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

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.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Ikeda N,Hayashi H,Goto M,Satoi H,Iwasaki K,Toda H

doi

10.1007/s00701-016-2891-4

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

1741-4

issue

9

eissn

0001-6268

issn

0942-0940

pii

10.1007/s00701-016-2891-4

journal_volume

158

pub_type

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