DOAで来院し社会復帰し得た椎骨動脈解離性動脈瘤の1例

抄録

We report a case of dissecting aneurysm of the vertebral artery with a good outcome. A 63-year-old male was brought to our hospital with no spontaneous respiration and no pulse (i.e., DOA). After cardiopulmonary resuscitation, his vital signs recovered. Computed tomography revealed subarachnoid hemorrhage located mainly in the cerebellopontile angle cistern, and cerebral angiograms showed a dissecting aneurysm of the vertebral artery. Emergency surgery was performed. The patient's postoperative course was almost completely favorable except for hoarseness, and he has returned to society. Since the prognosis of dissecting aneurysm of the vertebral artery is good in certain cases, we think appropriate early and aggressive treatment is important.