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J Neurol Surg A Cent Eur Neurosurg 2017; 78(01): 67-77
DOI: 10.1055/s-0036-1588064
Review Article
Georg Thieme Verlag KG Stuttgart · New York

State-of-Art Surgical Treatment of Dissecting Anterior Circulation Intracranial Aneurysms

Vladimir Balik
1   Department of Neurosurgery, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacky University, Olomouc, Czech Republic
,
Yasuhiro Yamada
2   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Japan
,
Sandeep Talari
3   Department of Neurosurgery, Andhra Medical College, Maharanipeta, Visakhapatnam, India
,
Yamashiro Kei
2   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Japan
,
Hirotoshi Sano
4   Department of Neurosurgery, Sogo Shinkawabashi Hospital, Kawasaki-city, Japan
,
Igor Sulla
5   Department of Surgery, Hospital of Slovak Railways, Kosice, Slovakia
,
Daisuke Suyama
6   Department of Neurosurgery, Fuchu Keijinkai Hospital, Tokyo, Japan
,
Tukasa Kawase
2   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Japan
,
Kiyoshi Takagi
7   Normal Pressure Hydrocephalus Center, Chiba Kashiwa Tanaka Hospital, Kashiwa city, Japan
,
Katsumi Takizawa
8   Department of Neurosurgery, Japanese Red Cross Asahikawa Hospital, Asahikawa, Japan
,
Yoko Kato
2   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Japan
› Author Affiliations
Further Information

Publication History

16 April 2016

06 July 2016

Publication Date:
05 September 2016 (online)

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Abstract

Intracranial dissecting aneurysms (IDAs) are an important cause of subarachnoid hemorrhage, stroke, or compression of intracranial structures. Since the availability of endovascular treatment and the advantage of intraprocedural anticoagulation, an endovascular strategy has become the mainstay of their therapy. But in some cases selective aneurysm obliteration by the endovascular approach is impossible or associated with an unacceptable risk of morbidity. This is particularly true when the IDA is a blood blister-like aneurysm or when dissection affects peripheral branches of the internal carotid artery. The literature dealing with surgical treatment of IDAs in the anterior circulation is heterogeneous, and formulation of general recommendations concerning the surgical strategy remains difficult. The aim of this study was to conduct a systematic review of the current knowledge on incidence, pathogenesis, clinical presentation, and diagnostic procedures with a special emphasis on the surgical treatment of intracranial dissections of anterior circulation.

Keywords

intracranial dissecting aneurysm - anterior circulation - surgical treatment
 

  • References

  • 1 Fujimoto MS, Ali L, Raychev R , et al. Direct thrombus aspiration using the Penumbra system for the treatment of pediatric intracranial dissection. BMJ Case Rep 2012; DOI: 10.1136/bcr-2012-010474.
    PubMedGoogle Scholar
  • 2 Fukuma K, Ihara M, Tanaka T, Morita Y, Toyoda K, Nagatsuka K. Intracranial cerebral artery dissection of anterior circulation as a cause of convexity subarachnoid hemorrhage. Cerebrovasc Dis 2015; 40 01/02 45-51
    CrossrefPubMedGoogle Scholar
  • 3 Chen L, Yau I, deVeber G, Dirks P, Armstrong D, Krings T. Evolution of a chronic dissecting aneurysm on magnetic resonance imaging in a pediatric patient. J Neurosurg Pediatr 2015; 15 (2) 192-196
    CrossrefPubMedGoogle Scholar
  • 4 Kim BC, Kwon OK, Oh CW , et al. Endovascular internal carotid artery trapping for ruptured blood blister-like aneurysms: long-term results from a single centre. Neuroradiology 2014; 56 (3) 211-217
    CrossrefPubMedGoogle Scholar
  • 5 Kim DJ, Kim BM, Suh SH, Kim DI. Self-expanding stent placement for anterior circulation intracranial artery dissection presenting with ischemic symptoms. Neurosurgery 2015; 76 (2) 158-164 ; discussion 164
    CrossrefPubMedGoogle Scholar
