Anterior Spinal Artery Collateral Flow in Vertebrobasilar Occlusive Disease
作者:
Andreas Bender,
Siegfried Bien,
Christine Thomas,
Dirk Petersen,
期刊:
Cerebrovascular Diseases
(Karger Available online 1996)
卷期:
Volume 6,
issue 4
页码: 237-240
ISSN:1015-9770
年代: 1996
DOI:10.1159/000108027
出版商: S. Karger AG
关键词: Anterior spinal artery;Vertebrobasilar occlusive disease;Posterior circulation TIA
数据来源: Karger
摘要:
A 49-year-old man was referred for an episode of regressive hemiparesis, caused by proven brainstem infarction. Five weeks later, he started a series of posterior circulation transient ischemic attacks (TIAs) and angiography revealed left intracranial vertebral artery occlusion with contralateral severe vertebral artery stenosis and a significant collateral flow from the anterior spinal artery to the basilar artery. The TIAs stopped immediately after beginning of treatment with aspirin and heparin, and with this the patient has been asymptomatic for 4 years. This rare collateral pathway seems to be efficient in preventing hemodynamically induced ischemia in the posterior circulation, while antiaggregation and anticoagulation prevent further artery-to-artery embolism and may help to keep the collateral open.
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