Pasquier B, Couderc P, Pasquier D, Panh M H, N'Golet A, Pellat J
Sem Hop. 1976 Dec;52(44):2519-27.
The authors report the pathological and clinical findings of a dissecting aneursym of the basilar artery in a 32 year old man up till then in good health, who died two months later. The pathological study showed bilateral lesions of osteo-malacia in the neighborhood of the pons due to hemo-dissection affecting the right vertebral artery just before it enters the dura-mater, then its intra-cranial portion, the basilar trunk and the first part of the right posterior cerebral artery. The originality of this case resides in the finding of segmental stenosing panarteritis of the same right vertebral artery in the segment which precedes dissection. On this occasion, the authors carried out a review of the literature and considered a few comments on the etiology, the pathology, clinical findings and classification of this unusual disease.
作者报告了一名32岁健康男性基底动脉夹层动脉瘤的病理及临床发现，该患者两个月后死亡。病理研究显示，由于血液剥离影响了刚进入硬脑膜前的右侧椎动脉，进而影响其颅内部分、基底干及右侧大脑后动脉的第一部分，导致脑桥附近出现双侧骨软化病变。该病例的独特之处在于，在剥离前的节段发现了同一右侧椎动脉的节段性狭窄性全动脉炎。在此之际，作者对文献进行了回顾，并对这种罕见疾病的病因、病理、临床发现及分类发表了一些评论。