  • 6 Kinoshita M, Kida S, Hasegawa M, Yamashita J, Nomura M. Pathological examination of a ruptured fusiform aneurysm of the middle cerebral artery. Surg Neurol Int 2014; 5 (Suppl. 12) S465-S468
    CrossrefPubMedGoogle Scholar
  • 7 Kon H, Umezawa K, Saito A, Sasaki T, Nishijima M. An operated case of a giant fusiform aneurysm of the middle cerebral artery with alternating radiological findings within a short period [in Japanese]. No Shinkei Geka 2014; 42 (9) 851-858
    PubMedGoogle Scholar
  • 8 Kwak HS, Hwang SB, Chung GH, Jeong SK. High-resolution magnetic resonance imaging of symptomatic middle cerebral artery dissection. J Stroke Cerebrovasc Dis 2014; 23 (3) 550-553
    CrossrefPubMedGoogle Scholar
  • 9 Ma YD, Wang J, Du ZH, Cao XY, Zhou DB, Li BM. Mechanical thrombectomy with Solitaire stent for acute internal carotid artery occlusion without atherosclerotic stenosis: dissection or cardiogenic thromboembolism. Eur Rev Med Pharmacol Sci 2014; 18 (9) 1324-1332
    PubMedGoogle Scholar
  • 10 Nam DH, Park SK. Endovascular treatment in ruptured middle cerebral artery dissection preservation of arterial continuity. J Cerebrovasc Endovasc Neurosurg 2015; 17 (2) 108-112
    CrossrefPubMedGoogle Scholar
  • 11 Yamaura A, Watanabe Y, Saeki N. Dissecting aneurysms of the intracranial vertebral artery. J Neurosurg 1990; 72 (2) 183-188
    CrossrefPubMedGoogle Scholar
  • 12 Zhu W, Liu P, Tian Y , et al. Complex middle cerebral artery aneurysms: a new classification based on the angioarchitecture and surgical strategies. Acta Neurochir (Wien) 2013; 155 (8) 1481-1491
    CrossrefPubMedGoogle Scholar
  • 13 Zivanovic Z, Jesic A, Lucic-Prokin A , et al. Neurosonographic monitoring of haemodynamic changes in tandem middle cerebral and internal carotid artery occlusion due to arterial dissection. Neurol Neurochir Pol 2012; 46 (6) 595-599
    CrossrefPubMedGoogle Scholar
  • 14 Krings T, Choi IS. The many faces of intracranial arterial dissections. Interv Neuroradiol 2010; 16 (2) 151-160
    CrossrefPubMedGoogle Scholar
  • 15 Sato O, Bascom JF, Logothetis J. Intracranial dissecting aneurysm. Case report. J Neurosurg 1971; 35 (4) 483-487
    CrossrefPubMedGoogle Scholar
  • 16 Ning L, Kato Y, Sano H , et al. Spontaneous dissecting aneurysm of middle cerebral artery: a case report with review of the literature. Minim Invasive Neurosurg 2003; 46 (6) 357-360
    Article in Thieme ConnectPubMedGoogle Scholar
  • 17 Sikkema T, Uyttenboogaart M, Eshghi O , et al. Intracranial artery dissection. Eur J Neurol 2014; 21 (6) 820-826
    CrossrefPubMedGoogle Scholar
  • 18 Li S, Yan B, Kaye A , et al. Prognosis of intracranial dissection relates to site and presenting features. J Clin Neurosci 2011; 18 (6) 789-793
    CrossrefPubMedGoogle Scholar
  • 19 Guillon B, Lévy C, Bousser MG. Internal carotid artery dissection: an update. J Neurol Sci 1998; 153 (2) 146-158
    CrossrefPubMedGoogle Scholar
  • 20 Kocaeli H, Chaalala C, Andaluz N, Zuccarello M. Spontaneous intradural vertebral artery dissection: a single-center experience and review of the literature. Skull Base 2009; 19 (3) 209-218
    Article in Thieme ConnectPubMedGoogle Scholar
  • 21 Mizutani T. Natural course of intracranial arterial dissections. J Neurosurg 2011; 114 (4) 1037-1044
    CrossrefPubMedGoogle Scholar
  • 22 Peluso JP, van Rooij WJ, Sluzewski M, Beute GN, Majoie CB. Endovascular treatment of symptomatic intradural vertebral dissecting aneurysms. AJNR Am J Neuroradiol 2008; 29 (1) 102-106
    CrossrefPubMedGoogle Scholar
  • 23 Huang YC, Chen YF, Wang YH, Tu YK, Jeng JS, Liu HM. Cervicocranial arterial dissection: experience of 73 patients in a single center. Surg Neurol 2009; 72 (Suppl. 02) S20-S27 ; discussion S27
    CrossrefPubMedGoogle Scholar
  • 24 Kim BM, Shin YS, Kim SH , et al. Incidence and risk factors of recurrence after endovascular treatment of intracranial vertebrobasilar dissecting aneurysms. Stroke 2011; 42 (9) 2425-2430
    CrossrefPubMedGoogle Scholar
