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KMID : 0359819950240060667
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Journal of Korean Neurosurgical Society
1995 Volume.24 No. 6 p.667 ~ p.675
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Diagnosis and Management of the Vertebrobasilar Dissection Aneurysm
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김한성
박현선/주진양/김동익/이규창
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Abstract
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The authors have experienced seven cases of spontaneous intracranial dissecting aneurysm. Headache on the suboccipital region was the most common presenting symptom. Four patients had subarachnoid hemorrhage (SAH). Most of the patients were males
:
six
men, one woman. The locations of the aneurysm were vertebral artery in six and basilar artery in one. An irregularly narrowed arterial segment with proximal and/or distal dilatation was the most significant angiographic findings. The introdution
of
MRI
and DSA made the diagnosis of dissecting aneurysm easier in the suspicious cases with a traditional cerebral 4-vessel angiography. Five patients were treated surgically : proximal clip occlusion of affected artery in three cases. trapping in one.
wrapping combined with proximal clip occlution in another. The surgical results were excellent in all the cases. There was no further dissection of affected artery on postoperative follow-up angiography.
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KEYWORD
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