Neurosurgical Review

, Volume 31, Issue 2, pp 131–140 | Cite as

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

  • Jorge Arturo Santos-Franco
  • Marco ZentenoEmail author
  • Angel Lee


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.


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



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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Jorge Arturo Santos-Franco
    • 1
  • Marco Zenteno
    • 1
    • 2
    • 4
    Email author
  • Angel Lee
    • 2
    • 3
  1. 1.Department of Neurological Endovascular TherapyNational Institute of Neurology and NeurosurgeryMexico CityMexico
  2. 2.Comprehensive Stroke CenterHospital Ángeles del PedregalMexico CityMexico
  3. 3.Department of NeurosurgeryInstituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico CityMexico
  4. 4.Instituto Nacional de Neurología y NeurocirugíaMéxico CityMexico

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