Dolichoectatic Basilar Artery Treated by Reducing Hemodynamic Stress—Report of Two Cases—

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Abstract

Two cases of dolichoectatic basilar artery with a mass effect to the brainstem structure were treated by reducing hemodynamic stress. In one case, angiograms showed the dolichoectatic basilar artery creating a turbulent flow in the vertebrobasilar junction, and unilateral vertebral artery clipping in addition to posterior fossa decompression was performed. The other case, a combination with bilateral internal carotid artery occlusion, underwent bilateral superficial temporal artery-middle cerebral artery anastomoses. The possible surgical treatments of dolichoectasia are discussed. © 1990, The Japan Neurosurgical Society. All rights reserved.

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Matsumoto, K., Yamada, K., Hayakawa, T., Kataoka, K., Yamamoto, K., Onishi, T., … Ito, M. (1990). Dolichoectatic Basilar Artery Treated by Reducing Hemodynamic Stress—Report of Two Cases—. Neurologia Medico-Chirurgica, 30(9), 691–694. https://doi.org/10.2176/nmc.30.691

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