Title :

Challenging the diagnosis of a posterior circulation dissecting aneurysm.

Author(s) :

Duloquin, Gauthier [Auteur]
Lille Neurosciences & Cognition - U 1172 [LilNCog]
Henon, Hilde [Auteur]
Lille Neurosciences & Cognition (LilNCog) - U 1172
Pasi, Marco [Auteur]
Lille Neurosciences & Cognition - U 1172 [LilNCog]
Dequatre, Nelly [Auteur]
Lille Neurosciences & Cognition - U 1172 [LilNCog]
Della Schiava, Lucie [Auteur]
Lille Neurosciences & Cognition - U 1172 [LilNCog]
Kuchcinski, Gregory [Auteur]
Lille Neurosciences & Cognition (LilNCog) - U 1172
Leclerc, Xavier [Auteur]
Lille Neurosciences & Cognition (LilNCog) - U 1172
Cordonnier, Charlotte [Auteur]
Lille Neurosciences & Cognition (LilNCog) - U 1172
Casolla, Barbara [Auteur]
Lille Neurosciences & Cognition - U 1172 [LilNCog]

Journal title :

Neurological Sciences

Volume number :

43

Pages :

3415–3417

Publisher :

Springer Nature

Publication date :

2022-02-11

ISSN :

1590-3478

Keyword(s) :

Ischemic stroke
Arterial intracranial dissection
Dissection aneurysm
Aneurysm sac thrombosis

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Introduction I ntracranial vertebral dissections have polymorphs clinical presentations and can lead to haemorrhagic complications if they are intracranial. We here describe a case of a thrombosed dissecting aneurysm of ...
Show more >Introduction I ntracranial vertebral dissections have polymorphs clinical presentations and can lead to haemorrhagic complications if they are intracranial. We here describe a case of a thrombosed dissecting aneurysm of postero-inferior cerebellar artery (PICA) revealed by a Wallenberg syndrome preceded by headaches. Case A 23-year-old patient, without neurological or vascular past medical history, was admitted for dizziness preceded by headache. The clinical examination on admission revealed an incomplete Wallenberg syndrome, associating hemiface sensitive deficit, Horner’s syndrome, dysmetria and nystagmus. The brain MRI showed a latero-medullary infarct with a homolateral PICA thrombosed dissecting aneurysm. Conclusion The diagnosis of intracranial dissecting aneurysms needs particular caution because aneurysm sac thrombosis can give false reassurance on angiographic MR sequences. Moreover, the anatomic features of intracranial artery walls make them prone to sub-adventitial dissection and subsequent subarachnoid haemorrhages. Therefore, antithrombotic therapy should be used with caution, due to the risk of bleeding in these intracranial dissections.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
Inserm
CHU Lille

Collections :

• Lille Neurosciences & Cognition (LilNCog) - U 1172

Submission date :

2024-01-16T01:31:33Z
2024-11-20T09:27:56Z