  • 25 Lin CH, Jeng JS, Yip PK. Middle cerebral artery dissections: differences between isolated and extended dissections of internal carotid artery. J Neurol Sci 2005; 235 01/02 37-44
    CrossrefPubMedGoogle Scholar
  • 26 Arauz A, Ruiz A, Pacheco G , et al. Aspirin versus anticoagulation in intra- and extracranial vertebral artery dissection. Eur J Neurol 2013; 20 (1) 167-172
    CrossrefPubMedGoogle Scholar
  • 27 Steiger HJ, Hänggi D, Assmann B, Turowski B. Cerebral angiopathies as a cause of ischemic stroke in children: differential diagnosis and treatment options. Dtsch Arztebl Int 2010; 107 (48) 851-856
    PubMedGoogle Scholar
  • 28 Caplan LR. Posterior Circulation Disease: Clinical Findings, Diagnosis, and Management. Boston, MA: Blackwell; 1996
    Google Scholar
  • 29 Caplan LR, Baquis GD, Pessin MS , et al. Dissection of the intracranial vertebral artery. Neurology 1988; 38 (6) 868-877
    CrossrefPubMedGoogle Scholar
  • 30 Caplan LR. Dissections of brain-supplying arteries. Nat Clin Pract Neurol 2008; 4 (1) 34-42
    CrossrefPubMedGoogle Scholar
  • 31 Chaves C, Estol C, Esnaola MM , et al. Spontaneous intracranial internal carotid artery dissection: report of 10 patients. Arch Neurol 2002; 59 (6) 977-981
    CrossrefPubMedGoogle Scholar
  • 32 Pessin MS, Adelman LS, Barbas NR. Spontaneous intracranial carotid artery dissection. Stroke 1989; 20 (8) 1100-1103
    CrossrefPubMedGoogle Scholar
  • 33 Campos CR, Massaro AR, Scaff M. Isolated oculomotor nerve palsy in spontaneous internal carotid artery dissection: case report. Arq Neuropsiquiatr 2003; 61 (3A): 668-670
    CrossrefPubMedGoogle Scholar
  • 34 Hassan AE, Zacharatos H, Mohammad YM , et al. Comparison of single versus multiple spontaneous extra- and/or intracranial arterial dissection. J Stroke Cerebrovasc Dis 2013; 22 (1) 42-48
    CrossrefPubMedGoogle Scholar
  • 35 Ogawa A, Suzuki M, Ogasawara K. Aneurysms at nonbranching sites in the surpaclinoid portion of the internal carotid artery: internal carotid artery trunk aneurysms. Neurosurgery 2000; 47 (3) 578-583 ; discussion 583–586
    PubMedGoogle Scholar
  • 36 Satoh A, Nakamura H, Odaki M , et al. High risk aneurysms of the internal carotid artery: dorsal IC aneurysms. Surg Cereb Stroke 1993; 21 (6) 467-472
    CrossrefPubMedGoogle Scholar
  • 37 Yasargil M. Internal carotid artery aneurysms, distal medial wall aneurysms of superior wall of internal carotid artery. In: Yasargil M, ed. Microneurosurgery. Stuttgart, Germany: Thieme; 1984
    Google Scholar
  • 38 Shigeta H, Kyoshima K, Nakagawa F, Kobayashi S. Dorsal internal carotid artery aneurysms with special reference to angiographic presentation and surgical management. Acta Neurochir (Wien) 1992; 119 01/04 42-48
    CrossrefPubMedGoogle Scholar
  • 39 Abe M, Tabuchi K, Yokoyama H, Uchino A. Blood blisterlike aneurysms of the internal carotid artery. J Neurosurg 1998; 89 (3) 419-424
    CrossrefPubMedGoogle Scholar
  • 40 Meling TR, Sorteberg A, Bakke SJ, Slettebø H, Hernesniemi J, Sorteberg W. Blood blister-like aneurysms of the internal carotid artery trunk causing subarachnoid hemorrhage: treatment and outcome. J Neurosurg 2008; 108 (4) 662-671
    CrossrefPubMedGoogle Scholar
  • 41 Park JH, Park IS, Han DH , et al. Endovascular treatment of blood blister-like aneurysms of the internal carotid artery. J Neurosurg 2007; 106 (5) 812-819
    CrossrefPubMedGoogle Scholar
  • 42 Sim SY, Shin YS, Cho KG , et al. Blood blister-like aneurysms at nonbranching sites of the internal carotid artery. J Neurosurg 2006; 105 (3) 400-405
    CrossrefPubMedGoogle Scholar
  • 43 Rinne J, Hernesniemi J, Niskanen M, Vapalahti M. Analysis of 561 patients with 690 middle cerebral artery aneurysms: anatomic and clinical features as correlated to management outcome. Neurosurgery 1996; 38 (1) 2-11
    CrossrefPubMedGoogle Scholar
  • 44 Abiko S, Okamura T, Kurokawa Y, Ikeda N, Ideguchi M, Watanabe K. Diagnosis and treatment of nontraumatic dissecting aneurysm in the middle cerebral artery [in Japanese]. No Shinkei Geka 1999; 27 (8) 743-749
