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Journal of Korean Neurosurgical Society 1992;21(3): 327-331.
Dissecting Aneurysm of Intracranial Vertebral Artery: A Case Report.
Jeong Soo Kim, Jong Oung Doh, Jae Kyu Kang, Hyun Tae Jung
Department of Neurosurgery, National Medical Center, Seoul, Korea.
ABSTRACT
Rupture of an intracranial dissecting aneurysm is a rare but dangerous event and are difficult to diagnosis and manage, and carry a high morbidity and mortality. The angiographic features typically showed fusiform dilatation and proximal and/or distal dilatation of the affected artery. Depending of location of dissection, surgical options are;ligation, trapping, or reenforcement of exposed abnormal portion of vessels. The authors report a case of nontraumatic dissecting aneurysm, stroke with subarachnoid hemorrhage(SAH) and the proximal porton of origin of PICA was treated with dlipping of vertebral artery proximal to dissecting aneurysm.
Key Words: Vertebral artery; Dissecting aneurysm; Subarachnoid hemorrhage; Stroke Angiography
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