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Partially thrombosed vertebral artery dissecting aneurysm presenting as delayed bulbar compression after lateral medullary infarction.
- Source :
-
Internal medicine (Tokyo, Japan) [Intern Med] 2015; Vol. 54 (4), pp. 427-9. - Publication Year :
- 2015
-
Abstract
- A 48-year-old man experienced lateral medullary infarction resulting from spontaneous vertebral artery (VA) dissection. Minimal fusiform dilatation was noted on basi-parallel anatomic scanning-magnetic resonance imaging; therefore, the patient was treated conservatively. Eight months later, he experienced deterioration of dysphagia and the onset of gait ataxia. Repeated imaging studies showed enlargement of the VA aneurysm with bulbar compression. Parent artery occlusion on the proximal side of the VA affected by the dissection relieved the patient's symptoms. Although the majority of dissected lesions stabilize within a few months, studies with longer observation periods and more frequent neuroimaging examinations are required.
- Subjects :
- Arterial Occlusive Diseases complications
Arterial Occlusive Diseases diagnosis
Arterial Occlusive Diseases therapy
Brain Stem Hemorrhage, Traumatic therapy
Diagnosis, Differential
Humans
Infarction complications
Intracranial Aneurysm therapy
Magnetic Resonance Imaging
Male
Medulla Oblongata pathology
Middle Aged
Radiography
Spinal Cord Compression diagnosis
Spinal Cord Compression etiology
Thrombosis complications
Thrombosis therapy
Treatment Outcome
Vertebral Artery Dissection complications
Vertebral Artery Dissection therapy
Brain Stem Hemorrhage, Traumatic pathology
Infarction diagnosis
Intracranial Aneurysm diagnostic imaging
Medulla Oblongata blood supply
Thrombosis diagnosis
Vertebral Artery pathology
Vertebral Artery Dissection diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1349-7235
- Volume :
- 54
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Internal medicine (Tokyo, Japan)
- Publication Type :
- Academic Journal
- Accession number :
- 25748961
- Full Text :
- https://doi.org/10.2169/internalmedicine.54.3347