Acta Neurologica Belgica

, Volume 117, Issue 1, pp 299–302 | Cite as

Evolution of a large intracranial artery dissection on multimodal neuroimaging with spontaneous healing

  • Qiao Zuo
  • Yi-bin Fang
  • Rui Zhao
  • Jian-min Liu
  • Qing-hai HuangEmail author

Case presentation

A previously healthy 17-year-old male adolescent with intermittent mild headache for 4 years and more severe for a week was admitted to our hospital. A previous magnetic resonance imaging (MRI) performed 9 months prior to hospitalisation had shown no abnormalities (Fig.  1a). On current neuroimaging studies consisting of brain computed tomography (CT), MRI with magnetic resonance angiography (MRA), and digital subtraction angiography (DSA) examination, a large intracranial artery dissection (IAD) was detected. Given the lack of subarachnoid hemorrhage (SAH) or ischemia, and the perceived risk of endovascular or surgical treatment, preference was given to close clinical and radiological observation and antiplatelet medication for the patient and the dissection spontaneously healed over the next 8 months.


Intracranial artery dissection Intramural hematoma Magnetic resonance imaging Magnetic resonance angiography Digital subtraction angiography 


Conflict of interest

The authors declare that they have no conflict of interest.

Ethical standard

This study was approved by the Ethics Committee of Changhai Hospital.

Informed Consent

Informed consent was obtained from all individual participants.


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Copyright information

© Belgian Neurological Society 2016

Authors and Affiliations

  • Qiao Zuo
    • 1
  • Yi-bin Fang
    • 1
  • Rui Zhao
    • 1
  • Jian-min Liu
    • 1
  • Qing-hai Huang
    • 1
    Email author
  1. 1.Department of Neurosurgery, Changhai HospitalSecond Military Medical UniversityShanghaiChina

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