Acute subarachnoid hemorrhage due to giant vertebrobasilar dolichoectasia
Background Vertebrobasilar dolichoectasia (VBD) is a dilatative arteriopathy of the vertebrobasilar artery. Subarachnoid hemorrhage (SAH) is a rare but fatal complication of VBD. Case Report A 65-year-old man was brought to the emergency room with altered mental status. Computed tomography angiograp...
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| Format: | Article |
| Language: | English |
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The Korean Neurocritical Care Society
2019-12-01
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| Series: | Journal of Neurocritical Care |
| Subjects: | |
| Online Access: | http://www.e-jnc.org/upload/pdf/jnc-190081.pdf |
| _version_ | 1818939500594724864 |
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| author | Jun-Yop Kim Ji-Woong Kim Mi-Jin Yoon Seung-Han Suk |
| author_facet | Jun-Yop Kim Ji-Woong Kim Mi-Jin Yoon Seung-Han Suk |
| author_sort | Jun-Yop Kim |
| collection | DOAJ |
| description | Background Vertebrobasilar dolichoectasia (VBD) is a dilatative arteriopathy of the vertebrobasilar artery. Subarachnoid hemorrhage (SAH) is a rare but fatal complication of VBD. Case Report A 65-year-old man was brought to the emergency room with altered mental status. Computed tomography angiography revealed the presence of SAH, and the rupture site was suspected to be the dolichoectatic portion of the vertebrobasilar artery. Twelve years previously, the patient had developed a right pontine infarct, and VBD had been detected. The basilar artery had dilated to a diameter of 22 mm and contained a mural thrombus. The patient’s noncompliance to antihypertensive treatment led to VBD progression and a hemifacial spasm. He was admitted to the intensive care unit for conservative treatment. Consciousness was restored, but he developed quadriplegia. Conclusion In patients with a giant VBD, strict blood-pressure control is important to prevent fatal complications. Targeted surgical or endovascular procedures may improve patient outcomes but require further studies. |
| first_indexed | 2024-12-20T06:24:44Z |
| format | Article |
| id | doaj.art-0e4767e2f98e4ac493f17857eec8a942 |
| institution | Directory Open Access Journal |
| issn | 2005-0348 2508-1349 |
| language | English |
| last_indexed | 2024-12-20T06:24:44Z |
| publishDate | 2019-12-01 |
| publisher | The Korean Neurocritical Care Society |
| record_format | Article |
| series | Journal of Neurocritical Care |
| spelling | doaj.art-0e4767e2f98e4ac493f17857eec8a9422022-12-21T19:50:20ZengThe Korean Neurocritical Care SocietyJournal of Neurocritical Care2005-03482508-13492019-12-0112211712110.18700/jnc.190081309Acute subarachnoid hemorrhage due to giant vertebrobasilar dolichoectasiaJun-Yop Kim0Ji-Woong Kim1Mi-Jin Yoon2Seung-Han Suk3 Department of Neurology, Wonkwang University Sanbon Hospital, Wonkwang University School of Medicine, Gunpo, Republic of Korea Department of Neurology, Wonkwang University Sanbon Hospital, Wonkwang University School of Medicine, Gunpo, Republic of Korea Department of Radiology, Wonkwang University Sanbon Hospital, Wonkwang University School of Medicine, Gunpo, Republic of Korea Department of Neurology, Wonkwang University Sanbon Hospital, Wonkwang University School of Medicine, Gunpo, Republic of KoreaBackground Vertebrobasilar dolichoectasia (VBD) is a dilatative arteriopathy of the vertebrobasilar artery. Subarachnoid hemorrhage (SAH) is a rare but fatal complication of VBD. Case Report A 65-year-old man was brought to the emergency room with altered mental status. Computed tomography angiography revealed the presence of SAH, and the rupture site was suspected to be the dolichoectatic portion of the vertebrobasilar artery. Twelve years previously, the patient had developed a right pontine infarct, and VBD had been detected. The basilar artery had dilated to a diameter of 22 mm and contained a mural thrombus. The patient’s noncompliance to antihypertensive treatment led to VBD progression and a hemifacial spasm. He was admitted to the intensive care unit for conservative treatment. Consciousness was restored, but he developed quadriplegia. Conclusion In patients with a giant VBD, strict blood-pressure control is important to prevent fatal complications. Targeted surgical or endovascular procedures may improve patient outcomes but require further studies.http://www.e-jnc.org/upload/pdf/jnc-190081.pdfvertebrobasilar dolichoectasiahypertensionsubarachnoid hemorrhage |
| spellingShingle | Jun-Yop Kim Ji-Woong Kim Mi-Jin Yoon Seung-Han Suk Acute subarachnoid hemorrhage due to giant vertebrobasilar dolichoectasia Journal of Neurocritical Care vertebrobasilar dolichoectasia hypertension subarachnoid hemorrhage |
| title | Acute subarachnoid hemorrhage due to giant vertebrobasilar dolichoectasia |
| title_full | Acute subarachnoid hemorrhage due to giant vertebrobasilar dolichoectasia |
| title_fullStr | Acute subarachnoid hemorrhage due to giant vertebrobasilar dolichoectasia |
| title_full_unstemmed | Acute subarachnoid hemorrhage due to giant vertebrobasilar dolichoectasia |
| title_short | Acute subarachnoid hemorrhage due to giant vertebrobasilar dolichoectasia |
| title_sort | acute subarachnoid hemorrhage due to giant vertebrobasilar dolichoectasia |
| topic | vertebrobasilar dolichoectasia hypertension subarachnoid hemorrhage |
| url | http://www.e-jnc.org/upload/pdf/jnc-190081.pdf |
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