Dissecting Aneurysm of Cerebral Arteries

Nedwich, Alexander; Haft, Harold; Tellem, Milton; Kauffman, Leon J.

doi:10.1001/archneur.1963.00460110045005

Cited by 38 publications

(8 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We found only one comparable case, with a similar clinical course and similar, well-defined pathological findings. It was described by Nedwich, Haft, Tellem, and Kauffman (1963), and concerned a woman of 30 who died within three days of acute cerebral infarction caused by subintimal dissecting haemorrhage in the right middle cerebral artery. Another case somewhat resembling ours was described by Duman and Stephens (1963).…”

Section: Discussionmentioning

confidence: 99%

Fatal cerebral infarction simulating an acute expanding lesion.

Trotsenburg¹,

Vinken²

1966

Journal of Neurology, Neurosurgery & Psychiatry

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Fatal cerebral infarction simulating an acute expanding lesion.

Trotsenburg¹,

Vinken²

1966

Journal of Neurology, Neurosurgery & Psychiatry

View full text Add to dashboard Cite

“…Most type I dissections seem to occur in young adults. All 10 patients were between 14-41 years old 3,5,7,13,15,18,25,26,30) except for a 75-year-old woman. 1) The mean age was 24 years.…”

Section: Discussionmentioning

confidence: 99%

“…33) All of these cases may harbor type II dissection. Alternatively, type II dissection may be clas- 30) 16/M infarction headache, congenital defect of dead nasal bleeding, the vessel wall lt hemiplegia, aphasia Scott et al (1960) 25) 29/F infarction lt hemiparesis, trauma (surgical dead lt facial nerve palsy, complication) aphasia Nedwich et al (1963) 18) 30/F infarction lt hemiparesis unknown dead Grosman et al (1980) 7) 23/M infarction dysphagia, unknown dead rt hemiparesis Adams et al (1982) 1) 75/F SAH headache unknown moderately disabled Steiner et al (1986) 26) 23/F infarction headache, congenital weakness dead lt hemiparesis, of elastic lamina semicoma Linden et al (1987) 15) 23/F infarction lt hemiplegia, coma unknown dead Kitani et al (1987) 13) 14/M infarction headache, unknown dead lt hemiplegia II Gherardi and Lee (1967) 6) 26/F SAH headache, coma unknown dead Nelson (1968) 19) 5/M infarction headache, trauma dead rt hemiparesis, aphasia Pilz (1977) 23) 22/F incidental Guillain-Barr áe dead syndrome Yamashita et al (1983) 31) 16/F incidental moyamoya disease ＋ dead trauma Honda et al (1997) 10) 48 2) 44/M infarction aphasia, trauma good rt hemiparesis recovery Sasaki et al (1991) 24) 57/M infarction headache, unknown moderately weakness of lt leg disabled Terai and Matsubara (1991) 29) 51/M infarction headache, unknown good rt hemiparesis recovery Guridi et al (1993) 8) 72/F SAH ＋ ICH headache, neck pain, arteriosclerosis moderately loss of consciousness, disabled rt hemiparesis Nomura et al (1993) 20) 37/M infarction headache, trauma good weakness of lt leg recovery …”

Section: Discussionmentioning

confidence: 99%

Dissecting Aneurysms at the A1 Segment of the Anterior Cerebral Artery. Two Case Reports.

Hirao

Okamoto

Watanabe

et al. 2001

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

Two rare cases of dissections which involve the anterior cerebral artery (ACA) are reported. A 58-yearold woman presented with a ruptured dissecting aneurysm manifesting as sudden onset of severe headache and consciousness disturbance followed by aphasia, right hemiparesis, paresis of the left lower extremity, and choreoathetotic movements of the upper arms and face. Computed tomography and angiography revealed subarachnoid hemorrhage due to a dissecting aneurysm at the left A 1 segment. The dissecting aneurysm was trapped surgically on the day of onset. Her neurological deficits disappeared within a month. A 39-year-old woman experienced continuous dull headache from the day before onset, and then suffered right hemiparesis. Magnetic resonance (MR) imaging revealed cerebral infarction at the left globus pallidus. Angiography and MR imaging revealed a dissecting aneurysm at the left A 1 segment and occlusion of the left Heubner's artery. She received conservative treatment and her neurological findings were improved. Dissections or dissecting aneurysms involving the ACA can be classified into three types: Extension of a dissection to the ACA from the internal carotid artery, dissection at the A 1 segment, and dissection at the A 2 -A 4 segments. These types of dissection have distinct uniform clinical features.

show abstract

“…Traumatic intracranial vascular occlusions are well described (Glickman 1974, Jacques et al 1975, Lewin 1968. It has been noted that intracranial arteries have a plane of cleavage between the intima and media (Hollin et al 1966, Nedwich et al 1963, Scott et aI. 1960.…”

Section: Intracranial Vascular Injuriesmentioning

confidence: 99%

Non-penetrating trauma to the carotid artery with secondary thrombosis and embolism: Treatment by Thrombolysin

1977

View full text Add to dashboard Cite

A case of partially occluding post-traumatic thrombosis of the internal carotid artery and secondary embolism of the middle cerebral artery is reported. The patient was treated with Thrombolysin with coincident resolution of clinical symptoms and signs and clearing of the lesions on arteriography. This may have been fortuitous. The subject of traumatic carotid artery thrombosis is reviewed in detail, and its pathophysiology is discussed, especially in relation to facts known about occlusive vascular disease secondary to atherosclerosis and related embolic phenomena. Suggestions are made concerning the treatment of this condition, especially with regard to developing rational criteria for opening vascular beds through evaluation of collateral cerebral blood flow. The uses of microvascular surgical techniques and thrombolytic therapy are considered.

show abstract

Dissecting Aneurysm of Cerebral Arteries

Cited by 38 publications

References 16 publications

Fatal cerebral infarction simulating an acute expanding lesion.

Fatal cerebral infarction simulating an acute expanding lesion.

Dissecting Aneurysms at the A1 Segment of the Anterior Cerebral Artery. Two Case Reports.

Non-penetrating trauma to the carotid artery with secondary thrombosis and embolism: Treatment by Thrombolysin

Contact Info

Product

Resources

About