Abstract
Two cases with vertebro-basilar infarcts associated with severe stenosis of the vertebral artery in its cervical part is reported. Complete thrombosis of the vertebral artery was observed after a short delay in both cases. As the carotid arteries were normal and the controlateral vertebral artery was dominant, an embolic mechanism was suspected. No new event occurred in the following one and three years respectively after the stroke. These two cases demonstrate the possibility of embolism from severe stenosis of the cervical vertebral artery. This mechanism could explain some of the infarcts related to vertebral artery occlusion.
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- Castaigne P., Lhermitte F., Gautier J. C., Escourolle R., Derouesné C., Der Agopian P., Popa C. Arterial occlusions in the vertebro-basilar system. A study of 44 patients with post-mortem data. Brain. 1973;96(1):133–154. doi: 10.1093/brain/96.1.133. [DOI] [PubMed] [Google Scholar]
- Corkill G., French B. N., Michas C., Cobb C. A., 3rd, Mims T. J. External carotid-vertebral artery anastomosis for vertebrobasilar insufficiency. Surg Neurol. 1977 Mar;7(3):109–115. [PubMed] [Google Scholar]
- Cormier J. M., Laurian C. Surgical management of vertebral-basilar insufficiency. J Cardiovasc Surg (Torino) 1976 May-Jun;17(3):205–223. [PubMed] [Google Scholar]
- Escourolle R., Hauw J. J., Agopian P. D., Trelles L. Les infarctus bulbaires. Etude des lésions vasculaires dans 26 observations. J Neurol Sci. 1976 May;28(1):103–113. doi: 10.1016/0022-510x(76)90051-4. [DOI] [PubMed] [Google Scholar]
- FISHER C. M., KARNES W. E., KUBIK C. S. Lateral medullary infarction-the pattern of vascular occlusion. J Neuropathol Exp Neurol. 1961 Jul;20:323–379. doi: 10.1097/00005072-196107000-00001. [DOI] [PubMed] [Google Scholar]
- George B., Laurian C., Derome P., Guilmet D. Pontage sous-clavier - vertébral en C1-C2 pour dysplasie anévrysmale. Intérêt et possibilité de l'abord chirurgical de la vertébrale en C1-C2. Neurochirurgie. 1979;25(2):124–128. [PubMed] [Google Scholar]
- George B., Laurian C. Surgical approach to the whole length of the vertebral artery with special reference to the third portion. Acta Neurochir (Wien) 1980;51(3-4):259–272. doi: 10.1007/BF01406753. [DOI] [PubMed] [Google Scholar]
- HUTCHINSON E. C., YATES P. O. Carotico-vertebral stenosis. Lancet. 1957 Jan 5;272(6958):2–8. doi: 10.1016/s0140-6736(57)92431-5. [DOI] [PubMed] [Google Scholar]
- Khodadad G., Singh R. S., Olinger C. P. Possible prevention of brain stem stroke by microvascular anastomosis in the vertebrobasilar system. Stroke. 1977 May-Jun;8(3):316–321. doi: 10.1161/01.str.8.3.316. [DOI] [PubMed] [Google Scholar]
- Peiffer J., Haas H., Boellaard J. W. Basilaris-Vertebralis-Aneurysmen als Ursache scheinbarer Halswirbelsäulensyndrome. Klinische und morphologische Untersuchungen an fünf klinisch nicht diagnostizierten Fällen. Dtsch Med Wochenschr. 1978 Feb 24;103(8):331–335. doi: 10.1055/s-0028-1104432. [DOI] [PubMed] [Google Scholar]
- Sundt T. M., Jr, Whisnant J. P., Piepgras D. G., Campbell J. K., Holman C. B. Intracranial bypass grafts for vertebral-basilar ischemia. Mayo Clin Proc. 1978 Jan;53(1):12–18. [PubMed] [Google Scholar]
- Sypert G. W., ALvord E. C., Jr Cerebellar infarction. A clinicopathological study. Arch Neurol. 1975 Jun;32(6):357–363. doi: 10.1001/archneur.1975.00490480023001. [DOI] [PubMed] [Google Scholar]
- Thompson J. R., Simmons C. R., Hasso A. N., Hinshaw D. B., Jr Occlusion of the intradural vertebrobasilar artery. Neuroradiology. 1978 Feb 17;14(5):219–229. doi: 10.1007/BF00418619. [DOI] [PubMed] [Google Scholar]
- YATES P. O., HUTCHINSON E. C. Cerebral infarction: the role of stenosis of the extracranial cerebral arteries. Memo Med Res Counc. 1961;300:1–95. [PubMed] [Google Scholar]