Blacker David J, Kantarci Orhun H, Cloft Harry, Friedman Jonathon A
Department of Neurology, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.
Neurocrit Care. 2004;1(1):95-8. doi: 10.1385/NCC:1:1:95.
Intracranial vertebral artery dissection is an uncommon but important cause of subarachnoid hemorrhage. These patients have a predilection for early rebleeding that makes early diagnosis and intervention imperative. The arterial dissection and associated dissecting aneurysm are often located close to the origin of the posterior-inferior cerebellar artery. Endovascular treatment techniques have been increasingly employed. An illustrative case that was treated successfully with coils but complicated by a posterior-inferior cerebellar artery territory infarction is presented. The objectives are to highlight the clinical features of this condition and to describe the problems associated with treatment, particularly those related to the posterior-inferior cerebellar artery origin.
颅内椎动脉夹层是蛛网膜下腔出血的一种罕见但重要的病因。这些患者有早期再出血的倾向，这使得早期诊断和干预势在必行。动脉夹层及相关的夹层动脉瘤常位于小脑后下动脉起源附近。血管内治疗技术的应用越来越多。本文介绍了一例成功采用弹簧圈治疗但并发小脑后下动脉区域梗死的病例。目的是强调这种疾病的临床特征，并描述与治疗相关的问题，尤其是与小脑后下动脉起源相关的问题。
