Clinical analysis of vertebrobasilar dissection

Acta neurochirurgica
C-H KimD H Han

Abstract

The natural history of vertebrobasilar artery dissection (VAD) is not fully known. The purpose of this study was to review the clinical outcome of the patients with VAD, then to propose an appropriate management strategy for VAD. From 1992 to 2004, 35 VAD patients admitted to our institutes were retrospectively reviewed. There were 28 men and 7 women, whose age ranged from 4 to 67 years with a mean age of 44 years. Angiography was assessed to document the shape, and location of the dissecting aneurysm with respect to the posterior inferior cerebellar artery (PICA). A modified Rankin score was assigned for functional outcome. The functional outcome scores were analyzed according to the patient's age, gender, hypertension history, the pattern of initial manifestation, angiographic shape of VAD, angiographic location of VAD, treatment modality. There was no statistically significant difference between the functional outcome with age, gender, trauma history and past medical history of hypertension. Of 35 patients, 22 presented with SAH, 11 with ischemic symptoms and 2 were incidentally detected. The patients without SAH had a better functional outcome than those with SAH (p = 0.029). There was statistical significance between Hunt-...Continue Reading

References

Jul 1, 1991·Journal of Neurosurgery·E PozzatiG Gaist
Nov 1, 1990·Stroke; a Journal of Cerebral Circulation·N Aoki, T Sakai
Feb 1, 1990·Journal of Neurosurgery·A YamauraN Saeki
Aug 1, 1989·American Journal of Surgery·K L BlickenstaffE Finck
Jun 1, 1988·Neurology·B MokriD G Piepgras
Mar 1, 1982·Stroke; a Journal of Cerebral Circulation·R NassA Chutorian
Apr 1, 1994·Journal of Neurosurgery·C KitanakaJ ] Tanaki J [corrected to Tanaka
Aug 1, 1993·Journal of Neurosurgery·V V HalbachG B Hieshima
Feb 1, 1997·Stroke; a Journal of Cerebral Circulation·Y Yoshimoto, S Wakai
May 7, 1999·Stroke; a Journal of Cerebral Circulation·T HosoyaT Kato
Aug 10, 2000·Neuropathology : Official Journal of the Japanese Society of Neuropathology·A YamauraS Hirai
Feb 7, 2001·Stroke; a Journal of Cerebral Circulation·E TouzéJ L Mas
Aug 20, 2003·Neurosurgery·René AnxionnatLuc Picard
Mar 31, 2005·Journal of Neurosurgery·Yuhei YoshimotoTakanori Uchida
Jun 24, 2005·The New England Journal of Medicine·Sean I Savitz, Louis R Caplan

❮ Previous
Next ❯

Citations

Aug 30, 2007·Neurocritical Care·Alexander Y ZubkovAlejandro A Rabinstein
Nov 3, 2009·Skull Base : Official Journal of North American Skull Base Society ... [et Al.]·Hasan KocaeliMario Zuccarello
Aug 31, 2012·The Neurologist·Rebecca F GottesmanDavid E Newman-Toker
Sep 3, 2010·Journal of Neurosurgery. Pediatrics·Dittapong SongsaengPierre Lasjaunias
Apr 10, 2014·Neurosurgical Review·Silvia Hernández-Durán, Christopher S Ogilvy
Jun 11, 2014·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Monica S BadveStephen J Read
Oct 22, 2008·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Mathieu H RodallecMarc Zins
Aug 12, 2010·Stroke Research and Treatment·James S McKinneyLauren H Sansing
Sep 10, 2011·Brain Injury : [BI]·Bulent BakarSafak Bulut
Nov 16, 2013·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Yan ChenYun Xu
Jun 30, 2009·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Demet Funda BasMehmet Akif Topcuoglu
Dec 2, 2008·The American Journal of Emergency Medicine·Hsiu-Fen YehYu-Che Chang
May 16, 2014·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·T SikkemaG J Luijckx
Aug 24, 2013·Neurology Research International·Reza MohammadianAli Hashemzadeh
May 26, 2016·Journal of Neurointerventional Surgery·Jian GuanRenzhi Wang
Dec 12, 2012·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·M S AliA S Dumont
Jul 21, 2010·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·T Krings, I-S Choi
Feb 26, 2015·Neurosurgery·Tineke SikkemaGert-Jan Luijckx

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.