Overall Management Results in Patients with Ruptured Aneurysms in the Posterior Fossa Region

Aritake, Koichi; Saito, Isamu; Segawa, Giromu; Sano, Keiji

doi:10.2335/scs1987.17.1_1

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1990

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“…Most recently, Kamiyama et al 7 reported that of nine cases, three (33%) developed rebleeding, 3 hours after the first hemorrhage in one and during the acute state in two. In other sporadic reports of nine cases, 58 -13 rebleeding was noted in four: 15 days, 9 30 days, 8 2 hours, and 10 hours 11 after the initial bleeding. Among these 60 reported cases of ruptured vertebral artery dissecting aneurysms, (including our three), 18 (30%) were documented to have rebled.…”

Section: Discussionmentioning

confidence: 99%

Rebleeding from intracranial dissecting aneurysm in the vertebral artery.

Aoki

Sakai

1990

Stroke

183

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We describe two patients with rebleeding from intracranial vertebral artery dissecting aneurysms during the acute stage. One patient had excellent results after emergency surgery. A review of recent reports including 60 patients with this disorder revealed a rebleeding rate of 30%, mostly during the acute stage. This suggests that a ruptured dissecting aneurysm in the vertebral artery is at risk for rebleeding during the acute stage, similar to a saccular aneurysm in the same location. (Stroke 1990;21:1628-1631)

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Section: Discussionmentioning

confidence: 99%