Clinical Outcome of Ruptured Intracranial Dissecting Aneurysm in Vertebrobasilar System
| العنوان: | Clinical Outcome of Ruptured Intracranial Dissecting Aneurysm in Vertebrobasilar System |
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| المؤلفون: | Youichi Kitsuta, Mitsugi Sugiyama, Noriyuki Suzuki, C C Cheng, Junichi Ayabe, Yoshihiro Takanashi, Isao Yamamoto |
| المصدر: | Surgery for Cerebral Stroke. 30:456-460 |
| بيانات النشر: | Japanese Society on Surgery for Cerebral Stroke, 2002. |
| سنة النشر: | 2002 |
| مصطلحات موضوعية: | Blood pressure control, medicine.medical_specialty, medicine.diagnostic_test, business.industry, medicine.medical_treatment, medicine.disease, Surgery, Dissecting Aneurysms, Natural history, Blood pressure, Aneurysm, Angiography, medicine, Radiology, Endovascular treatment, business, Craniotomy |
| الوصف: | The natural history and treatment strategy of intracranial dissecting aneurysm in the vertebrobasilar (V-B) system remains controversial. We report 10 cases of ruptured intracranial dissecting aneurysm in the V-B system and review the literature with focus on the analysis of serial angiographic findings, treatment, and long-term outcome.All patients were conservatively managed under careful blood pressure control, and angiography was carried out depending on the patient's condition. Surgical or endovascular intervention was chosen when morphological changes leading to rebleeding were recognized by follow-up angiography. Craniotomy in 3 patients and coiling in 3 patients was performed. No rebleeding occurred during the follow-up period in any of the 10 patients, and all cases resulted in favorable outcome.These results suggested that ruptured intracranial dissecting aneurysms of the V-B system could be treated conservatively, avoiding rebleeding under careful control of blood pressure in the acute stage. Alternatively, surgical or endovascular treatment should be considered if angiographical changes that may lead to risk of rebleeding are noted. |
| تدمد: | 1880-4683 0914-5508 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::c619bf469756a59df6418abee373e673 https://doi.org/10.2335/scs.30.456 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi...........c619bf469756a59df6418abee373e673 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18804683 09145508 |
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