Stent-assisted basilar reconstruction for a traumatic vertebral dissection with a large basilar artery thrombosis

被引：6
|
作者：
Hauck, Erik F. [1 ,3 ]
Natarajan, Sabareesh K. [1 ,3 ]
Horvathy, Dennis B. [1 ,3 ]
Hopkins, L. Nelson [1 ,2 ,3 ]
Siddiqui, Adnan H. [1 ,2 ,3 ]
Levy, Elad I. [1 ,2 ,3 ]
机构：
[1] SUNY Buffalo, Sch Med & Biomed Sci, Toshiba Stroke Res Ctr, Dept Neurosurg, Buffalo, NY 14260 USA
[2] SUNY Buffalo, Sch Med & Biomed Sci, Dept Radiol, Buffalo, NY 14260 USA
[3] Millard Fillmore Gates Hosp, Dept Neurosurg, Buffalo, NY USA
来源：
JOURNAL OF NEUROINTERVENTIONAL SURGERY | 2011年 / 3卷 / 01期
基金：
美国国家卫生研究院;
关键词：
ACUTE STROKE; VOLUME; TRIAL;
D O I：
10.1136/jnis.2010.002410
中图分类号：
R445 [影像诊断学];
学科分类号：
100207 ;
摘要：
An individual in their 30s presented with quadriplegia and coma 7 h after a 30-foot free-fall. Angiography confirmed left vertebral artery dissection causing vertebral artery occlusion (thrombolysis in myocardial infarction (TIMI) 0) and basilar artery thrombosis. Deployment of six self-expanding intracranial stents (right P1 to left V3) resulted in recanalization (TIMI 3). Postoperative MRI demonstrated a large brainstem infarction; the patient was 'locked-in'. In the following 6 months, the patient recovered to ambulation and independence. Aggressive recanalization for symptomatic vertebrobasilar dissection/occlusion may be considered. Despite major diffusion-weighted imaging brainstem lesions, recovery is possible.
引用
收藏
页码：47 / 49
页数：3
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