摘要:

Background and PurposeFollowing our treatment of a patient with hypoglycemia-induced brain stem symptoms, we examined the possible mechanisms for hypoglycemia presenting as basilar artery disease.Case DescriptionWe describe a patient who had progressive brain stem symptoms due to a diet-induced hypoglycemia initially diagnosed as basilar artery thrombosis. Symptoms ceased immediately after intravenous glucose.ConclusionsBefore invasive diagnostic and thrombolytic strategies are considered, hypoglycemia as a rare but important cause of acute brain stem dysfunction must be considered in patients suspected to suffer from basilar artery thrombosis.

ISSN:0039-2499    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

Background and PurposeDissecting aneurysms arising from the vertebrobasilar complex are rare and difficult to manage. More of their natural history needs to be known before treatment can be optimized.Case DescriptionWe report a postpartum dissecting aneurysm of the right vertebrobasilar artery in a 31-year-old woman that was confirmed by angiographic identification of a double lumen. The intracranial segment of the right vertebral artery was thrombosed proximal to the aneurysm. The patient, managed conservatively, recovered well and, when reexamined 2 months later, was found to be neurologically intact A repeat angiographic study at that time demonstrated that the aneurysm had resolved.ConclusionsProximal occlusion may have protected the aneurysm from rupture and further dissection, thereby making surgery unnecessary.

ISSN:0039-2499    

出版商:OVID    

年代:1992

数据来源: OVID

ISSN:0039-2499    

出版商:OVID    

年代:1992

数据来源: OVID

ISSN:0039-2499    

出版商:OVID    

年代:1992

数据来源: OVID

ISSN:0039-2499    

出版商:OVID    

年代:1992

数据来源: OVID

ISSN:0039-2499    

出版商:OVID    

年代:1992

数据来源: OVID

ISSN:0039-2499    

出版商:OVID    

年代:1992

数据来源: OVID