The many faces of intracranial arterial dissections.

Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences
Timo Krings, I-S Choi

Abstract

Intracranial arterial dissecting diseases are rare and challenging diseases with a high associated morbidity and mortality. Their common pathomechanic origin is related to blood entering the vessel wall via an endothelial and intimal tear. Depending on the fate of the thus established intramural hematoma, different symptoms may ensue including mass effect, subarachnoid hemorrhage or ischemia. If the mural hematoma ruptures all vascular layers of the intradural artery, a subarachnoid hemorrhagic will occur. If the intramural hematoma reopens distally into the parent vessel on the other hand, ischemic embolic events may happen following intramural clot formation. If the mural hematoma does neither open itself into the parent vessel nor into the subarachnoid space, the vessel wall may dilate leading to occlusion of perforator branches and local ischemia. Organization of the mural hematoma may result in a chronic dissecting process which may eventually lead to formation of a "giant partially thrombosed" aneurysm with thrombus of varying ages within the vessel wall, ingrowth of vasa vasorum and recurrent dissections with subsequent growth of the aneurysm from the periphery. Treatment strategies of these diseases should take the unde...Continue Reading

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Citations

Oct 19, 2011·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·C C MatoukR Agid
Jan 31, 2017·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·K UrasyanandanaA Churojana
Jul 27, 2011·Stroke Research and Treatment·Elisa F CiceriLuca Valvassori
Oct 19, 2011·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·F CausinM Munari
Feb 26, 2015·Neurosurgery·Tineke SikkemaGert-Jan Luijckx
Aug 12, 2016·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Valeria OnofrjDonatella Tampieri
Nov 26, 2015·Stroke; a Journal of Cerebral Circulation·Deena M NasrDavid F Kallmes
Sep 30, 2017·Journal of Neurosurgery·Waleed BrinjikjiGiuseppe Lanzino
Feb 13, 2018·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Karanarak UrasyanandanaAnchalee Churojana
Dec 6, 2014·Journal of Neurosurgery. Pediatrics·Long ChenTimo Krings
Oct 31, 2014·Clinical Case Reports·Edgar Correa, Braulio Martinez
Jan 10, 2016·Journal of Neurology, Neurosurgery, and Psychiatry·Matthew D AlexanderMahmud Mossa-Basha
Nov 3, 2015·Journal of Cerebrovascular and Endovascular Neurosurgery·Hak Jin KimYoung Soo Kim
Jan 24, 2018·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Chae Wook Huh, Sung-Chul Jin
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Feb 29, 2020·Journal of Neurointerventional Surgery·Maksim ShapiroPeter Kim Nelson
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