Asunto(s)
Anticoagulantes/uso terapéutico , Enfermedades Cardiovasculares/tratamiento farmacológico , Inhibidores de Agregación Plaquetaria/uso terapéutico , Síndrome Coronario Agudo/tratamiento farmacológico , Fibrilación Atrial/tratamiento farmacológico , Brasil , Enfermedad de Chagas/tratamiento farmacológico , Femenino , Insuficiencia Cardíaca/tratamiento farmacológico , Humanos , Ataque Isquémico Transitorio/tratamiento farmacológico , Infarto del Miocardio/tratamiento farmacológico , Periodo Perioperatorio , Sociedades Médicas , Accidente Cerebrovascular/tratamiento farmacológico , Tromboembolia Venosa/tratamiento farmacológicoAsunto(s)
Disección de la Arteria Carótida Interna/etiología , Tirotoxicosis/complicaciones , Adulto , Estenosis Carotídea/complicaciones , Progresión de la Enfermedad , Resultado Fatal , Femenino , Enfermedad de Graves/complicaciones , Hemodinámica , Humanos , Persona de Mediana Edad , Paresia/etiología , Tirotoxicosis/fisiopatologíaRESUMEN
INTRODUCTION: Intracranial vertebral artery dissection is a rare condition which may present as subarachnoid hemorrhage. In this situation, treatment is controversial. CASE REPORT: A case of intracranial right vertebral artery dissection in a 55-year-old woman presenting with subarachnoid hemorrhage is reported. The patient underwent therapeutic occlusion of the dissected artery through microcatheterization using pushing detachable platinum microcoils and had a good outcome. At this moment, the patient has a normal neurologic examination and a control digital subtraction angiography 1 year after the procedure showed an occluded right vertebral artery at V3; there was retrograde flow in the right intracranial vertebral artery up to the origin of a meningeal branch; the artery was thin and had mural irregularities, without any evidence of aneurismatic dilatation. DISCUSSION: We review the literature and discuss the role of endovascular therapy and other therapeutic options in the treatment of this condition.