İzole Spontan Baziler Arter Diseksiyonu: Olgu Sunumu

Year 2022, , 264 - 268, 31.08.2022

Serdar Özdemir , Abuzer Özkan , Hatice Akça , Abdullah Algın

https://doi.org/10.47493/abantmedj.975660

Abstract

Servikal, vertebral ve kranial arter diseksiyonu iskemik inmede nadir görülen bir etiyolojidir. Bu olgu sunumunda pons inmesi tanısı alan spontan baziler arter diseksiyonu olgusunu güncel literatür eşliğinde tartışmayı amaçladık. Elli iki yaşında erkek hasta kliniğimize senkop sonrası bilin kaybı nedeni ile getirildi. Fizik muayenede bilinç kapalı idi ve Glasgow koma skoru 9 (verbal 3, motor 3, göz 3) olarak değerlendirildi. Orotrakeal entübasyon sonrası intravenöz kontrastlı beyin bilgisayarlı tomografi görüntülemesi yapıldı. İntravenöz kontrastlı beyin bilgisayarlı tomografide baziler arter seviyesinde trombus formasyonu ve olası diseksiyon filebi izlendi. Kranial dijital substraksiyon anjiyografi yapılan hastada basiller arter diseksiyonu doğrulandı. Hastaya endovasküler trombektomi uygulandı. Yetmiş yedi günlük hasta yatışı ardından hasta taburcu edildi. Sonuç olarak; baziler arter diseksiyonları, önemli morbidite ve ölümle ilişkilendirilen nadir lezyonlardır. Baziler arter diseksiyonunun benign seyri ve tedavi seçenekleri perforan dalları ve lokalizasyonu nedeniyle diğer diseksiyonlarından önemli ölçüde farklıdır.

Keywords

Akut Hastalık, Orta Yaş, İntrakranial Anevrizma

Isolated Spontaneous Basilar Artery Dissection: A Case Report

Abstract

Cervical, vertebral and cranial artery dissection is a rare etiology of ischemic stroke. In this case report, we aimed to discuss a case of spontaneous basilar artery dissection presenting with pons stroke in the light of current literature. A 52-year-old male patient was brought to our clinic because of loss of consciousness after syncope. Physical examination showed he was unconscious and had Glasgow coma score of 9 (verbal 3, motor 3, eye 3). Brain computed tomography imaging with intravenous contrast was performed after orotracheal intubation. Thrombus formation at the level of the basilar artery and possible dissection phleb were observed in the brain computed tomography with intravenous contrast. Bacillary artery dissection was confirmed in the patient who underwent cranial digital subtraction angiography. The patient underwent endovascular thrombectomy. The patient was discharged after seventy-seven days of hospitalization. As a conclusion; basilar artery dissections are rare lesions associated with significant morbidity and death. The nature and treatment options of basilar artery dissection are significantly different from other dissections due to its perforating branches and localization.

Keywords

Acute Disease, Middle Aged, Intracranial Aneurysm

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