Spontaneous healing of cervical pseudoaneurysm in vertebral artery dissection under anticoagulant therapy.
We report a 41-year-old woman with embolic stroke of the mid-pons attributed to embolism from vertebral artery dissection. Angiography revealed an occluded artery on one side and an incidental pseudoaneurysm of the midcervical portion of the vertebral artery on the other. After 3 months of warfare in therapy control angiography showed complete occlusion of the pseudoaneurysm. We discuss therapeutic choices and review the literature.
Sommer
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A
Department of Neurology, Klinikum Mannheim, Medical Faculty, University of Heidelberg, Germany.
Neff
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W
Schwartz
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A
D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000188:drug therapy*; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000188:drug therapy*; D000925:Anticoagulants / Q000008:administration & dosage*; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000187:drug effects*; D014715:Vertebrobasilar Insufficiency / Q000000981:diagnostic imaging / Q000188:drug therapy; D014859:Warfarin / Q000008:administration & dosage*; D014945:Wound Healing / Q000187:drug effects*
D000925:Anticoagulants; D014859:Warfarin