Subscribe to RSS
![](/products/assets/desktop/img/oa-logo.png)
DOI: 10.1055/s-0036-1572506
Spontaneous Basilar Artery Dissection: A Case Report and Literature Review
Article in several languages: English | portuguêsPublication History
18 September 2015
23 November 2015
Publication Date:
23 February 2016 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00028832/201803/lookinside/thumbnails/10-1055-s-0036-1572506_1500027_en-1.jpg)
Abstract
Spontaneous basilar artery dissection is a rare condition and a diagnostic challenge with a high potential for morbidity and mortality if untreated. It has an estimated incidence of 1 to 1.5 cases per 100,000 people. Few cases have been described in the literature up to the present day. The clinical outcomes, prognosis and treatment remain uncertain. The authors report the rare case of a 55-year-old female patient who presented to the Interventional Neuroradiology service at Hospital São Marcos, Teresina, in the state of Piauí, Brazil, with a history of severe headache located in the occipital region and in the nape with no improvement using common analgesics. A magnetic resonance imaging of the brain showed a saccular dilatation in the basilar artery, and a digital cerebral angiography showed a basilar artery dissection associated with a dissecting aneurysm.
-
References
- 1 Yilmaz F, Arslan ED, Ozlem M, Kavalci C, Ciliz DS, Sever BS. A Rare Presentation of Stroke: Basilar Artery Disection. J Med Cases 2013; 4 (01) 43-45
- 2 Tsao YW, Chen JH, Huang PH, Chen WL. Isolated basilar artery dissection--a rare cause of stroke in young adult. Am J Emerg Med 2013; 31 (09) 1422.e3-1422.e5
- 3 Kim BM, Suh SH, Park SI. , et al. Management and clinical outcome of acute basilar artery dissection. AJNR Am J Neuroradiol 2008; 29 (10) 1937-1941
- 4 Yoon WK, Kim YW, Kim SR. , et al. Angiographic and clinical outcomes of stent-alone treatment for spontaneous vertebrobasilar dissecting aneurysm. Acta Neurochir (Wien) 2010; 152 (09) 1477-1486 , discussion 1486
- 5 Ruecker M, Furtner M, Knoflach M. , et al. Basilar artery dissection: series of 12 consecutive cases and review of the literature. Cerebrovasc Dis 2010; 30 (03) 267-276
- 6 Chang V, Rewcastle NB, Harwood-Nash DCF, Norman MG. Bilateral dissecting aneurysms of the intracranial internal carotid arteries in an 8-year-old boy. Neurology 1975; 25 (06) 573-579
- 7 Pozzati E, Andreoli A, Padovani R, Nuzzo G. Dissecting aneurysms of the basilar artery. Neurosurgery 1995; 36 (02) 254-258
- 8 Yoshimoto Y, Hoya K, Tanaka Y, Uchida T. Basilar artery dissection. J Neurosurg 2005; 102 (03) 476-481
- 9 Hosoda K, Fujita S, Kawaguchi T. , et al. Spontaneous dissecting aneurysms of the basilar artery presenting with a subarachnoid hemorrhage. Report of two cases. J Neurosurg 1991; 75 (04) 628-633
- 10 Masson C, Krespy Y, Masson M, Colombani JM. Magnetic resonance imaging in basilar artery dissection. Stroke 1993; 24 (08) 1264-1266
- 11 Nakahara T, Satoh H, Mizoue T, Kawamoto H, Kohmo Y, Kurisu K. Dissecting aneurysm of basilar artery presenting with recurrent subarachnoid hemorrhage. Neurosurg Rev 1999; 22 (2-3): 155-158