Spontaneous Resolution of Nontraumatic Bilateral Intracranial Vertebral Artery Dissections
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概要
- 論文の詳細を見る
A 49-year-old man presented with nontraumatic bilateral intracranial vertebral artery dissections without subarachnoid hemorrhage manifesting as Wallenberg's syndrome on the right. Magnetic resonance imaging revealed an infarct in the right dorsolateral aspect of the medulla oblongata. Antiplatelet therapy was administered. Vertebral angiography performed on the 9th hospital day (Day 9) revealed pearl and string sign in the right vertebral artery and narrowing of the left vertebral artery. Second angiography performed on Day 25 showed no change, but third angiography performed on Day 74 revealed spontaneous resolution of the bilateral vertebral artery dissections. Magnetic resonance angiography performed on Day 250 showed no evidence of dissection. However, magnetic resonance imaging revealed a small infarct in the splenium of the corpus callosum. Spontaneous resolution of stenotic dissections of the bilateral vertebral arteries is extremely unusual. Serial cerebral angiography and magnetic resonance angiography are very important for monitoring the time course of changes in patients with vertebral artery dissections.
- 日本脳神経外科学会の論文
- 2002-11-15
著者
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FUKUNAGA Atsushi
Department of Neurosurgery, School of Medicine, Keio University
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AKIYAMA Takenori
Department of Neurosurgery, Keio University School of Medicine
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Naritaka Heiji
Department of Pathology, Kitasato University
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NAKAMURA Tsuneo
Department of Neurosurgery, Saiseikai Kanagawa-ken Hospital
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Fukunaga Atsushi
Department Of Materials Chemistry Kyoto University
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Fukunaga Atsushi
Department Of Neurosurgery Saiseikai Kanagawaken Hospital Yokohama
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Naritaka Heiji
Department Of Neurosurgery Saiseikai Kanagawaken Hospital Yokohama
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Naritaka Heiji
Department Of Neurosurgery Keio University School Of Medicine
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TABUSE Masanao
Department of Neurosurgery, Saiseikai Kanagawaken Hospital, Yokohama
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Tabuse Masanao
Department Of Neurosurgery Saiseikai Kanagawaken Hospital Yokohama
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Akiyama Takenori
Department Of Neurosurgery Keio University School Of Medicine
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Akiyama Takenori
Department Of Neurosurgery Keio University School Of Medicine Tokyo
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Nakamura Tsuneo
Department Of Neurological Surgery Hiratsuka City Hospital
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Nakamura Tsuneo
Department Of Neurosurgery Saiseikai Kanagawaken Hospital Yokohama
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FUKUNAGA Atsushi
Department of Gastroenterology, Fukuoka University Faculty of Medicine
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