Acta Neurochirurgica

, Volume 104, Issue 1–2, pp 59–63 | Cite as

Proximal clipping of dissecting intracranial vertebral aneurysm — effect of balloon Matas test with neurophysiological monitoring

Case report
  • Ch. -Ch. Su
  • T. Watanabe
  • T. Yoshimoto
  • A. Ogawa
  • A. Ichige
Clinical Articles

Summary

A case of repeated subarachnoid haemorrhage (SAH) caused by rupture of a dissecting intracranial vertebral aneurysm is reported. The clinical manifestations, angiographic findings, pre-operative assessment with neurophysiological monitoring, and surgery are presented. A review of the literature suggests that this type of intracranial aneurysm is being recognized with increasing frequency in SAH and fatality, and therefore exploration and treatment of vertebrobasilar (V-B) dissecting aneurysms is necessary. We emphasize that a balloon Matas test with monitoring of somatosensory evoked potentials (SEP), auditory brain stem responses (ABR), and its wedge pressure in occluding the vertebral artery before operation are objective assessments of treatment for dissecting intracranial vertebral aneurysm.

Keywords

Dissecting aneurysm vertebral aneurysm subarachnoid haemorrhage somatosensory evoked potentials auditory brain stem responses 

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Copyright information

© Springer-Verlag 1990

Authors and Affiliations

  • Ch. -Ch. Su
    • 1
  • T. Watanabe
    • 2
  • T. Yoshimoto
    • 1
  • A. Ogawa
    • 1
  • A. Ichige
    • 3
  1. 1.Division of Neurosurgery, Institute of Brain DiseasesTohoku University School of MedicineSendaiJapan
  2. 2.Department of NeurosurgeryYonezawa City HospitalYonezawaJapan
  3. 3.Department of OtolaryngologyYonezawa City HospitalYonezawaJapan

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