    PubMedGoogle Scholar
  • 45 Bosch J, Mauleón A, Coscojuela P , et al. Intraventricular hemorrhage due to the rupture of atherosclerotic dissecting aneurysm of the middle cerebral artery [in Spanish]. Rev Neurol 1999; 28 (10) 973-975
    PubMedGoogle Scholar
  • 46 Fujimura M, Seki H, Sugawara T, Sakuma T, Otawara Y, Harata N. Giant thrombosed fusiform aneurysm at the branch of the middle cerebral artery presenting with intramural hemorrhage: a case report [in Japanese]. No Shinkei Geka 1997; 25 (2) 151-155
    PubMedGoogle Scholar
  • 47 Hashimoto H, Iida J, Shin Y, Hironaka Y, Sakaki T. Subarachnoid hemorrhage from intracranial dissecting aneurysms of the anterior circulation. Two case reports. Neurol Med Chir (Tokyo) 1999; 39 (6) 442-446
    CrossrefPubMedGoogle Scholar
  • 48 Chang CC, Noji M, Kuwana N. Dissecting aneurysm of the middle cerebral artery associated with subarachnoid haemorrhage. J Clin Neurosci 1998; 5 (3) 361-363
    CrossrefPubMedGoogle Scholar
  • 49 Isono M, Abe T, Goda M, Ishii K, Kobayashi H. Middle cerebral artery dissecting aneurysm causing intracerebral hemorrhage 4 years after the non-hemorrhagic onset: a case report. Surg Neurol 2002; 57 (5) 346-349 ; discussion 349–350
    CrossrefPubMedGoogle Scholar
  • 50 Kawaguchi T, Kawano T, Kazekawa K , et al. Dissecting aneurysm of the middle cerebral artery with subarachnoid hemorrhage and brain infarction: a case report [in Japanese]. No Shinkei Geka 1997; 25 (11) 1033-1037
    PubMedGoogle Scholar
  • 51 Kurino M, Yoshioka S, Ushio Y. Spontaneous dissecting aneurysms of anterior and middle cerebral artery associated with brain infarction: a case report and review of the literature. Surg Neurol 2002; 57 (6) 428-436 ; discussion 436–438
    CrossrefPubMedGoogle Scholar
  • 52 Mizutani T. Subarachnoid hemorrhage associated with angiographic “stenotic” or “occlusive” lesions in the carotid circulation. Surg Neurol 1998; 49 (5) 495-503 ; discussion 503–504
    CrossrefPubMedGoogle Scholar
  • 53 Nakashima S, Shimokawa S, Nakagawa S , et al. A case of aneurysm of the peripheral middle cerebral artery undetectable on preoperative angiogram [in Japanese]. No Shinkei Geka 2001; 29 (6) 545-549
    PubMedGoogle Scholar
  • 54 Nakashima S, Nomura S, Tomokiyo M , et al. Dissecting aneurysm of the middle cerebral artery with subarachnoid hemorrhage showing complete occlusion at the M2 portion of the middle cerebral artery on preoperative angiograms: case report [in Japanese]. No Shinkei Geka 2002; 30 (5) 541-545
    PubMedGoogle Scholar
  • 55 Niikawa S, Yamada J, Sumi Y, Yamakawa H. Dissecting aneurysm of the middle cerebral artery manifesting as subarachnoid hemorrhage and hemorrhagic infarctions—case report. Neurol Med Chir (Tokyo) 2002; 42 (2) 62-66
    CrossrefPubMedGoogle Scholar
  • 56 Nimura T, Oku T, Narita N, Higuchi H. Dissecting aneurysm of the middle cerebral artery: case report [in Japanese]. No Shinkei Geka 2000; 28 (1) 61-65
    PubMedGoogle Scholar
  • 57 Ono Y, Kawamura T, Ito J, Kanayama S. Dissecting aneurysm of the middle cerebral artery (M1-2 portion) with subarachnoid hemorrhage: a case report [in Japanese]. No Shinkei Geka 2001; 29 (4) 347-352
    PubMedGoogle Scholar
  • 58 Piepgras DG, McGrail KM, Tazelaar HD. Intracranial dissection of the distal middle cerebral artery as an uncommon cause of distal cerebral artery aneurysm. Case report. J Neurosurg 1994; 80 (5) 909-913
    CrossrefPubMedGoogle Scholar
  • 59 Sakamoto S, Ikawa F, Kawamoto H, Ohbayashi N, Inagawa T. Acute surgery for ruptured dissecting aneurysm of the M3 portion of the middle cerebral artery. Neurol Med Chir (Tokyo) 2003; 43 (4) 188-191
    CrossrefPubMedGoogle Scholar
  • 60 Sakamoto S, Ikawa F, Kawamoto H, Ohbayashi N, Inagawa T. Subsequent rupture after clip on wrap method for ruptured dissecting aneurysm of the distal middle cerebral artery: a case report and review of the literature. Hiroshima J Med Sci 2003; 52 (1) 15-19
