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[Staged bilateral VA embolization for SAH due to bilateral VA dissection: case report]
Kenji Suzuyama1, Toru Koizumi, Hiroki Udono
1Department of Neurosurgery, Saga Medical School, 5-1-1 Nabeshima, Saga-city, Saga 849-8501, Japan.
No Shinkei Geka. Neurological Surgery
|October 31, 2002
Summary
Bilateral vertebral artery dissection can cause stroke and subarachnoid hemorrhage (SAH) in young adults. Staged proximal coil occlusion successfully treated a patient with this condition, highlighting the need for follow-up angiography.
Area of Science:
- Neurology
- Vascular Surgery
- Interventional Neuroradiology
Background:
- Vertebral artery (VA) dissections are an uncommon but significant cause of posterior circulation stroke, particularly in young adults.
- Subarachnoid hemorrhage (SAH) secondary to VA dissection presents a complex clinical challenge.
Observation:
- A case of bilateral VA dissection presenting with SAH is described.
- The patient underwent a two-stage treatment involving proximal coil occlusion of both vertebral arteries.
Findings:
- Successful treatment of SAH from bilateral VA dissection was achieved through staged proximal VA occlusion.
- Follow-up angiography is crucial to monitor the status of treated and contralateral vessels post-intervention.
Implications:
- Staged bilateral proximal VA occlusion is a viable therapeutic option for recurrent VA dissection or progressive aneurysm enlargement.
- This approach underscores the importance of vigilant post-treatment surveillance in managing complex VA dissections.