CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2018; 37(03): 235-238
DOI: 10.1055/s-0036-1572506
Case Report | Relato de Caso
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Spontaneous Basilar Artery Dissection: A Case Report and Literature Review

Article in several languages: English | português
Marx Lima de Barros Araújo
1  Department of Neurology, Interventional Neuroradiology Service, Hospital Universitário da Universidade Federal do Piauí, , Teresina, PI, Brazil
,
Benjamim Pessoa Vale
2  Department of Neurosurgery, Endovascular Neurosurgery Service, Hospital São Marcos, Teresina, PI, Brazil
,
Lívio Pereira de Macêdo
3  Faculty of Medicine, Faculdade Integral Diferencial, Teresina, PI, Brazil
,
João Cícero Lima Vale
3  Faculty of Medicine, Faculdade Integral Diferencial, Teresina, PI, Brazil
,
Paulo César de Jesus Gonçalves Júnior
4  Faculty of Medicine, Universidade Federal do Piauí, Teresina, PI, Brazil
› Author Affiliations
Further Information

Publication History

18 September 2015

23 November 2015

Publication Date:
23 February 2016 (online)

  

Abstract

Spontaneous basilar artery dissection is a rare condition and a diagnostic challenge with a high potential for morbidity and mortality if untreated. It has an estimated incidence of 1 to 1.5 cases per 100,000 people. Few cases have been described in the literature up to the present day. The clinical outcomes, prognosis and treatment remain uncertain. The authors report the rare case of a 55-year-old female patient who presented to the Interventional Neuroradiology service at Hospital São Marcos, Teresina, in the state of Piauí, Brazil, with a history of severe headache located in the occipital region and in the nape with no improvement using common analgesics. A magnetic resonance imaging of the brain showed a saccular dilatation in the basilar artery, and a digital cerebral angiography showed a basilar artery dissection associated with a dissecting aneurysm.