    PubMedGoogle Scholar
  • 61 Sasaki O, Koike T, Tanaka R, Ogawa H. Subarachnoid hemorrhage from a dissecting aneurysm of the middle cerebral artery. Case report. J Neurosurg 1991; 74 (3) 504-507
    CrossrefPubMedGoogle Scholar
  • 62 Chuang MJ, Lu CH, Cheng MH. Management of middle cerebral artery dissecting aneurysm. Asian J Surg 2012; 35 (1) 42-48
    CrossrefPubMedGoogle Scholar
  • 63 Ohkuma H, Nakano T, Manabe H, Suzuki S. Subarachnoid hemorrhage caused by a dissecting aneurysm of the internal carotid artery. J Neurosurg 2002; 97 (3) 576-583
    CrossrefPubMedGoogle Scholar
  • 64 Ohkuma H, Suzuki S, Ogane K ; Study Group of the Association of Cerebrovascular Disease in Tohoku, Japan. Dissecting aneurysms of intracranial carotid circulation. Stroke 2002; 33 (4) 941-947
    CrossrefPubMedGoogle Scholar
  • 65 Ohkuma H, Suzuki S, Shimamura N, Nakano T. Dissecting aneurysms of the middle cerebral artery: neuroradiological and clinical features. Neuroradiology 2003; 45 (3) 143-148
    CrossrefPubMedGoogle Scholar
  • 66 Gonzalez AM, Narata AP, Yilmaz H , et al. Blood blister-like aneurysms: single center experience and systematic literature review. Eur J Radiol 2014; 83 (1) 197-205
    CrossrefPubMedGoogle Scholar
  • 67 Ohkuma H, Suzuki S, Kikkawa T, Shimamura N. Neuroradiologic and clinical features of arterial dissection of the anterior cerebral artery. AJNR Am J Neuroradiol 2003; 24 (4) 691-699
    PubMedGoogle Scholar
  • 68 Thines L, Zairi F, Taschner C , et al. Subarachnoid hemorrhage from spontaneous dissection of the anterior cerebral artery. Cerebrovasc Dis 2006; 22 05/06 452-456
    CrossrefPubMedGoogle Scholar
  • 69 Saito A, Fujimura M, Inoue T, Shimizu H, Tominaga T. Lectin-like oxidized low-density lipoprotein receptor 1 and matrix metalloproteinase expression in ruptured and unruptured multiple dissections of distal middle cerebral artery: case report. Acta Neurochir (Wien) 2010; 152 (7) 1235-1240
    CrossrefPubMedGoogle Scholar
  • 70 Umeoka K, Shirokane K, Mizunari T, Kobayashi S, Teramoto A. Dissecting aneurysm of the anterior temporal artery: case report. Neurol Med Chir (Tokyo) 2011; 51 (11) 777-780
    CrossrefPubMedGoogle Scholar
  • 71 Fievez M. Aneurysms and arterial dissections. In: Camilleri JP, Berry CL, Fiessinger JN, Bariety J, eds. Diseases of the Arterial Wall. Vol 1. London, UK: Springer; 1989: 533-546
    CrossrefGoogle Scholar
  • 72 Yoon W, Seo JJ, Kim TS, Do HM, Jayaraman MV, Marks MP. Dissection of the V4 segment of the vertebral artery: clinicoradiologic manifestations and endovascular treatment. Eur Radiol 2007; 17 (4) 983-993
    CrossrefPubMedGoogle Scholar
  • 73 Wong GK, Tang HB, Poon WS, Yu SC. Treatment of ruptured intracranial dissecting aneurysms in Hong Kong. Surg Neurol Int 2010; 1: 84
    CrossrefPubMedGoogle Scholar
  • 74 Tawk RG, Bendok BR, Qureshi AI , et al. Isolated dissections and dissecting aneurysms of the posterior inferior cerebellar artery: topic and literature review. Neurosurg Rev 2003; 26 (3) 180-187
    CrossrefPubMedGoogle Scholar
  • 75 Caplan LR, Hennerici M. Impaired clearance of emboli (washout) is an important link between hypoperfusion, embolism, and ischemic stroke. Arch Neurol 1998; 55 (11) 1475-1482
    CrossrefPubMedGoogle Scholar
  • 76 Caplan LR, Wong KS, Gao S, Hennerici MG. Is hypoperfusion an important cause of strokes? If so, how?. Cerebrovasc Dis 2006; 21 (3) 145-153
    CrossrefPubMedGoogle Scholar
  • 77 Okamoto T, Miyachi S, Negoro M , et al. Experimental model of dissecting aneurysms. AJNR Am J Neuroradiol 2002; 23 (4) 577-584
    PubMedGoogle Scholar
  • 78 Endo S, Takaba M, Ogiichi T , et al. Pathological study of intracranial artery dissection with subarachnoid hemorrhage. Surg Cereb Stroke 1997; 25 (3) 169-176
    CrossrefPubMedGoogle Scholar
