Dissecting pseudoaneurysms: predictors of symptom occurrence, enlargement, clinical outcome, and treatment

Journal of Neurosurgery
Badih DaouStavropoula Tjoumakaris

Abstract

OBJECTIVE Dissection of the carotid and vertebral arteries can result in the development of aneurysmal dilations. These dissecting pseudoaneurysms can enlarge and cause symptoms. The objective of this study is to provide insight into the progression of dissecting pseudoaneurysms and the treatments required to manage them. METHODS A review of the electronic medical records was conducted to detect patients with carotid and vertebral artery dissection. An imaging review was conducted to identify patients with dissecting pseudoaneurysms. One hundred twelve patients with 120 dissecting pseudoaneurysms were identified. Univariate and multivariate analyses were conducted to assess the factors associated with undergoing further interventions other than medical treatment, pseudoaneurysm enlargement, pseudoaneurysms resulting in ischemic and nonischemic symptoms, and clinical outcome. RESULTS Overall, 18.3% of pseudoaneurysms were intracranial and 81.7% were extracranial, and the average size was 7.3 mm. The mean follow-up time was 29.3 months; 3.3% of patients had a recurrent transient ischemic attack, no patients had a recurrent stroke, and 14.2% of patients had recurrence of nonischemic symptoms (headache, neck pain, Horner syndrome, ...Continue Reading

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Citations

Apr 11, 2018·Acta neurologica Belgica·Loris PoliAlessandro Pezzini
Jan 12, 2019·Vascular and Endovascular Surgery·Dominika KasprzakPiotr Andziak
Mar 15, 2020·Journal of Neuroradiology. Journal De Neuroradiologie·John C BensonWaleed Brinjikji
Jul 24, 2021·American Journal of Ophthalmology Case Reports·Zesemayat K MekonnenArmin R Afshar
Aug 4, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Alexandra VezzettiSouvik Sen

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Methods Mentioned

BETA
dissections
dissecting
dissection

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