Dolichoectatic basilar artery treated by reducing hemodynamic stress--report of two cases.
Two cases of dolichoectatic basilar artery with a mass effect to the brainstem structure were treated by reducing hemodynamic stress. In one case, angiograms showed the dolichoectatic basilar artery creating a turbulent flow in the vertebrobasilar junction, and unilateral vertebral artery clipping in addition to posterior fossa decompression was performed. The other case, a combination with bilateral internal carotid artery occlusion, underwent bilateral superficial temporal artery-middle cerebral artery anastomoses. The possible surgical treatments of dolichoectasia are discussed.
Matsumoto
K
K
Department of Neurosurgery, Osaka University Medical School, Japan.
Yamada
K
K
Hayakawa
T
T
Kataoka
K
K
Yamamoto
K
K
Onishi
T
T
Ito
M
M
Mogami
H
H
D000293:Adolescent; D001488:Basilar Artery / Q000000981:diagnostic imaging / Q000601:surgery; D002533:Cerebral Angiography; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D013314:Stress, Mechanical; D014057:Tomography, X-Ray Computed; D014652:Vascular Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D014664:Vasodilation