  • 79 Ishikawa T, Nakamura N, Houkin K, Nomura M. Pathological consideration of a “blister-like” aneurysm at the superior wall of the internal carotid artery: case report. Neurosurgery 1997; 40 (2) 403-405 ; discussion 405–406
    CrossrefPubMedGoogle Scholar
  • 80 Andaluz N, Zuccarello M. Blister-like aneurysms of the anterior communicating artery: a retrospective review of diagnosis and treatment in five patients. Neurosurgery 2008; 62 (4) 807-811 ; discussion 811
    CrossrefPubMedGoogle Scholar
  • 81 Sakata N, Takebayashi S, Kojima M , et al. Different roles of arteriosclerosis in the rupture of intracranial dissecting aneurysms. Histopathology 2001; 38 (4) 325-337
    CrossrefPubMedGoogle Scholar
  • 82 Sinclair Jr W. Dissecting aneurysm of the middle cerebral artery associated with migraine syndrome. Am J Pathol 1953; 29 (6) 1083-1091
    PubMedGoogle Scholar
  • 83 Schievink WI, Wijdicks EF, Michels VV, Vockley J, Godfrey M. Heritable connective tissue disorders in cervical artery dissections: a prospective study. Neurology 1998; 50 (4) 1166-1169
    CrossrefPubMedGoogle Scholar
  • 84 Brandt T, Hausser I, Orberk E , et al. Ultrastructural connective tissue abnormalities in patients with spontaneous cervicocerebral artery dissections. Ann Neurol 1998; 44 (2) 281-285
    CrossrefPubMedGoogle Scholar
  • 85 Martin JJ, Hausser I, Lyrer P , et al. Familial cervical artery dissections: clinical, morphologic, and genetic studies. Stroke 2006; 37 (12) 2924-2929
    CrossrefPubMedGoogle Scholar
  • 86 Schievink WI, Prakash UB, Piepgras DG, Mokri B. Alpha 1-antitrypsin deficiency in intracranial aneurysms and cervical artery dissection. Lancet 1994; 343 (8895): 452-453
    CrossrefPubMedGoogle Scholar
  • 87 Friedman AH, Drake CG. Subarachnoid hemorrhage from intracranial dissecting aneurysm. J Neurosurg 1984; 60 (2) 325-334
    CrossrefPubMedGoogle Scholar
  • 88 Su W, Gou S, Ni S , et al. Management of ruptured and unruptured intracranial vertebral artery dissecting aneurysms. J Clin Neurosci 2011; 18 (12) 1639-1644
    CrossrefPubMedGoogle Scholar
  • 89 Suzuki I, Nishino A, Nishimura S , et al. Nontraumatic arterial dissection of the anterior cerebral artery: six cases report [in Japanese]. No To Shinkei 2005; 57 (6) 509-515
    PubMedGoogle Scholar
  • 90 Yamashita M, Tanaka K, Matsuo T, Yokoyama K, Fujii T, Sakamoto H. Cerebral dissecting aneurysms in patients with Moyamoya disease. Report of two cases. J Neurosurg 1983; 58 (1) 120-125
    CrossrefPubMedGoogle Scholar
  • 91 Zhao WY, Krings T, Alvarez H, Ozanne A, Holmin S, Lasjaunias P. Management of spontaneous haemorrhagic intracranial vertebrobasilar dissection: review of 21 consecutive cases. Acta Neurochir (Wien) 2007; 149 (6) 585-596 ; discussion 596
    CrossrefPubMedGoogle Scholar
  • 92 Mizutani T, Miki Y, Kojima H, Suzuki H. Proposed classification of nonatherosclerotic cerebral fusiform and dissecting aneurysms. Neurosurgery 1999; 45 (2) 253-259 ; discussion 259–260
    CrossrefPubMedGoogle Scholar
  • 93 Matsubara N, Miyachi S, Tsukamoto N , et al. Endovascular coil embolization for saccular-shaped blood blister-like aneurysms of the internal carotid artery. Acta Neurochir (Wien) 2011; 153 (2) 287-294
    CrossrefPubMedGoogle Scholar
  • 94 Mizutani T, Kojima H, Asamoto S, Miki Y. Pathological mechanism and three-dimensional structure of cerebral dissecting aneurysms. J Neurosurg 2001; 94 (5) 712-717
    CrossrefPubMedGoogle Scholar
  • 95 Hirao J, Okamoto H, Watanabe T, Asano S, Teraoka A. Dissecting aneurysms at the A1 segment of the anterior cerebral artery—two case reports. Neurol Med Chir (Tokyo) 2001; 41 (5) 271-278
    CrossrefPubMedGoogle Scholar
  • 96 Koyama S, Kotani A, Sasaki J. Spontaneous dissecting aneurysm of the anterior cerebral artery: report of two cases. Surg Neurol 1996; 46 (1) 55-61
    CrossrefPubMedGoogle Scholar
  • 97 Pelkonen O, Tikkakoski T, Leinonen S, Pyhtinen J, Sotaniemi K. Intracranial arterial dissection. Neuroradiology 1998; 40 (7) 442-447
    CrossrefPubMedGoogle Scholar
