Distal ligation and revascularization from external carotid to vertebral artery with radial artery graft for treatment of extracranial vertebral artery dissection. Report of a case.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 8122550.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
We present a case of dissection of the extracranial vertebral artery with prominent occipital pain and elements of the lateral medullary syndrome. Arteriography showed a string and pearl sign. Magnetic resonance imaging allowed visualization of an intramural thrombus associated with a narrow vascular lumen. The distal portion of the diseased artery was ligated and vascular reconstruction using an interposed radial artery graft was performed. Pathological studies confirmed the diagnosis. The diagnostic roles of angiography and magnetic resonance imaging, and therapeutic strategies are discussed.
Medical subject headings
- Aortic Dissection
- Carotid Artery, External
- Cerebral Revascularization
- Intracranial Aneurysm
- Radial Artery
- Vertebral Artery