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Good Outcome in Isolated Basilar Artery Dissection

Received: 9 December 2014     Accepted: 19 December 2014     Published: 27 February 2015
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Abstract

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.

Published in Science Journal of Clinical Medicine (Volume 4, Issue 2)
DOI 10.11648/j.sjcm.20150402.11
Page(s) 26-28
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Basilar Artery Dissection, Perimesencephalic Subarachnoid Haemorrhage, Colour Coded Duplex Sonography

References
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[3] 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.
[4] 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.
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[7] Gijn JV, Rinkel GJ. Subarachnoid haemorrhage: diagnosis, causes and management. Brain 2001; 124: 249-278.
[8] 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.
[9] 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.
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Cite This Article
  • APA Style

    Yordan Spirdonov, Plamen Getsov, Grigorii Nedelkov, Evguenia Vassileva, Marko Klissurski, et al. (2015). Good Outcome in Isolated Basilar Artery Dissection. Science Journal of Clinical Medicine, 4(2), 26-28. https://doi.org/10.11648/j.sjcm.20150402.11

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    ACS Style

    Yordan Spirdonov; Plamen Getsov; Grigorii Nedelkov; Evguenia Vassileva; Marko Klissurski, et al. Good Outcome in Isolated Basilar Artery Dissection. Sci. J. Clin. Med. 2015, 4(2), 26-28. doi: 10.11648/j.sjcm.20150402.11

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    AMA Style

    Yordan Spirdonov, Plamen Getsov, Grigorii Nedelkov, Evguenia Vassileva, Marko Klissurski, et al. Good Outcome in Isolated Basilar Artery Dissection. Sci J Clin Med. 2015;4(2):26-28. doi: 10.11648/j.sjcm.20150402.11

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  • @article{10.11648/j.sjcm.20150402.11,
      author = {Yordan Spirdonov and Plamen Getsov and Grigorii Nedelkov and Evguenia Vassileva and Marko Klissurski and Marin Daskalov},
      title = {Good Outcome in Isolated Basilar Artery Dissection},
      journal = {Science Journal of Clinical Medicine},
      volume = {4},
      number = {2},
      pages = {26-28},
      doi = {10.11648/j.sjcm.20150402.11},
      url = {https://doi.org/10.11648/j.sjcm.20150402.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20150402.11},
      abstract = {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.},
     year = {2015}
    }
    

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    AU  - Plamen Getsov
    AU  - Grigorii Nedelkov
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    AU  - Marko Klissurski
    AU  - Marin Daskalov
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    DO  - 10.11648/j.sjcm.20150402.11
    T2  - Science Journal of Clinical Medicine
    JF  - Science Journal of Clinical Medicine
    JO  - Science Journal of Clinical Medicine
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    UR  - https://doi.org/10.11648/j.sjcm.20150402.11
    AB  - 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.
    VL  - 4
    IS  - 2
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Author Information
  • Department of Radiology, University Hospital “Tsaritsa Yoanna-ISUL” Sofia, Bulgaria

  • Department of Radiology, University Hospital “Tsaritsa Yoanna-ISUL” Sofia, Bulgaria

  • Department of Radiology, University Hospital “Tsaritsa Yoanna-ISUL” Sofia, Bulgaria

  • Department of Neurology, University Hospital “Tsaritsa Yoanna-ISUL” Sofia, Bulgaria

  • Department of Neurology, University Hospital “Tsaritsa Yoanna-ISUL” Sofia, Bulgaria

  • Department of Neurology, University Hospital “Tsaritsa Yoanna-ISUL” Sofia, Bulgaria

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