  • 98 Hosoya T, Adachi M, Yamaguchi K, Haku T, Kayama T, Kato T. Clinical and neuroradiological features of intracranial vertebrobasilar artery dissection. Stroke 1999; 30 (5) 1083-1090
    CrossrefPubMedGoogle Scholar
  • 99 Kim CH, Son YJ, Paek SH , et al. Clinical analysis of vertebrobasilar dissection. Acta Neurochir (Wien) 2006; 148 (4) 395-404
    CrossrefPubMedGoogle Scholar
  • 100 Biondi A. Trunkal intracranial aneurysms: dissecting and fusiform aneurysms. Neuroimaging Clin N Am 2006; 16 (3) 453-465 , viii
    CrossrefPubMedGoogle Scholar
  • 101 Lévy C, Laissy JP, Raveau V , et al. Carotid and vertebral artery dissections: three-dimensional time-of-flight MR angiography and MR imaging versus conventional angiography. Radiology 1994; 190 (1) 97-103
    CrossrefPubMedGoogle Scholar
  • 102 Auer A, Felber S, Schmidauer C, Waldenberger P, Aichner F. Magnetic resonance angiographic and clinical features of extracranial vertebral artery dissection. J Neurol Neurosurg Psychiatry 1998; 64 (4) 474-481
    CrossrefPubMedGoogle Scholar
  • 103 Debette S, Leys D. Cervical-artery dissections: predisposing factors, diagnosis, and outcome. Lancet Neurol 2009; 8 (7) 668-678
    CrossrefPubMedGoogle Scholar
  • 104 Kitanaka C, Tanaka J, Kuwahara M, Teraoka A. Magnetic resonance imaging study of intracranial vertebrobasilar artery dissections. Stroke 1994; 25 (3) 571-575
    CrossrefPubMedGoogle Scholar
  • 105 Leclerc X, Lucas C, Godefroy O , et al. Preliminary experience using contrast-enhanced MR angiography to assess vertebral artery structure for the follow-up of suspected dissection. AJNR Am J Neuroradiol 1999; 20 (8) 1482-1490
    PubMedGoogle Scholar
  • 106 Mascalchi M, Bianchi MC, Mangiafico S , et al. MRI and MR angiography of vertebral artery dissection. Neuroradiology 1997; 39 (5) 329-340
    CrossrefPubMedGoogle Scholar
  • 107 Provenzale JM, Sarikaya B. Comparison of test performance characteristics of MRI, MR angiography, and CT angiography in the diagnosis of carotid and vertebral artery dissection: a review of the medical literature. AJR Am J Roentgenol 2009; 193 (4) 1167-1174
    CrossrefPubMedGoogle Scholar
  • 108 Rodallec MH, Marteau V, Gerber S, Desmottes L, Zins M. Craniocervical arterial dissection: spectrum of imaging findings and differential diagnosis. Radiographics 2008; 28 (6) 1711-1728
    CrossrefPubMedGoogle Scholar
  • 109 Elijovich L, Kazmi K, Gauvrit JY, Law M. The emerging role of multidetector row CT angiography in the diagnosis of cervical arterial dissection: preliminary study. Neuroradiology 2006; 48 (9) 606-612
    CrossrefPubMedGoogle Scholar
  • 110 Provenzale JM, Sarikaya B, Hacein-Bey L, Wintermark M. Causes of misinterpretation of cross-sectional imaging studies for dissection of the craniocervical arteries. AJR Am J Roentgenol 2011; 196 (1) 45-52
    CrossrefPubMedGoogle Scholar
  • 111 Takano K, Yamashita S, Takemoto K, Inoue T, Kuwabara Y, Yoshimitsu K. MRI of intracranial vertebral artery dissection: evaluation of intramural haematoma using a black blood, variable-flip-angle 3D turbo spin-echo sequence. Neuroradiology 2013; 55 (7) 845-851
    CrossrefPubMedGoogle Scholar
  • 112 Lum C, Chakraborty S, Schlossmacher M , et al. Vertebral artery dissection with a normal-appearing lumen at multisection CT angiography: the importance of identifying wall hematoma. AJNR Am J Neuroradiol 2009; 30 (4) 787-792
    CrossrefPubMedGoogle Scholar
  • 113 Kim TW, Choi HS, Koo J , et al. Intramural hematoma detection by susceptibility-weighted imaging in intracranial vertebral artery dissection. Cerebrovasc Dis 2013; 36 (4) 292-298
    CrossrefPubMedGoogle Scholar
  • 114 Ahn SS, Kim BM, Suh SH , et al. Spontaneous symptomatic intracranial vertebrobasilar dissection: initial and follow-up imaging findings. Radiology 2012; 264 (1) 196-202
    CrossrefPubMedGoogle Scholar
