title: Postpartum dissecting aneurysm of the basilar artery.
abstract: OBJECTIVE
  Dissecting aneurysms arising from the vertebrobasilar complex are rare and difficult to manage. More of their natural history needs to be known before treatment can be optimized.
  
  
  METHODS
  We report a postpartum dissecting aneurysm of the right vertebrobasilar artery in a 31-year-old woman that was confirmed by angiographic identification of a double lumen. The intracranial segment of the right vertebral artery was thrombosed proximal to the aneurysm. The patient, managed conservatively, recovered well and, when reexamined 2 months later, was found to be neurologically intact. A repeat angiographic study at that time demonstrated that the aneurysm had resolved.
  
  
  CONCLUSIONS
  Proximal occlusion may have protected the aneurysm from rupture and further dissection, thereby making surgery unnecessary.
authors.affiliation: Department of Neurosurgery, Universitair Ziekenhuis Antwerpen, Edegem, Belgium.
authors.forename: E
authors.initials: E
authors.lastname: Van de Kelft
authors.forename: J
authors.initials: J
authors.lastname: Kunnen
authors.forename: L
authors.initials: L
authors.lastname: Truyen
authors.forename: L
authors.initials: L
authors.lastname: Heytens
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis*; D001488:Basilar Artery / Q000473:pathology; D005260:Female; D006801:Humans; D049590:Postpartum Period