Isolated basilar artery dissection is a rare vascular pathology with varied clinical presentations and prognoses. We report a case of a 54-year-old woman, presented with subarachnoid hemorrhages (Hunt-Hess grade II). Brain computed tomography demonstrated a perimesencephalic pattern of haemorrhage. Magnetic resonance angiography revealed an isolated basilar artery dissection. Conservative treatment was performed. A complete resolution of the clinical symptoms occurs over a period of 30 days. There was no recurrent haemorrhage. On a follow-up magnetic resonance angiography three months later, a complete resolution of the intramural haematoma in the basilar artery was demonstrated. Some of the cases of basilar artery dissection with perimesencephalic pattern of subarachnoid haemorrhages could have a good prognosis, and could be treated conservatively.
| Published in | Science Journal of Clinical Medicine (Volume 4, Issue 2) |
| DOI | 10.11648/j.sjcm.20150402.11 |
| Page(s) | 26-28 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2015. Published by Science Publishing Group |
Basilar Artery Dissection, Perimesencephalic Subarachnoid Haemorrhage, Colour Coded Duplex Sonography
| [1] | Mokri B, Houser OW, Sandok BA, Piepgras D. Spontaneous dissections of the vertebral arteries. Neurology 1988; 38: 880-885. |
| [2] | Ruecker M, Furtner M, Knoflach M, Werner P, Gotwald T, Chemelli A, Zangerle A, Prantl B, Matosević B, Schmidauer C, Schmutzhard E, Willeit J, Kiechl S. Basilar artery dissection: series of 12 consecutive cases and review of the literature. Cerebrovasc Dis 2010; 30: 267-276. |
| [3] | Kim CH, Son YJ, Paek SH, Han MH, Kim JE, Chung YS, Kwon BJ, Oh CW, Han DH. Clinical analysis of vertebrobasilar dissection.Acta Neurochir (Wien)2006; 148: 395-404. |
| [4] | Kim BM, Suh SH, Park SI, Shin YS, Chung EC, Lee MH, Kim EJ, Koh JS, Kang HS, Roh HG, Won YS, Chung PW, Kim YB, Suh BC. Management and clinical outcome of acute basilar artery dissection. AJNR Am J Neuroradiol 2008; 29: 1937- 4. |
| [5] | Masson C, Krespy Y, Masson M, Colombani JM. Magnetic resonance imaging in basilar artery dissection. Stroke 1993; 24: 1264-1266. |
| [6] | Cánovas D, Gil A, Jato M, de Miquel M, Rubio F. Clinical outcome of spontaneous non-aneurysmal subarachnoid hemorrhage in 108 patients. European Journal of Neurology 2012; 19: 457-61. |
| [7] | Gijn JV, Rinkel GJ. Subarachnoid haemorrhage: diagnosis, causes and management. Brain 2001; 124: 249-278. |
| [8] | Rinkel GJ, Wijdicks EF, Vermeulen M, Ramos LM, Tanghe HL, Hasan D et al. Nonaneurysmal perimesencephalic subarachnoid hemorrhage: CT and MR patterns that differ from aneurysmal rupture. AJNR Am J Neuroradiol 1991; 12: 829–34. |
| [9] | Pinto AN, Ferro JM, Canhao P, Campos J. How often is a perimesencephalic subarachnoid haemorrhage CT pattern caused by ruptured aneurysms? Acta Neurochir (Wien) 1993; 124: 79–81. |
| [10] | Van Calenbergh F, Plets C, Goffin J, Velghe L. Nonaneurysmal subarachnoid hemorrhage: prevalence of perimesencephalic hemorrhage in a consecutive series. Surg Neurol 1993; 39: 320–3. |
| [11] | Ross GJ, Ferraro F, DeRiggi L, Scotti LN. Spontaneous healing of basilar artery dissection: MR findings. J Comput Assist Tomogr 1994; 18: 292-294. |
| [12] | Pozzati E, Andreoli A, Padovani R, Nuzzo G. Dissecting aneurysms of the basilar artery. Neurosurgery 1995; 36: 254-258. |
| [13] | Yoshimoto Y, Hoya K, Tanaka Y, Uchida T. Basilar artery dissection. J Neurosurg 2005; 102: 476-481. |
| [14] | Woimant F, Spelle L. Spontaneous basilar artery dissection: contribution of magnetic resonance imaging to diagnosis. J Neurol Neurosurg Psychiatry 1995; 58: 540. |
