Dissection of both limbs of a fenestrated vertebral artery: Case report and review of literatures

被引：0

作者：

Mori, Kentaro ^{[1
]}

Iida, Yu ^{[1
]}

Kawahara, Yosuke ^{[1
]}

Fukui, Issei ^{[1
]}

Abe, Katsuya ^{[2
]}

Takeda, Mutsuki ^{[2
]}

Nakano, Tatsu ^{[2
]}

Koh, Eikan ^{[3
]}

Nomura, Motohiro ^{[1
]}

机构：

[1] Yokohama Sakae Kyosai Hosp, Dept Neurosurg, Yokohama, Kanagawa, Japan

[2] Yokohama Sakae Kyosai Hosp, Dept Neurol, Yokohama, Kanagawa, Japan

[3] Kaminagaya Koh Neurol Clin, Dept Neurosurg, Yokohama, Kanagawa, Japan

来源：

NEUROLOGY AND CLINICAL NEUROSCIENCE | 2021年 / 9卷 / 04期

关键词：

dissection; fenestration; intramural thrombus; limb; vertebral artery; ANEURYSM; ORIGIN;

D O I：

10.1111/ncn3.12510

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: Dissection of a fenestration of the vertebral artery is extremely rare. Case report: A 55-year-old man presented with severe headache. Radiological examinations revealed a fenestration of the intracranial vertebral artery, and both limbs of the fenestration showed stenosis and dilatation. Three-dimensional-T1 fat suppression-weighted images of magnetic resonance imaging (MRI) showed an intramural thrombus. These findings indicated that dissection occurred in both limbs of the fenestrated vertebral artery. Since no hemorrhage or infarction was observed, the patient was conservatively treated with an anti-hypertensive drug. His symptom gradually improved and finally disappeared. Follow-up MRI in the 2nd month showed a decreased intramural thrombus and smoothened vertebral artery. Discussion: Detection of an intramural thrombus on MRI is useful for the diagnosis of dissection of a vertebral artery fenestration. Treatment of this rare condition might be the same as that for a non-fenestrated vertebral artery.

引用

页码：307 / 311

页数：5

共 14 条

[1] Imaging of cervical artery dissection [J].

Ben Hassen, W. ;

Machet, A. ;

Edjlali-Goujon, M. ;

Legrand, L. ;

Ladoux, A. ;

Mellerio, C. ;

Bodiguel, E. ;

Gobin-Metteil, M. -P. ;

Trystram, D. ;

Rodriguez-Regent, C. ;

Mas, J. -L. ;

Plat, M. ;

Oppenheim, C. ;

Meder, J. -F. ;

Naggara, O. .

DIAGNOSTIC AND INTERVENTIONAL IMAGING, 2014, 95 (12) :1151-1161

[2] An 18-year-old man with fenestrated vertebral arteries, recurrent stroke and successful angiographic coiling [J].

Bernard, Timothy J. ;

Mull, Brendan R. ;

Handler, Michael H. ;

Harned, Roger K. ;

Filley, Christopher M. ;

Kumpe, David A. ;

Tseng, Brian S. .

JOURNAL OF THE NEUROLOGICAL SCIENCES, 2007, 260 (1-2) :279-282

[3] Anticoagulation vs Antiplatelet Treatment in Patients with Carotid and Vertebral Artery Dissection: A Study of 370 Patients and Literature Review [J].

Daou, Badih ;

Hammer, Christine ;

Mouchtouris, Nikolaos ;

Starke, Robert M. ;

Koduri, Sravanthi ;

Yang, Steven ;

Jabbour, Pascal ;

Rosenwasser, Robert ;

Tjoumakaris, Stavropoula .

NEUROSURGERY, 2017, 80 (03) :368-378

[4] Dissecting: aneurysm of the intracranial fenestrated vertebral artery submited to endovascular treatment case report [J].

de Andrade, GC ;

de Oliveira, JG ;

Dauar, RFB ;

Nalli, DR ;

Braga, FM .

ARQUIVOS DE NEURO-PSIQUIATRIA, 2005, 63 (2A) :352-356

[5]

Giuffre R, 1999, J Neurosurg Sci, V43, P175

[6] Treatment of Ruptured Saccular Aneurysms of the Fenestrated Vertebrobasilar Junction with Balloon Remodeling Technique A Short Case Series and Review of the Literature [J].

Gupta, Vivek ;

Ahuja, Chirag K. ;

Khandelwal, N. ;

Kumar, Ajay ;

Gupta, S. K. .

INTERVENTIONAL NEURORADIOLOGY, 2013, 19 (03) :289-298

[7] Spontaneous occlusion of ruptured vertebral artery dissection at the extradural fenestration associated with extradural origin of the posterior inferior cerebellar artery - Case report [J].

Hayashi, T ;

Hirose, Y ;

Sagoh, M ;

Murakami, H .

NEUROLOGIA MEDICO-CHIRURGICA, 2000, 40 (03) :164-168

[8] Dissection of the Vertebral Artery Fenestration Limb Presenting with Occlusion After Rupture [J].

Ikeda, Hiroyuki ;

Sano, Noritaka ;

Torikoshi, Sadaharu ;

Otsuka, Ryotaro ;

Tsujimoto, Yoshitaka ;

Yamashita, Tomoyuki ;

Hayase, Makoto ;

Toda, Hiroki .

WORLD NEUROSURGERY, 2020, 135 :324-329

[9] Ruptured saccular aneurysm of distal vertebral artery fenestration managed with Guglielmi detachable coils and intraventricular tissue plasminogen activator [J].

Kubo, M ;

Hacein-Bey, L ;

Varelas, PN ;

Ulmer, JL ;

Lemke, DM ;

Cusick, JF .

SURGICAL NEUROLOGY, 2005, 63 (03) :244-248

[10] Dissection of a Limb of a Vertebral Artery Fenestration: Case Report [J].

Nicola, David ;

Lum, Cheemun ;

De Meulemeester, Christine .

CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES, 2016, 43 (02) :329-331

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