Intracranial bilateral vertebral artery dissection during anticoagulation after cerebral venous and sinus thrombosis (CSVT)

Acta Neurochir (Wien). 2007 Aug;149(8):793-7; discussion 797. doi: 10.1007/s00701-007-1247-5. Epub 2007 Aug 1.

Abstract

A 37-year-old woman presented with cerebral venous and sinus thrombosis (CVST). During the period of anticoagulation she developed asymptomatic dissection of the intracranial segments of both vertebral arteries with an enlarging false aneurysm on the right side. Endovascular occlusion of the pathological segment of the right vertebral artery including the dissecting aneurysm and conservative management of the other side resulted in complete recovery without neurological complications.

Publication types

  • Case Reports

MeSH terms

  • Administration, Oral
  • Adult
  • Aneurysm, False / chemically induced*
  • Aneurysm, False / diagnosis
  • Aneurysm, False / therapy
  • Cerebral Angiography
  • Cerebral Veins*
  • Drug Therapy, Combination
  • Embolization, Therapeutic
  • Female
  • Fibrinolytic Agents / adverse effects*
  • Fibrinolytic Agents / therapeutic use
  • Heparin / adverse effects*
  • Heparin / therapeutic use
  • Humans
  • Infusions, Intravenous
  • Intracranial Thrombosis / drug therapy*
  • Magnetic Resonance Angiography
  • Magnetic Resonance Imaging
  • Sinus Thrombosis, Intracranial / drug therapy*
  • Vertebral Artery Dissection / chemically induced*
  • Vertebral Artery Dissection / diagnosis
  • Vertebral Artery Dissection / therapy
  • Warfarin / adverse effects*
  • Warfarin / therapeutic use

Substances

  • Fibrinolytic Agents
  • Warfarin
  • Heparin