Treatment Outcomes in Patients with a Vertebral Artery Dissecting Aneurysm.
- Author:
Tack Geun CHO
1
;
Kyoung Tae KIM
;
Jong Sik SUK
;
Hyun Jong HONG
;
Jeong Taik KWON
;
Young Baeg KIM
Author Information
1. Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea. sukjs@hananet.net
- Publication Type:Original Article
- Keywords:
Vertebral artery dissecting aneurysm;
Subarachnoid hemorrhage;
Ischemia
- MeSH:
Aneurysm;
Aneurysm, Dissecting*;
Angiography;
Craniotomy;
Follow-Up Studies;
Hand;
Hemorrhage;
Humans;
Ischemia;
Stents;
Subarachnoid Hemorrhage;
Vertebral Artery*
- From:Korean Journal of Cerebrovascular Surgery
2006;8(1):19-25
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: The vertebral artery dissecting aneurysms have been increaslingly reported with recent advent of diagnostic tools. The authors analyzed the various therapeutic modalities according to the patient's clinical presentation. METHODS: The clinical characteristics of vertebral artery dissecting aneurysm including clinical presentation, therapeutic modalities and outcomes were reviewed in eleven patients between March 2001 and August 2005. RESULTS: Six patients were presented with subarachnoid hemorrhage and five patients with ischemia. Four patients were treated with endovascular coils or stent and one patient was treated with craniotomy and aneurysmal wrapping. The other six patients were treated conservatively. Clinical outcomes were relatively good (Glawsgow outcome scale > or = 4) except one patient (Glawsgow oucome scale = 3). CONCLUSIONS: The treatment of a vertebral artery dissecting aneurysm must be choosed by characteristics of an aneurysm and the patient's clinical presentations. The patients with hemorrhage must be candidates for aggressive attempts to prevent rebleeding. On the other hand, the patients with ischemia may be good candidates for conservative treatment, and follow-up angiography is mandatory within three weeks after the symptom onset.
