Neurosurgical Review

, Volume 31, Issue 2, pp 131–140

Dissecting aneurysms of the vertebrobasilar system. A comprehensive review on natural history and treatment options

Authors

  • Jorge Arturo Santos-Franco
    • Department of Neurological Endovascular TherapyNational Institute of Neurology and Neurosurgery
    • Department of Neurological Endovascular TherapyNational Institute of Neurology and Neurosurgery
    • Comprehensive Stroke CenterHospital Ángeles del Pedregal
    • Instituto Nacional de Neurología y Neurocirugía
  • Angel Lee
    • Comprehensive Stroke CenterHospital Ángeles del Pedregal
    • Department of NeurosurgeryInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
Review

DOI: 10.1007/s10143-008-0124-x

Cite this article as:
Santos-Franco, J.A., Zenteno, M. & Lee, A. Neurosurg Rev (2008) 31: 131. doi:10.1007/s10143-008-0124-x

Abstract

Vertebral artery dissection has been recognized as an uncommon cause of ischemic stroke. However, it is less well known as a cause of subarachnoid hemorrhage. Even if dissecting aneurysms of the vertebral artery are rare, their importance arise from their high morbidity and mortality with rebleeding occurring more often than in cases of saccular aneurysms. Dissecting aneurysms of the vertebrobasilar system are a complex entity which requires a rapid and effective treatment to prevent rerupture. The sole stenting technique stands as a promising approach, allowing to occlude the aneurysm while preserving the vessel patency and reconstructing the diseased segment.

Keywords

Intracranial aneurysms Vertebral artery aneurysm Dissecting aneurysm Sole stenting Endovascular treatment Subarachnoid hemorrhage

Copyright information

© Springer-Verlag 2008