Skip to main content
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1983 Feb;46(2):126–129. doi: 10.1136/jnnp.46.2.126

Basilar artery dissection.

S F Berkovic, R L Spokes, R M Anderson, P F Bladin
PMCID: PMC1027294  PMID: 6842215

Abstract

Dissection of the basilar artery caused sudden coma and death in a 40-year-old man. Atypical clinical features were explained at necropsy. A ventral dissection of the artery within its outer layers resulted in destruction of the pontine tegmentum with sparing of the basis pontis. An unsuspected defect in the internal elastic lamina in the left internal carotid artery was also found suggesting a more generalised disorder of arterial walls. Basilar artery dissection should be considered in the diagnosis of coma in young people.

Full text

PDF
126

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alexander C. B., Burger P. C., Goree J. A. Dissecting aneurysms of the basilar artery in 2 patients. Stroke. 1979 May-Jun;10(3):294–299. doi: 10.1161/01.str.10.3.294. [DOI] [PubMed] [Google Scholar]
  2. Brihaye J., Retif J., Jeanmart L., Flament-Durand J. Occlusion of the basilar artery in young patients. Acta Neurochir (Wien) 1971;25(3):225–229. doi: 10.1007/BF01809104. [DOI] [PubMed] [Google Scholar]
  3. Brihaye J., Retif J., Jeanmart L. L'obstruction de l'artère basilaire chez le sujet jeune. Aspects cliniques et angiographiques. Réflexions ètio-pathogéniques. A propos de trois cas. Acta Neurochir (Wien) 1971;24(2):143–156. doi: 10.1007/BF01403319. [DOI] [PubMed] [Google Scholar]
  4. CROSATO F., TERZIAN H. [Intracranial dissecting aneurysms. Study of a case with involvement of the basilar artery]. Riv Patol Nerv Ment. 1961 Dec 31;82:450–462. [PubMed] [Google Scholar]
  5. Campiche R., Anzil A. P., Zander E. Anévrysme disséqunt du tronc basilaire. Schweiz Arch Neurol Neurochir Psychiatr. 1969;104(2):209–223. [PubMed] [Google Scholar]
  6. Escourolle R., Gautier J. C., Rosa A., Der Agopian P., Lhermitte F. Anévrysme disséquant vertébro-basilaire. Rev Neurol (Paris) 1973 Feb;128(2):95–104. [PubMed] [Google Scholar]
  7. Fisher C. M., Ojemann R. G., Roberson G. H. Spontaneous dissection of cervico-cerebral arteries. Can J Neurol Sci. 1978 Feb;5(1):9–19. [PubMed] [Google Scholar]
  8. Hayman J. A., Anderson R. M. Dissecting aneurysm of the basilar artery. Med J Aust. 1966 Aug 20;2(8):360–361. [PubMed] [Google Scholar]
  9. Nozicka Z. Zerebrovaskulare Erkrankungen bei jungen Leuten, bedingt durch dissezierendes Aneurysma der basalen Hirnarterien. Sb Ved Pr Lek Fak Karlovy Univerzity Hradci Kralove. 1972;15(4):467–471. [PubMed] [Google Scholar]
  10. PERIER O., CAUCHIE C., DEMANET J. C. H'EMATOME INTRAMURAL PAR DISSECTION PARI'ETALE ("AN'EVRYSME DISS'EQUANT") DU TRONC BASILAIRE. Acta Neurol Psychiatr Belg. 1964 Oct;64:1064–1074. [PubMed] [Google Scholar]
  11. Pasquier B., Couderc P., Pasquier D., Panh M. H., N'Golet A., Pellat J. Hémodissection pariétale oblitérante ou anévrisme disséquant vertébro-basilaire. Sem Hop. 1976 Dec;52(44):2519–2527. [PubMed] [Google Scholar]
  12. Pasquier B., N'Golet A., Pasquier D., Panh M. H., Couderc P., Crouzet G. Hémodissection vertébro-basilaire : une observation anatomo-clinique avec fibrodysplasie de l'artère vertébrale gauche. Sem Hop. 1979 Mar 8;55(9-10):487–488. [PubMed] [Google Scholar]
  13. Perier O., Brihaye J., Dhaene R. Hémodissection pariétale oblitérante ("anévrisme disséquant") de l'artère basilaire. Acta Neurol Psychiatr Belg. 1966 Feb;66(2):123–141. [PubMed] [Google Scholar]
  14. Redondo-Marco J. A., Walb D. Zur Frage des Aneurysma dissecans am intrakraniellen Gefässystem. Acta Neurochir (Wien) 1967;16(3):278–290. doi: 10.1007/BF01793134. [DOI] [PubMed] [Google Scholar]
  15. Sekino H., Nakamura N., Katoh Y., Basugi N. [Dissecting aneurysms of the vertebro-vasilar system: clinical and angiographical observations (author's transl)]. No Shinkei Geka. 1981 Feb;9(2):125–133. [PubMed] [Google Scholar]
  16. Takita K., Shirato H., Akasaka T., Hukazawa H. [Dissecting aneurysm of the vertebro-basilar artery--a case report and review of previous cases (author's transl)]. No To Shinkei. 1979 Dec;31(12):1211–1218. [PubMed] [Google Scholar]
  17. WOLMAN L. Cerebral dissecting aneurysms. Brain. 1959 Jun;82:276–291. doi: 10.1093/brain/82.2.276. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES