PMID: 3748345Jul 1, 1986Paper

Surgical correction of lesions affecting the second portion of the vertebral artery

Neurosurgery
F G DiazM Dujovny

Abstract

Substantial controversy has surrounded the diagnosis and management of vertebrobasilar ischemic events, with no consensus on the value of medical or surgical treatment of patients symptomatic with brain stem ischemia who have angiographically proven vertebral artery lesions. This report presents our experience with the surgical treatment of 12 of 88 patients with angiographically verified lesions in the vertebral artery who were symptomatic for 1 to 12 months before their evaluation. None experienced symptomatic relief with antiplatelet agents, nor did the administration of anticoagulants in 4 of the patients provide any benefit. The lesions included bilateral vertebral artery occlusion with distal reconstitution through muscular collaterals in 6 patients, unilateral vertebral artery hypoplasia with contralateral long-tailed lesions from the vertebral artery origin to C-5 in 3 patients, and severe bilateral vertebral artery origin lesions extending beyond the C-5 level in 3 patients. A vertebral endarterectomy and vertebral-carotid transposition in the second portion of the artery were successfully used to reestablish flow and obtain symptomatic relief in 10 of the 12 cases; 1 of these procedures had to be redone because of a p...Continue Reading

Citations

Sep 9, 2005·Skull Base : Official Journal of North American Skull Base Society ... [et Al.]·Bert A CoertGary K Steinberg
Oct 1, 1993·Neurosurgery·R J Budway, H J Senter
Oct 1, 2010·Neurosurgery·Daniel C LuMichael T Lawton
Jan 1, 1993·Acta neurochirurgica·Y IwaiS Cass
Nov 28, 2013·Journal of Korean Neurosurgical Society·Gyeongo GoHyun Park
Jan 1, 1995·Journal of Neurosurgery·Z C AkarJ I Ausman
Feb 26, 2008·Acta neurochirurgica·A K PetridisH M Mehdorn
Apr 4, 2003·The Journal of Bone and Joint Surgery. American Volume·Toru MaekawaMinoru Sakaida

❮ 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.