Science Journal of Clinical Medicine
Volume 4, Issue 2, March 2015, Pages: 26-28
Received: Dec. 9, 2014;
Accepted: Dec. 19, 2014;
Published: Feb. 27, 2015
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Yordan Spirdonov, Department of Radiology, University Hospital “Tsaritsa Yoanna-ISUL” Sofia, Bulgaria
Plamen Getsov, Department of Radiology, University Hospital “Tsaritsa Yoanna-ISUL” Sofia, Bulgaria
Grigorii Nedelkov, Department of Radiology, University Hospital “Tsaritsa Yoanna-ISUL” Sofia, Bulgaria
Evguenia Vassileva, Department of Neurology, University Hospital “Tsaritsa Yoanna-ISUL” Sofia, Bulgaria
Marko Klissurski, Department of Neurology, University Hospital “Tsaritsa Yoanna-ISUL” Sofia, Bulgaria
Marin Daskalov, Department of Neurology, University Hospital “Tsaritsa Yoanna-ISUL” Sofia, Bulgaria
Isolated basilar artery dissection is a rare vascular pathology with varied clinical presentations and prognoses. We report a case of a 54-year-old woman, presented with subarachnoid hemorrhages (Hunt-Hess grade II). Brain computed tomography demonstrated a perimesencephalic pattern of haemorrhage. Magnetic resonance angiography revealed an isolated basilar artery dissection. Conservative treatment was performed. A complete resolution of the clinical symptoms occurs over a period of 30 days. There was no recurrent haemorrhage. On a follow-up magnetic resonance angiography three months later, a complete resolution of the intramural haematoma in the basilar artery was demonstrated. Some of the cases of basilar artery dissection with perimesencephalic pattern of subarachnoid haemorrhages could have a good prognosis, and could be treated conservatively.
Good Outcome in Isolated Basilar Artery Dissection, Science Journal of Clinical Medicine.
Vol. 4, No. 2,
2015, pp. 26-28.
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