Non-traumatic dissecting aneurysms of the intracranial vertebral artery. Report of six cases

Acta Neurochir (Wien). 1989;100(1-2):62-6. doi: 10.1007/BF01405276.


We present 6 cases with dissecting aneurysm of the intracranial vertebral artery who developed subarachnoid haemorrhage (SAH). The following procedures were performed in this series; trapping of the involved artery in 2, proximal occlusion of the vertebral artery with detachable balloon in 2, and proximal clipping of the vertebral artery in 2. Proximal occlusion of the vertebral artery in 4 and trapping of the vertebral artery in one gave excellent results. We believe the treatment of choice is proximal occlusion of the vertebral artery, either by open surgery or by interventional neuroradiological procedures.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aneurysm, Dissecting / complications
  • Aneurysm, Dissecting / diagnostic imaging*
  • Aneurysm, Dissecting / surgery
  • Female
  • Humans
  • Intracranial Aneurysm / complications
  • Intracranial Aneurysm / diagnostic imaging
  • Intracranial Aneurysm / surgery
  • Male
  • Middle Aged
  • Radiography
  • Subarachnoid Hemorrhage / diagnostic imaging
  • Subarachnoid Hemorrhage / etiology
  • Vertebral Artery / diagnostic imaging*
  • Vertebral Artery / surgery