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

Hisanori Edaki; Hisakazu Itami; Kenta Ikushima; Yukei Shinji; Shinji Otsuka; Noboru Kusaka; Tsukasa Nishiura; Kotaro Ogihara

doi:10.5797/jnet.cr.2019-0117

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

Hisanori Edaki, Hisakazu Itami, Kenta Ikushima, Yukei Shinji, Shinji Otsuka, Noboru Kusaka, Tsukasa Nishiura, Kotaro Ogihara

著者情報

Hisanori Edaki
Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, Iwakuni, Yamaguchi, Japan
Hisakazu Itami
Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, Iwakuni, Yamaguchi, Japan
Kenta Ikushima
Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, Iwakuni, Yamaguchi, Japan
Yukei Shinji
Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, Iwakuni, Yamaguchi, Japan
Shinji Otsuka
Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, Iwakuni, Yamaguchi, Japan
Noboru Kusaka
Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, Iwakuni, Yamaguchi, Japan
Tsukasa Nishiura
Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, Iwakuni, Yamaguchi, Japan
Kotaro Ogihara
Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, Iwakuni, Yamaguchi, Japan

キーワード: brain stem infarction, vertebral artery dissecting aneurysm, stent and coil

ジャーナルオープンアクセス早期公開

論文ID: cr.2019-0117

DOI https://doi.org/10.5797/jnet.cr.2019-0117

この記事には本公開記事があります。

The final version of this article is now available: Vol. 14 (2020), No. 10 pp. 428-434

詳細

抄録

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.

責任著者(Corresponding author)

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