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01-09-2016 | Case Report - Vascular

Posterior atlantoaxial fusion as treatment option for extracranial vertebral artery dissecting aneurysm: a case report and literature review

Authors: Naokado Ikeda, Hideki Hayashi, Masanori Goto, Hitoshi Satoi, Koichi Iwasaki, Hiroki Toda

Published in: Acta Neurochirurgica | Issue 9/2016

Abstract

Symptomatic extracranial vertebral artery (VA) dissection may need surgery. We describe such a case successfully treated with atlantoaxial fusion based on its rare dynamic angiographic findings. A 27-year-old woman suffered from repeated brainstem and cerebellar infarctions from a left extracranial VA dissecting aneurysm. Dynamic angiography showed the dissecting aneurysm of the V3 segment in the neutral head position, and deflation of the aneurysm during rightward head rotation. She underwent posterior atlantoaxial fusion, and the lesion was repaired with no subsequent ischemia. Posterior atlantoaxial fusion can be an option for some extracranial VA dissections with preserving its anterograde blood flow.

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Title: Posterior atlantoaxial fusion as treatment option for extracranial vertebral artery dissecting aneurysm: a case report and literature review
Authors: Naokado Ikeda
Hideki Hayashi
Masanori Goto
Hitoshi Satoi
Koichi Iwasaki
Hiroki Toda
Publication date: 01-09-2016
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 9/2016
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-016-2891-4

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Posterior atlantoaxial fusion as treatment option for extracranial vertebral artery dissecting aneurysm: a case report and literature review

Abstract

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Springer Medicine

Abstract

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