Zusammenfassung
Es wird ein Fall von Aneurysma dissecans im Bereich der A. vertebralis sinistra und A. basilaris beschrieben. Im Zusammenhang mit der einschlägigen Literatur werden klinische Aspekte, diagnostische und therapeutische Möglichkeiten besprochen. Es wird hervorgehoben, daß bei jugendlichen Patienten mit einer zerebralen arteriellen Verschlußsymptomatik auch die Verdachtsdiagnose eines Aneurysma dissecans in Erwägung gezogen werden muß. Auf die Notwendigkeit einer möglichst sofortigen und vollständigen arteriographischen Untersuchung in solchen Fällen wird hingewiesen, da hiervon weitgehend therapeutische Konsequenzen abhängig sind.
Summary
A patient is described with a dissecting aneurysm in the territory of the left vertebral and basilar arteries. In relationship with the appropriate literature, the clinical aspects and the diagnostic and therapeutic possibilities are discussed. It is stressed that in young patients with a syndrome of occlusion of one of the cerebral arteries, the possible diagnosis of a dissecting aneurysm must be considered. The necessity of performing arteriographic studies in such patients as early and as completely as possible is alluded to, because far reaching therapeutic consequences are dependant on the results.
Résumé
Un cas d'anévrysme disséquant siégeant au niveau du territoire de la vertébrale gauche et du tronc basilaire. La symptomatologie clinique, le diagnostic et les possibilités thérapeutiques ont été confrontés avec les données de la littérature. On doit évoquer le diagnostic d'anévrysme disséquant devant un syndrome clinique de thrombose cérébrale chez un sujet jeune. L'angiographie doit être pratiquée le plus précocemment et le plus complètement possible, car la conduite thérapeutique en dépend.
Riassunto
Si riferisce su un caso di aneurisma dissecante nell'ambito dell'A. vertebrale sinistra e dell'A. basilare.
In relazione con la più importante letteratura vengono discussi gli aspetti clinici e le possibilità diagnostiche e terapeutiche. Viene messo in rilievo che in pazienti giovani con una sindrome da occlusione delle arterie cerebrali sia opportuno prendere in considerazione la diagnosi di aneurisma dissecante. E'quindi necessario procedere immediatamente ad un'indagine arteriografica completa, dalla quale si possono trarre indicazioni terapeutiche.
Resumen
Se describe un caso de aneurisma disecante de la arteria vertebral izquierda y arteria basilar. Relacionándolo con los casos publicados en la literatura consultada se discuten los aspectos clínicos y las posibilidades diagnósticoterapeúticas. Se hace resaltar que en enfermos jóvenes con sintomatología de obstrucción arterial cerebral, debe considerarse la posibilidad diagnóstica de un aneurisma disecante. Se hace tambien referencia a la necesidad de practicar una exploración arteriográfica tan rápida y completa como sea posible en estos casos, ya que de ésto depende en gran parte la conducta terapeútica a seguir.
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Redondo-Marco, J.A., Walb, D. Zur Frage des Aneurysma dissecans am intrakraniellen Gefäßsystem. Acta neurochir 16, 278–290 (1967). https://doi.org/10.1007/BF01793134
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DOI: https://doi.org/10.1007/BF01793134