Recanalisation of spontaneously occluded vertebral artery dissection after subarachnoid haemorrhage

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Abstract

Spontaneous occlusion is a rare manifestation of ruptured vertebral artery dissection (VAD). Its natural history and treatment strategy have yet to be established due to its rarity. Here, we report five lesions involving spontaneous occlusion of VAD after subarachnoid haemorrhage, among which three lesions showed recanalisation. Based on our experience and previous reports, spontaneous occlusion of ruptured VAD can be classified into two groups - one group with occlusion in the acute stage with a high incidence of recanalisation and another group with occlusion in the chronic stage with a relatively low incidence of recanalisation. The underlying mechanism is likely different in each group, and treatment strategies should also be tailored depending on the pathophysiology.

Original languageEnglish
Pages (from-to)615-619
Number of pages5
JournalNeurosurgical Review
Volume35
Issue number4
DOIs
Publication statusPublished - 2012 Oct

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Keywords

  • Endovascular therapy
  • Surgery
  • Treatment strategy
  • Vertebral artery dissection

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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