Proximal clipping of dissecting intracranial vertebral aneurysm--effect of balloon Matas test with neurophysiological monitoring. Case report.

Abstract:

:A case of repeated subarachnoid haemorrhage (SAH) caused by rupture of a dissecting intracranial vertebral aneurysm is reported. The clinical manifestations, angiographic findings, pre-operative assessment with neurophysiological monitoring, and surgery are presented. A review of the literature suggests that this type of intracranial aneurysm is being recognized with increasing frequency in SAH and fatality, and therefore exploration and treatment of vertebrobasilar (V-B) dissecting aneurysms is necessary. We emphasize that a balloon Matas test with monitoring of somatosensory evoked potentials (SEP), auditory brain stem responses (ABR), and its wedge pressure in occluding the vertebral artery before operation are objective assessments of treatment for dissecting intracranial vertebral aneurysm.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Su CC,Watanabe T,Yoshimoto T,Ogawa A,Ichige A

doi

10.1007/BF01842895

subject

Has Abstract

pub_date

1990-01-01 00:00:00

pages

59-63

issue

1-2

eissn

0001-6268

issn

0942-0940

journal_volume

104

pub_type

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