Lessons
from the Diagnosis and Treatment
of Spontaneous Vertebral Arterial
Dissection. Case Report
S.
Shi,
K.
Chen,
X.
Ge,
B.
Ni
Summary-
A
36-year-old
man
presented
a
sudden
left
occipital
headache
and
right
limb
weakness
after
tooth-brushing.
Conventional
catheter
digital
subtraction
angiography
(DSA)
showed
a
left
VA
occlusion
at
the
crotch
of
the
posterior
inferior
cerebellar
artery.
Four
days
later,
the
patient
got
worse.
The
angiogram
showed
the
left
vertebral
artery
had
reopened
and
the
basilar
trunk
occluded
above
the
AICA.
He
died
two
days
later
and
autopsy
demonstrated
a
dissection
of
the
basilar
arteries.
Based
on
the
autopsy
data
from
the
patient
in
this
study,
we
suggest
that
the
BA
dissection
might
be
due
to
left
VA
dissection,
and
placing
a
stent
on
the
juncture
between
the
uninjured
VA
and
the
basilar
trunk
might
be
an
effective
method
to
prevent
fatal
BA
occlusion.