Treatment Challenges of a Primary Vertebral Artery Aneurysm Causing Recurrent Ischemic Strokes
المؤلفون المشاركون
Comi, G. C.
Martinelli, Vittorio
Strambo, Davide
Peruzzotti-Jametti, Luca
Semerano, Aurora
Fanelli, Giovanna
Simionato, Franco
Chiesa, Roberto
Rinaldi, Enrico
Bacigaluppi, Marco
Sessa, Maria
المصدر
Case Reports in Neurological Medicine
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-3، 3ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-01-10
دولة النشر
مصر
عدد الصفحات
3
التخصصات الرئيسية
الملخص EN
Background.
Extracranial vertebral artery aneurysms are a rare cause of embolic stroke; surgical and endovascular therapy options are debated and long-term complication may occur.
Case Report.
A 53-year-old man affected by neurofibromatosis type 1 (NF1) came to our attention for recurrent vertebrobasilar embolic strokes, caused by a primary giant, partially thrombosed, fusiform aneurysm of the left extracranial vertebral artery.
The aneurysm was treated by endovascular approach through deposition of Guglielmi Detachable Coils in the proximal segment of the left vertebral artery.
Six years later the patient presented stroke recurrence.
Cerebral angiography and Color Doppler Ultrasound well characterized the unique hemodynamic condition developed over the years responsible for the new embolic event: the aneurysm had been revascularized from its distal portion by reverse blood flow coming from the patent vertebrobasilar axis.
A biphasic Doppler signal in the left vertebral artery revealed a peculiar behavior of the blood flow, alternately directed to the aneurysm and backwards to the basilar artery.
Surgical ligation of the distal left vertebral artery and excision of the aneurysm were thus performed.
Conclusion.
This is the first described case of NF1-associated extracranial vertebral artery aneurysm presenting with recurrent embolic stroke.
Complete exclusion of the aneurysm from the blood circulation is advisable to achieve full resolution of the embolic source.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Strambo, Davide& Peruzzotti-Jametti, Luca& Semerano, Aurora& Fanelli, Giovanna& Simionato, Franco& Chiesa, Roberto…[et al.]. 2017. Treatment Challenges of a Primary Vertebral Artery Aneurysm Causing Recurrent Ischemic Strokes. Case Reports in Neurological Medicine،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1147103
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Strambo, Davide…[et al.]. Treatment Challenges of a Primary Vertebral Artery Aneurysm Causing Recurrent Ischemic Strokes. Case Reports in Neurological Medicine No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1147103
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Strambo, Davide& Peruzzotti-Jametti, Luca& Semerano, Aurora& Fanelli, Giovanna& Simionato, Franco& Chiesa, Roberto…[et al.]. Treatment Challenges of a Primary Vertebral Artery Aneurysm Causing Recurrent Ischemic Strokes. Case Reports in Neurological Medicine. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1147103
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1147103
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر