Journal article

Publication year: 1998

Pages: 170-174

Journal: RöFo: Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren

Volume number: 169

Issue number: 8

ISSN: 0936-6652

DOI Link: https://doi.org/10.1055/s-2007-1015069

Publisher: Georg Thieme Verlag

Abstract: 
Purpose: To describe clinical, radiological and pathological-anatomical findings of basilar artery dissections. Methods: During a period of three years (1994-1996) we observed 4 patients with dissections of the basilar artery, proven by angiography. Angiograms, MRI (n = 2) and autopsy results (n = 1) of these patients were correlated with clinical symptoms and long-term follow-up. Results: In three patients the dissection was confined into the basilar artery. Three patients with vertebrobasilar ischaemia showed irregularities of the vessel wall on angiography, in one of these patients autopsy revealed a haematoma within the vessel wall, located between intima and media. One patient complaining of relapsing headaches had a posttraumatic basilar artery aneurysm. Conclusion: Dissections of the basilar artery can be separated in two types. In case of subintimal dissection patients present with vertebrobasilar ischaemia, which in contrast to extra-cranial dissections usually occurs without temporal delay. A second type of patients presents with subarachnoid haemorrhage. The dissection is subadventitial and pierces through a thin adventitia into the subarachnoid space.

Harvard Citation style: Urbach, H., Meyer-Lindenberg, A., Bendszus, M., Roggendorf, W. and Solymosi, L. (1998) Dissektionen der A. basilaris, RöFo: Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren, 169(8), pp. 170-174. https://doi.org/10.1055/s-2007-1015069

APA Citation style: Urbach, H., Meyer-Lindenberg, A., Bendszus, M., Roggendorf, W., & Solymosi, L. (1998). Dissektionen der A. basilaris. RöFo: Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren. 169(8), 170-174. https://doi.org/10.1055/s-2007-1015069