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Erschienen in: Acta Neurochirurgica 9/2016

06.07.2016 | Case Report - Vascular

Posterior atlantoaxial fusion as treatment option for extracranial vertebral artery dissecting aneurysm: a case report and literature review

verfasst von: Naokado Ikeda, Hideki Hayashi, Masanori Goto, Hitoshi Satoi, Koichi Iwasaki, Hiroki Toda

Erschienen in: Acta Neurochirurgica | Ausgabe 9/2016

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Abstract

Symptomatic extracranial vertebral artery (VA) dissection may need surgery. We describe such a case successfully treated with atlantoaxial fusion based on its rare dynamic angiographic findings. A 27-year-old woman suffered from repeated brainstem and cerebellar infarctions from a left extracranial VA dissecting aneurysm. Dynamic angiography showed the dissecting aneurysm of the V3 segment in the neutral head position, and deflation of the aneurysm during rightward head rotation. She underwent posterior atlantoaxial fusion, and the lesion was repaired with no subsequent ischemia. Posterior atlantoaxial fusion can be an option for some extracranial VA dissections with preserving its anterograde blood flow.
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Metadaten
Titel
Posterior atlantoaxial fusion as treatment option for extracranial vertebral artery dissecting aneurysm: a case report and literature review
verfasst von
Naokado Ikeda
Hideki Hayashi
Masanori Goto
Hitoshi Satoi
Koichi Iwasaki
Hiroki Toda
Publikationsdatum
06.07.2016
Verlag
Springer Vienna
Erschienen in
Acta Neurochirurgica / Ausgabe 9/2016
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-016-2891-4

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