A Case of Brainstem Infarction That Was Found to Be Vertebral Artery Dissection in a Short Period after the Diagnosis of Atherothrombotic Infarction

OBJECTIVE: We report a case of vertebral artery dissecting aneurysm that caused right lateral medullary infarction, which was treated by endovascular therapy. CASE PRESENTATIONS: A 57-year-old man developed right-side headache and dysarthria on the day before presentation, and exhibited mouth droppi...

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Autores principales: Edaki, Hisanori, Itami, Hisakazu, Ikushima, Kenta, Shinji, Yukei, Otsuka, Shinji, Kusaka, Noboru, Nishiura, Tsukasa, Ogihara, Kotaro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society for Neuroendovascular Therapy 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370534/
https://www.ncbi.nlm.nih.gov/pubmed/37502663
http://dx.doi.org/10.5797/jnet.cr.2019-0117
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author Edaki, Hisanori
Itami, Hisakazu
Ikushima, Kenta
Shinji, Yukei
Otsuka, Shinji
Kusaka, Noboru
Nishiura, Tsukasa
Ogihara, Kotaro
author_facet Edaki, Hisanori
Itami, Hisakazu
Ikushima, Kenta
Shinji, Yukei
Otsuka, Shinji
Kusaka, Noboru
Nishiura, Tsukasa
Ogihara, Kotaro
author_sort Edaki, Hisanori
collection PubMed
description OBJECTIVE: We report a case of vertebral artery dissecting aneurysm that caused right lateral medullary infarction, which was treated by endovascular therapy. CASE PRESENTATIONS: A 57-year-old man developed right-side headache and dysarthria on the day before presentation, and exhibited mouth dropping and dysphagia the following day. Initial MRI demonstrated right lateral medullary infarction with atherothrombotic change with no vessel lesion, and we started infusion and medication administration. Later MRI revealed bilateral vertebral artery dissection, and we treated the growing right vertebral artery dissecting aneurysm by stenting and coils. CONCLUSION: The possibility of dissecting lesions should be considered in cases of medullary infarction. Stenting and coil treatment is a useful option for bilateral dissecting vertebral aneurysms.
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spelling pubmed-103705342023-07-27 A Case of Brainstem Infarction That Was Found to Be Vertebral Artery Dissection in a Short Period after the Diagnosis of Atherothrombotic Infarction Edaki, Hisanori Itami, Hisakazu Ikushima, Kenta Shinji, Yukei Otsuka, Shinji Kusaka, Noboru Nishiura, Tsukasa Ogihara, Kotaro J Neuroendovasc Ther Case Report OBJECTIVE: We report a case of vertebral artery dissecting aneurysm that caused right lateral medullary infarction, which was treated by endovascular therapy. CASE PRESENTATIONS: A 57-year-old man developed right-side headache and dysarthria on the day before presentation, and exhibited mouth dropping and dysphagia the following day. Initial MRI demonstrated right lateral medullary infarction with atherothrombotic change with no vessel lesion, and we started infusion and medication administration. Later MRI revealed bilateral vertebral artery dissection, and we treated the growing right vertebral artery dissecting aneurysm by stenting and coils. CONCLUSION: The possibility of dissecting lesions should be considered in cases of medullary infarction. Stenting and coil treatment is a useful option for bilateral dissecting vertebral aneurysms. The Japanese Society for Neuroendovascular Therapy 2020-07-22 2020 /pmc/articles/PMC10370534/ /pubmed/37502663 http://dx.doi.org/10.5797/jnet.cr.2019-0117 Text en ©2020 The Japanese Society for Neuroendovascular Therapy https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Case Report
Edaki, Hisanori
Itami, Hisakazu
Ikushima, Kenta
Shinji, Yukei
Otsuka, Shinji
Kusaka, Noboru
Nishiura, Tsukasa
Ogihara, Kotaro
A Case of Brainstem Infarction That Was Found to Be Vertebral Artery Dissection in a Short Period after the Diagnosis of Atherothrombotic Infarction
title A Case of Brainstem Infarction That Was Found to Be Vertebral Artery Dissection in a Short Period after the Diagnosis of Atherothrombotic Infarction
title_full A Case of Brainstem Infarction That Was Found to Be Vertebral Artery Dissection in a Short Period after the Diagnosis of Atherothrombotic Infarction
title_fullStr A Case of Brainstem Infarction That Was Found to Be Vertebral Artery Dissection in a Short Period after the Diagnosis of Atherothrombotic Infarction
title_full_unstemmed A Case of Brainstem Infarction That Was Found to Be Vertebral Artery Dissection in a Short Period after the Diagnosis of Atherothrombotic Infarction
title_short A Case of Brainstem Infarction That Was Found to Be Vertebral Artery Dissection in a Short Period after the Diagnosis of Atherothrombotic Infarction
title_sort case of brainstem infarction that was found to be vertebral artery dissection in a short period after the diagnosis of atherothrombotic infarction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370534/
https://www.ncbi.nlm.nih.gov/pubmed/37502663
http://dx.doi.org/10.5797/jnet.cr.2019-0117
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