaneurysmal perimesencephalic subarachnoid hemorrhage: CT and MR patterns that differ from aneurysmal rupture. AJNR Am J Neuroradiol 1991; 12: 829–34.
Pinto AN, Ferro JM, Canhao P, Campos J. How often is a perimesencephalic subarachnoid haemorrhage CT pattern caused by ruptured aneurysms? Acta Neurochir (Wien) 1993; 124: 79–81.
Van Calenbergh F, Plets C, Goffin J, Velghe L. Nonaneurysmal subarachnoid hemorrhage: prevalence of perimesencephalic hemorrhage in a consecutive series. Surg Neurol 1993; 39: 320–3.
Ross GJ, Ferraro F, DeRiggi L, Scotti LN. Spontaneous healing of basilar artery dissection: MR findings. J Comput Assist Tomogr 1994; 18: 292-294.
Pozzati E, Andreoli A, Padovani R, Nuzzo G. Dissecting aneurysms of the basilar artery. Neurosurgery 1995; 36: 254-258.
Yoshimoto Y, Hoya K, Tanaka Y, Uchida T. Basilar artery dissection. J Neurosurg 2005; 102: 476-481.
Woimant F, Spelle L. Spontaneous basilar artery dissection: contribution of magnetic resonance imaging to diagnosis. J Neurol Neurosurg Psychiatry 1995; 58: 540.
Ahn SS, Kim BM, Suh SH, Kim DJ, Kim DI, Shin YS, Ha SY, Kwon YS. Spontaneous Symptomatic Intracranial Vertebrobasilar Dissection: Initial and Follow-up Imaging Findings.Radiology 2012; 264: 196-202.