Management of Dissecting Aneurysm of Cervicocephalic Carotid and Vertebral Artery.

, Kim, Dal Soo; , You, Do Sung; , Huh, Pil Woo; , Cho, Kyung Suk; , Kang, Joon Ki

Original Article

Korean Journal of Cerebrovascular Surgery 1999;1(1):39-42.
Published online January 1, 2001.

Management of Dissecting Aneurysm of Cervicocephalic Carotid and Vertebral Artery.

Kim, Dal Soo , You, Do Sung , Huh, Pil Woo , Cho, Kyung Suk , Kang, Joon Ki

Department of Neurosurgery, Uijongbu St. Mary's Hospital, The Catholic University of Korea, Uijongbu, Korea.

Abstract

The pathogenesis of spontaneous cervicocephalic arterial dissection is still incompletely understood. The clinical presentation of the arterial dissection depends on the plane where the dissection occurred in the arterial wall. When the outer media or subadventitia is dissected, the intramural hematoma bulges outward to make dissecting aneurysm. When located in the subintima or inner media, the intramural hematoma produces narrowing or occlusion of the vessel lumen. Authors review etiopathogeness, clinical features, diagnosis and management of cerviococephalic arterial dissection.

Key Words: Arterial dissection, Cervicocephalic artery, Brain ischemia, Subarachnoid hemorrhage