title: Arterial occlusion to treat basilar artery dissecting aneurysm.
abstract: OBJECTIVE
  To explore the clinical feasibility of employing occlusion to treat basilar artery dissecting aneurysm.
  
  
  METHODS
  One patient, male and 46 years old, suffered transient numbness and weakness on the right limbs. Cerebral angiography indicated basilar artery dissecting aneurysm. The patient underwent the stent-assisted coil embolization of aneurysm and the result is satisfactory. Digital subtraction angiography (DSA) reviews were performed at 1 month and 4.5 months, respectively after the operation and indicate that the basilar artery is unobstructed and there was no recurrence of the aneurysm. DSA review 1 year after the first treatment indicates the aneurysm recurrence, stent-assisted coils dense embolization of aneurysm was performed again and the result was satisfactory. Ten months after the second operation, DSA review found the basilar artery aneurysm recurrence again and occlusion of the basilar artery was performed.
  
  
  RESULTS
  The basilar artery occlusion was effective. The bilateral posterior inferior cerebellar arteries and the bilateral posterior cerebral arteries are unobstructed. Five months of follow-up found that the patient recovered well. DSA reviews performed 5 months after occlusion indicate no recurrence of the aneurysm.
  
  
  CONCLUSIONS
  Occlusion to treat basilar artery dissecting aneurysm is clinically feasible, but surgical indications should be considered strictly.
authors.affiliation: Department of Neurosurgery, Qilu Hospital of Shandong University, Jinan, PR China; Department of Neurosurgery, Liaocheng People's Hospital, Liaocheng, PR China. Electronic address: 455877046@qq.com.
authors.forename: Qing Ke
authors.initials: QK
authors.lastname: Cui
authors.affiliation: Department of Neurosurgery, Liaocheng People's Hospital, Liaocheng, PR China. Electronic address: sdlclwd@163.com.
authors.forename: Wei Dong
authors.initials: WD
authors.lastname: Liu
authors.affiliation: Department of Neurosurgery, Liaocheng People's Hospital, Liaocheng, PR China. Electronic address: cicinec@163.com.
authors.forename: Peng
authors.initials: P
authors.lastname: Liu
authors.affiliation: Department of Neurosurgery, Liaocheng People's Hospital, Liaocheng, PR China. Electronic address: doctorlixueyuan@163.com.
authors.forename: Xue Yuan
authors.initials: XY
authors.lastname: Li
authors.affiliation: Department of Neurosurgery, Liaocheng People's Hospital, Liaocheng, PR China. Electronic address: zhanglc456@sina.com.
authors.forename: Lian Qun
authors.initials: LQ
authors.lastname: Zhang
authors.affiliation: Department of Neurosurgery, Liaocheng People's Hospital, Liaocheng, PR China. Electronic address: 348047484@qq.com.
authors.forename: Long Jia
authors.initials: LJ
authors.lastname: Ma
authors.affiliation: Department of Neurosurgery, Liaocheng People's Hospital, Liaocheng, PR China. Electronic address: renyunfei505@163.com.
authors.forename: Yun Fei
authors.initials: YF
authors.lastname: Ren
authors.affiliation: Zhong Yuan Academy of Biological Medicine, Liaocheng College of Medicine, Liaocheng University, Liaocheng People Hospital, Liaocheng, PR China; Department of Clinical Chemistry and Haematology, University Medical Centre Utrecht, Utrecht, The Netherlands. Electronic address: u_m_c_u_ywu@hotmail.com.
authors.forename: Ya Ping
authors.initials: YP
authors.lastname: Wu
authors.affiliation: Department of Neurosurgery, Qilu Hospital of Shandong University, Jinan, PR China. Electronic address: wzg1110@126.com.
authors.forename: Zhi Gang
authors.initials: ZG
authors.lastname: Wang
mesh_terms: D002533:Cerebral Angiography; D004172:Diplopia / Q000209:etiology; D004621:Embolization, Therapeutic / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D015607:Stents; D016896:Treatment Outcome; D014715:Vertebrobasilar Insufficiency / Q000601:surgery*
keywords: Basilar artery; Dissecting aneurysm; Occlusion