Subarachnoid hemorrhage as a presentation of basilar artery dissection

Alexander Y. Zubkov, Amit N. Sanghvi, Harry J. Cloft, Eelco F.M. Wijdicks, Alejandro A. Rabinstein

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Introduction: Subarachnoid hemorrhages caused by intracranial dissections are rare. The management of dissections in these cases not clear. Methods: Case report. Results: An 82-year-old woman presented with acute drowsiness and vomiting. CT scan demonstrated extensive subarachnoid hemorrhage and hydrocephalus that subsequently required placement of ventriculoperitoneal shunt. Angiography revealed extensive basilar artery dissection and no aneurysms. The dissection did not produce a critical stenosis and, taking into consideration that the patient had a previous occlusion of her distal left vertebral artery, it was decided to manage the patient conservatively. On a 3-month follow-up, the patient was free of recurrent events. Conclusion: Basilar artery dissection can present with subarachnoid hemorrhage. No guidelines are available for management of basilar artery dissections and treatment should be tailored to the individual patient.

Original languageEnglish (US)
Pages (from-to)165-168
Number of pages4
JournalNeurocritical care
Volume7
Issue number2
DOIs
StatePublished - Oct 2007

Keywords

  • Basilar artery dissection
  • Subarachnoid hemorrhage
  • Treatment

ASJC Scopus subject areas

  • Clinical Neurology
  • Critical Care and Intensive Care Medicine

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