| [15] | Ahn SS, Kim BM, Suh SH, Kim DJ, Kim DI, Shin YS, Ha SY, Kwon YS. Spontaneous Symptomatic Intracranial Vertebrobasilar Dissection: Initial and Follow-up Imaging Findings.Radiology 2012; 264: 196-202. |
APA Style
Yordan Spirdonov, Plamen Getsov, Grigorii Nedelkov, Evguenia Vassileva, Marko Klissurski, et al. (2015). Good Outcome in Isolated Basilar Artery Dissection. Science Journal of Clinical Medicine, 4(2), 26-28. https://doi.org/10.11648/j.sjcm.20150402.11
ACS Style
Yordan Spirdonov; Plamen Getsov; Grigorii Nedelkov; Evguenia Vassileva; Marko Klissurski, et al. Good Outcome in Isolated Basilar Artery Dissection. Sci. J. Clin. Med. 2015, 4(2), 26-28. doi: 10.11648/j.sjcm.20150402.11
AMA Style
Yordan Spirdonov, Plamen Getsov, Grigorii Nedelkov, Evguenia Vassileva, Marko Klissurski, et al. Good Outcome in Isolated Basilar Artery Dissection. Sci J Clin Med. 2015;4(2):26-28. doi: 10.11648/j.sjcm.20150402.11
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.sjcm.20150402.11,
author = {Yordan Spirdonov and Plamen Getsov and Grigorii Nedelkov and Evguenia Vassileva and Marko Klissurski and Marin Daskalov},
title = {Good Outcome in Isolated Basilar Artery Dissection},
journal = {Science Journal of Clinical Medicine},
volume = {4},
number = {2},
pages = {26-28},
doi = {10.11648/j.sjcm.20150402.11},
url = {https://doi.org/10.11648/j.sjcm.20150402.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20150402.11},
abstract = {Isolated basilar artery dissection is a rare vascular pathology with varied clinical presentations and prognoses. We report a case of a 54-year-old woman, presented with subarachnoid hemorrhages (Hunt-Hess grade II). Brain computed tomography demonstrated a perimesencephalic pattern of haemorrhage. Magnetic resonance angiography revealed an isolated basilar artery dissection. Conservative treatment was performed. A complete resolution of the clinical symptoms occurs over a period of 30 days. There was no recurrent haemorrhage. On a follow-up magnetic resonance angiography three months later, a complete resolution of the intramural haematoma in the basilar artery was demonstrated. Some of the cases of basilar artery dissection with perimesencephalic pattern of subarachnoid haemorrhages could have a good prognosis, and could be treated conservatively.},
year = {2015}
}
TY - JOUR T1 - Good Outcome in Isolated Basilar Artery Dissection AU - Yordan Spirdonov AU - Plamen Getsov AU - Grigorii Nedelkov AU - Evguenia Vassileva AU - Marko Klissurski AU - Marin Daskalov Y1 - 2015/02/27 PY - 2015 N1 - https://doi.org/10.11648/j.sjcm.20150402.11 DO - 10.11648/j.sjcm.20150402.11 T2 - Science Journal of Clinical Medicine JF - Science Journal of Clinical Medicine JO - Science Journal of Clinical Medicine SP - 26 EP - 28 PB - Science Publishing Group SN - 2327-2732 UR - https://doi.org/10.11648/j.sjcm.20150402.11 AB - Isolated basilar artery dissection is a rare vascular pathology with varied clinical presentations and prognoses. We report a case of a 54-year-old woman, presented with subarachnoid hemorrhages (Hunt-Hess grade II). Brain computed tomography demonstrated a perimesencephalic pattern of haemorrhage. Magnetic resonance angiography revealed an isolated basilar artery dissection. Conservative treatment was performed. A complete resolution of the clinical symptoms occurs over a period of 30 days. There was no recurrent haemorrhage. On a follow-up magnetic resonance angiography three months later, a complete resolution of the intramural haematoma in the basilar artery was demonstrated. Some of the cases of basilar artery dissection with perimesencephalic pattern of subarachnoid haemorrhages could have a good prognosis, and could be treated conservatively. VL - 4 IS - 2 ER -
Email: