A Case of Wallenberg's Syndrome Presenting with Spontaneous Thrombosis of a Vertebral Artery Aneurysm.
Fibrinolytic Agents
/ therapeutic use
Humans
Intracranial Aneurysm
/ complications
Intracranial Thrombosis
/ diagnostic imaging
Lateral Medullary Syndrome
/ diagnostic imaging
Male
Middle Aged
Neuroprotective Agents
/ therapeutic use
Platelet Aggregation Inhibitors
/ therapeutic use
Stroke Rehabilitation
Treatment Outcome
Vertebral Artery
/ diagnostic imaging
Ischemic stroke
Wallenberg's syndrome
spontaneous thrombosis
unruptured aneurysm
Journal
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
ISSN: 1532-8511
Titre abrégé: J Stroke Cerebrovasc Dis
Pays: United States
ID NLM: 9111633
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
received:
31
07
2019
revised:
03
10
2019
accepted:
21
10
2019
pubmed:
16
11
2019
medline:
11
2
2020
entrez:
16
11
2019
Statut:
ppublish
Résumé
Complete spontaneous thrombosis of intracranial aneurysms is uncommon. Although this type of thrombosis is largely asymptomatic, in rare cases it can be accompanied by parent artery occlusion and ischemic stroke. There are limited reports of complete thrombosis of an unruptured aneurysm of the internal carotid artery and middle cerebral artery. Furthermore, there are no reports of occlusion of the vertebral artery caused by thrombosis of an aneurysm. The mechanisms of spontaneous thrombosis are not established. However, aneurysm morphology, arteriosclerosis, and stagnation of aneurysm flow have been suggested. Herein, we present a novel case of Wallenberg's syndrome caused by a fusiform aneurysm in which complete thrombosis of the proximal vertebral artery occurred. We discuss the mechanisms of thrombosis caused by an unruptured aneurysm, which may be useful for managing such patients who present with transient ischemic attacks.
Identifiants
pubmed: 31727598
pii: S1052-3057(19)30576-2
doi: 10.1016/j.jstrokecerebrovasdis.2019.104492
pii:
doi:
Substances chimiques
Fibrinolytic Agents
0
Neuroprotective Agents
0
Platelet Aggregation Inhibitors
0
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
104492Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.