Acta Neurochirurgica

, Volume 125, Issue 1–4, pp 192–195 | Cite as

Distal ligation and revascularization from external carotid to vertebral artery with radial artery graft for treatment of extracranial vertebral artery dissection

Report of a case
  • S. Mabuchi
  • H. Kamiyama
  • H. Abe
Special Cases


We present a case of dissection of the extracranial vertebral artery with prominent occipital pain and elements of the lateral medullary syndrome. Arteriography showed a string and pearl sign. Magnetic resonance imaging allowed visualization of an intramural thrombus associated with a narrow vascular lumen. The distal portion of the diseased artery was ligated and vascular reconstruction using an interposed radial artery graft was performed. Pathological studies confirmed the diagnosis. The diagnostic roles of angiography and magnetic resonance imaging, and therapeutic strategies are discussed.


Vertebral artery dissection radial artery graft revasclarization 


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Copyright information

© Springer-Verlag 1993

Authors and Affiliations

  • S. Mabuchi
    • 3
  • H. Kamiyama
    • 1
  • H. Abe
    • 2
  1. 1.Asahikawa Red Cross HospitalHokkaidoJapan
  2. 2.Hokkaido University HospitalHokkaidoJapan
  3. 3.Department of NeurosurgeryKushiro Rosai HospitalHokkaidoJapan

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