Intraoperative Visualization of Bilateral Thrombosis in the Posterior Inferior Cerebellar Artery Apparent in the Telovelomedullary Segment

被引：1

作者：

Nevzati, Edin ^{[1
]}

Schatlo, Bawarjan ^{[1
]}

Fathi, Ali-Reza ^{[1
]}

Fandino, Javier ^{[1
]}

Muroi, Carl ^{[1
]}

机构：

[1] Kantonsspital Aarau, Dept Neurosurg, CH-5001 Aarau, Switzerland

来源：

CASE REPORTS IN NEUROLOGICAL MEDICINE | 2014年 / 2014卷

关键词：

D O I：

10.1155/2014/247652

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Unilateral posterior inferior cerebellar artery (PICA) thrombosis is frequent. However, bilateral PICA thrombosis is rare. Herein we report about an intraoperative visualization of a bilateral thrombosis of the telovelomedullary segment of the PICA. A 74-yearold woman was admitted to our department on day two of a bilateral PICA thrombosis with developing cerebellar infarction. Her Glasgow Coma Scale score dropped from 15 to 13, and cranial computed tomography revealed compression of the fourth ventricle with consecutive occlusive hydrocephalus. After the insertion of an external ventricular drainage, the patient underwent urgent suboccipital decompressive craniectomy with removal of infarcted cerebellar tonsils, which allowed the bilateral visualization of the thrombosed telovelomedullary segments. The surgical access may offer surgical therapeutic options in a hyperacute occlusion, such as thromb-/embolectomy or bypass procedures.

引用

页数：4

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