Abstract
A patient with cervicocranial fibromuscular dysplasia (FMD) presented with subarachnoid hemorrhage. A ruptured dissecting distal vertebral artery aneurysm required clip ligation of the parent artery; a contralateral dissecting proximal vertebral aneurysm was occluded with detachable coils. Progressive dissecting, extracranial aneurysms of the internal carotid artery were treated with self-expanding stents. Subsequent angiography and intravascular sonography revealed patent stents, a smooth luminal surface, and total occlusion of the aneurysm. Clinical outcome was excellent.
Publication types
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Case Reports
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Comparative Study
MeSH terms
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Aneurysm, Ruptured / diagnostic imaging
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Aneurysm, Ruptured / therapy
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Aortic Dissection / diagnostic imaging
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Aortic Dissection / therapy*
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Brain / blood supply*
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Carotid Artery, Internal / diagnostic imaging
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Cerebral Angiography
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Combined Modality Therapy
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Embolization, Therapeutic / instrumentation*
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Fibromuscular Dysplasia / diagnostic imaging
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Fibromuscular Dysplasia / therapy*
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Follow-Up Studies
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Humans
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Intracranial Aneurysm / diagnostic imaging
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Intracranial Aneurysm / therapy*
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Ligation
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Male
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Middle Aged
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Stents*
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Subarachnoid Hemorrhage / diagnostic imaging
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Subarachnoid Hemorrhage / therapy
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Vertebral Artery / diagnostic imaging