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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

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Summary

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.

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Authors and Affiliations

  1. Asahikawa Red Cross Hospital, Hokkaido, Japan

    H. Kamiyama

  2. Hokkaido University Hospital, Hokkaido, Japan

    H. Abe

  3. Department of Neurosurgery, Kushiro Rosai Hospital, Hokkaido, Japan

    S. Mabuchi

Authors
  1. S. Mabuchi
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  2. H. Kamiyama
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  3. H. Abe
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Mabuchi, S., Kamiyama, H. & Abe, H. Distal ligation and revascularization from external carotid to vertebral artery with radial artery graft for treatment of extracranial vertebral artery dissection. Acta neurochir 125, 192–195 (1993). https://doi.org/10.1007/BF01401852

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  • DOI: https://doi.org/10.1007/BF01401852

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