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First published online April 8, 2021

Spontaneous Intracranial Artery Dissection causing Subarachnoid Hemorrhage: Importance of Short-Term Surveillance

Abstract

Hemorrhagic intracranial artery dissections are unstable lesions, with a high propensity for rebleeding (up to 40%) in the acute period. Imaging plays an important role in the diagnosis and management of intracranial artery dissections. In this paper, we describe 2 cases in which the dissected intracranial artery underwent rapid morphological change within 3 days or less, highlighting the importance of short-term follow-up imaging in patients with these hemorrhagic lesions.

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References

1. Debette S, Compter A, Labeyrie MA, et al. Epidemiology, pathophysiology, diagnosis, and management of intracranial artery dissection. Lancet Neurol. 2015;14(6):640–654.
2. Ro A, Kageyama N, Abe N, et al. Intracranial vertebral artery dissection resulting in fatal subarachnoid hemorrhage: clinical and histopathological investigations from a medicolegal perspective. J Neurosurg. 2009;110(5):948–954.
3. Krings T, Choi IS. The many faces of intracranial arterial dissections. Interv Neuroradiol. 2010;16(2):151–160.

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Published In

Article first published online: April 8, 2021
Issue published: October 2021

Keywords

  1. Intracranial vertebral artery dissection
  2. intracranial dissection
  3. subarachnoid hemorrhage
  4. hemorrhagic intracranial dissection

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© The Author(s) 2021.
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Authors

Affiliations

Mougnyan Cox, MD
Division of Interventional Neuroradiology, Baylor University Medical Center, Gaston Avenue, Dallas, TX, USA
Joshua Thatcher, MD
Division of Interventional Neuroradiology, Baylor University Medical Center, Gaston Avenue, Dallas, TX, USA
Rory Mayer, MD
Department of Neurosurgery, Baylor University Medical Center, Gaston Avenue, Dallas, TX, USA
Ike Thacker, MD
Division of Interventional Neuroradiology, Baylor University Medical Center, Gaston Avenue, Dallas, TX, USA
Rachel Pearson, MD
Department of Neurosurgery, Baylor University Medical Center, Gaston Avenue, Dallas, TX, USA
Kennith Layton, MD
Division of Interventional Neuroradiology, Department of Radiology, Baylor University Medical Center, Gaston Avenue, Dallas, TX, USA

Notes

Mougnyan Cox, Division of Interventional Neuroradiology, Baylor University Medical Center, 3500 Gaston Avenue, Dallas, TX, 75246, USA. Email: [email protected]

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