UNRUPTURED VERTEBRAL ARTERY DISSECTING ANEURYSMS

Q: How can I download an article?

To download an article from SID, first log in to the site, search for the article title, and click on the 'Download Article' option.

Q: How can I download an ISI article?

To download an ISI article on SID, enter the keyword or article title in the search bar, view the relevant results, click on the desired article, and select the 'Download Article' option.

Q: How can I access the SID database?

To access the SID database, visit SID.ir, create an account, and log in to access scientific resources.

Q: Is downloading articles from SID free?

Some articles on SID are available for free, while others require payment. Details are specified on the article's page.

SEDDIGHI AMIR SAIED; SEDDIGHI AFSOUN

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: IRANIAN JOURNAL OF NEUROSURGERY Year:2016 | Volume:2 | Issue:SUP3 Page(s): 0-0

Download Full-Text

View:

225

Download:

Cites:

Information Journal Paper

Title

UNRUPTURED VERTEBRAL ARTERY DISSECTING ANEURYSMS

Author(s)

SEDDIGHI AMIR SAIED | SEDDIGHI AFSOUN

Keywords

CEREBROVASCULAR DISEASE

DISSECTION

VERTEBROBASILAR DISEASE

Abstract

Background & Aim: The natural course of unruptured vertebral artery dissecting aneurysms (VADAs) remains unclear. The purpose of this retrospective study was to develop a strategy for treating unruptured VADAs based on a long-term follow-up.Methods & Materials/Patients: Our study population consisted of 100 patients with unruptured VADAs; in 66 patients, the initial symptom was only headache, 30 patients presented with ischemic symptoms, and 4 patients presented with mass effect. All patients underwent magnetic resonance imaging and magnetic resonance angiography at the time of admission, and at the intervals of 2 weeks and 1, 3, 6, 12, and 24 months. If the dissection site was demonstrated to be enlarged on magnetic resonance imaging and magnetic resonance angiography without the manifestation of new symptoms, the patients received additional treatment to prevent bleeding.Results: Of the 30 patients, 4 underwent early intervention because of symptom exacerbation. The other 96 were initially treated conservatively; during the follow-up, 5 manifested lesion enlargement on magnetic resonance angiography. Nine patients received additional treatment; 1 underwent direct surgery with the trapping of the dissection site, and 8 underwent coil embolization. The other patients continued to be treated conservatively; the dissection length remained unchanged in 22, improved or healed in 5 patients, and disappeared in 1 patients. We treated patients with recurrent ischemic attacks with antiplatelet therapy. None of the patients experienced bleeding or permanent neurological deficits during the follow-up.Conclusion: The nature of an unruptured VADA is not highly aggressive. However, if the dissection site enlarges without the manifestation of new symptoms, it should be occluded. In patients with recurrent ischemic attacks, antiplatelet therapy should be considered.

Multimedia

No record.

Cites

No record.

References

No record.

Cite

APA: Copy

SEDDIGHI, AMIR SAIED, & SEDDIGHI, AFSOUN. (2016). UNRUPTURED VERTEBRAL ARTERY DISSECTING ANEURYSMS. IRANIAN JOURNAL OF NEUROSURGERY, 2(SUP3), 0-0. SID. https://sid.ir/paper/351518/en

Vancouver: Copy

SEDDIGHI AMIR SAIED, SEDDIGHI AFSOUN. UNRUPTURED VERTEBRAL ARTERY DISSECTING ANEURYSMS. IRANIAN JOURNAL OF NEUROSURGERY[Internet]. 2016;2(SUP3):0-0. Available from: https://sid.ir/paper/351518/en

IEEE: Copy

AMIR SAIED SEDDIGHI, and AFSOUN SEDDIGHI, “UNRUPTURED VERTEBRAL ARTERY DISSECTING ANEURYSMS,” IRANIAN JOURNAL OF NEUROSURGERY, vol. 2, no. SUP3, pp. 0–0, 2016, [Online]. Available: https://sid.ir/paper/351518/en

Related Journal Papers

No record.

Related Seminar Papers

No record.

Related Plans

No record.

Recommended Workshops