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Intracranial Dissection

  • P. Bhogal
  • M. Aguilar Pérez
  • H. Bäzner
  • O. Ganslandt
  • H. Henkes
Chapter

Abstract

Spontaneous intracranial dissection is an uncommon condition that can present in a variety of different ways, from subarachnoid haemorrhage to ischaemia. A high degree of suspicion is required in order to correctly diagnose the condition and institute the appropriate management. The availability of modern imaging, including advanced MR imaging and on-table rotational angiography, has made the diagnosis easier. Treatment is dependent upon the initial presentation, with urgent treatment required for patients presenting with subarachnoid haemorrhage. Endovascular treatment options can be broadly subdivided into reconstructive and deconstructive techniques that either preserve the parent artery or occlude the parent artery, respectively. The risks and benefits of each of these techniques must be considered in unison with the natural history of the disease and its presentation to provide tailored management for patients. In this chapter, we discuss the epidemiology, pathophysiology, presentation, and various treatment strategies as well as the potential risks of the various endovascular treatment options.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • P. Bhogal
    • 1
  • M. Aguilar Pérez
    • 1
  • H. Bäzner
    • 2
  • O. Ganslandt
    • 3
  • H. Henkes
    • 1
    • 4
  1. 1.Neuroradiological Clinic, Neurocenter, Klinikum StuttgartStuttgartGermany
  2. 2.Neurological Clinic, Neurocenter, Klinikum StuttgartStuttgartGermany
  3. 3.Neurosurgical Clinic, Neurocenter, Klinikum StuttgartStuttgartGermany
  4. 4.Medical FacultyUniversity Duisburg-EssenEssenGermany

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