Aneurisma dissecante de artéria vertebral intracraniana fenestrada submetido ao tratamento endovascular: relato de caso

Aneurisma dissecante de artéria vertebral intracraniana fenestrada submetido ao tratamento endovascular: relato de caso

Alternative title Dissecting: aneurysm of the intracranial fenestrated vertebral artery submited to endovascular treatment case report
Author Andrade, Guilherme Cabral de Autor UNIFESP Google Scholar
Oliveira, Jean Gonçalves de Autor UNIFESP Google Scholar
Dauar, Rafi Felício Bauab Google Scholar
Nalli, Darcio Roberto Google Scholar
Braga, Fernando Menezes Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
HED
HSP
Abstract Dissecting aneurysms of the vertebral artery at its intracranial segment are uncommon lesions, mainly when associated to subarachnoid hemorrhage, being also rare fenestrations of the vertebral artery. They present high morbidity and mortality, with high rebleeding rate and difficulty of surgical approach. We present a 19 years old man who was victim of physical aggression in the occipto-cervical region, presenting subarachnoid hemorrhage and a dissecting aneurysm of the right vertebral artery, which had a fenestration, being submitted to endovascular treatment. We accomplished a literature review about this subject, proposing endovascular treatment as a therapeutic option for these cases.

Aneurismas dissecantes da artéria vertebral em seu segmento intracraniano são lesões pouco comuns, principalmente quando associadas a hemorragia subaracnóidea, sendo também raras as fenestrações da artéria vertebral. Apresentam elevada morbidade e mortalidade, com elevado índice de ressangramento e dificuldade de abordagem cirúrgica. Apresentamos o caso de um homem de 19 anos, o qual foi vitima de agressão física em região occipto-cervical, apresentando hemorragia subaracnóidea e aneurisma dissecante na artéria vertebral direita, a qual era fenestrada, sendo submetido ao tratamento endovascular. Realizamos revisão da literatura sobre o assunto, sendo colocado o tratamento endovascular como uma opção terapêutica para estes casos.
Keywords dissecting aneurysm
subarachnoid hemorrhage
vertebral artery
aneurisma dissecante
hemorragia subaracnóidea
artéria vertebral
Language Portuguese
Date 2005-06-01
Published in Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 63, n. 2a, p. 352-356, 2005.
ISSN 0004-282X (Sherpa/Romeo, impact factor)
Publisher Academia Brasileira de Neurologia - ABNEURO
Extent 352-356
Origin http://dx.doi.org/10.1590/S0004-282X2005000200031
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000229539300031
SciELO ID S0004-282X2005000200031 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/2525

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