  • 115 Bachmann R, Nassenstein I, Kooijman H , et al. High-resolution magnetic resonance imaging (MRI) at 3.0 Tesla in the short-term follow-up of patients with proven cervical artery dissection. Invest Radiol 2007; 42 (6) 460-466
    CrossrefPubMedGoogle Scholar
  • 116 Hunter MA, Santosh C, Teasdale E, Forbes KP. High-resolution double inversion recovery black-blood imaging of cervical artery dissection using 3T MR imaging. AJNR Am J Neuroradiol 2012; 33 (11) E133-E137
    CrossrefPubMedGoogle Scholar
  • 117 Chun DH, Kim ST, Jeong YG, Jeong HW. High-resolution magnetic resonance imaging of intracranial vertebral artery dissecting aneurysm for planning of endovascular treatment. J Korean Neurosurg Soc 2015; 58 (2) 155-158
    CrossrefPubMedGoogle Scholar
  • 118 Nakagawa K, Touho H, Morisako T , et al. Long-term follow-up study of unruptured vertebral artery dissection: clinical outcomes and serial angiographic findings. J Neurosurg 2000; 93 (1) 19-25
    CrossrefPubMedGoogle Scholar
  • 119 Wang Y, Lou X, Li Y , et al. Imaging investigation of intracranial arterial dissecting aneurysms by using 3 T high-resolution MRI and DSA: from the interventional neuroradiologists' view. Acta Neurochir (Wien) 2014; 156 (3) 515-525
    CrossrefPubMedGoogle Scholar
  • 120 McAuley G, Schrag M, Sipos P , et al. Quantification of punctate iron sources using magnetic resonance phase. Magn Reson Med 2010; 63 (1) 106-115
    CrossrefPubMedGoogle Scholar
  • 121 Schweser F, Deistung A, Lehr BW, Reichenbach JR. Differentiation between diamagnetic and paramagnetic cerebral lesions based on magnetic susceptibility mapping. Med Phys 2010; 37 (10) 5165-5178
    Google Scholar
  • 122 Haacke EM, Mittal S, Wu Z, Neelavalli J, Cheng YC. Susceptibility-weighted imaging: technical aspects and clinical applications, part 1. AJNR Am J Neuroradiol 2009; 30 (1) 19-30
    CrossrefPubMedGoogle Scholar
  • 123 Löbel U, Sedlacik J, Sabin ND , et al. Three-dimensional susceptibility-weighted imaging and two-dimensional T2*-weighted gradient-echo imaging of intratumoral hemorrhages in pediatric diffuse intrinsic pontine glioma. Neuroradiology 2010; 52 (12) 1167-1177
    CrossrefPubMedGoogle Scholar
  • 124 Mittal S, Wu Z, Neelavalli J, Haacke EM. Susceptibility-weighted imaging: technical aspects and clinical applications, part 2. AJNR Am J Neuroradiol 2009; 30 (2) 232-252
    CrossrefPubMedGoogle Scholar
  • 125 Bartels E. Dissection of the extracranial vertebral artery: clinical findings and early noninvasive diagnosis in 24 patients. J Neuroimaging 2006; 16 (1) 24-33
    CrossrefPubMedGoogle Scholar
  • 126 Bartels E, Flügel KA. Evaluation of extracranial vertebral artery dissection with duplex color-flow imaging. Stroke 1996; 27 (2) 290-295
    CrossrefPubMedGoogle Scholar
  • 127 Sturzenegger M, Mattle HP, Rivoir A, Rihs F, Schmid C. Ultrasound findings in spontaneous extracranial vertebral artery dissection. Stroke 1993; 24 (12) 1910-1921
    CrossrefPubMedGoogle Scholar
  • 128 Han DH, Kwon OK, Oh CW. Clinical characteristics of vertebrobasilar artery dissection. Neurol Med Chir (Tokyo) 1998; 38 (Suppl): 107-113
    CrossrefPubMedGoogle Scholar
  • 129 Nakatomi H, Segawa H, Kurata A , et al. Clinicopathological study of intracranial fusiform and dolichoectatic aneurysms : insight on the mechanism of growth. Stroke 2000; 31 (4) 896-900
    CrossrefPubMedGoogle Scholar
  • 130 Drake CG, Peerless SJ. Giant fusiform intracranial aneurysms: review of 120 patients treated surgically from 1965 to 1992. J Neurosurg 1997; 87 (2) 141-162
    CrossrefPubMedGoogle Scholar
  • 131 Drake CG. Giant intracranial aneurysms: experience with surgical treatment in 174 patients. Clin Neurosurg 1979; 26: 12-95
    CrossrefPubMedGoogle Scholar
  • 132 Nagata I, Kikuchi H, Yamagata S, Miyamoto S, Kaneko T, Asato R. Intraluminal thrombosis and growth-mechanism of giant intracranial aneurysms [in Japanese]. No Shinkei Geka 1990; 18 (12) 1115-1120
    PubMedGoogle Scholar
  • 133 Yu YL, Moseley IF, Pullicino P, McDonald WI. The clinical picture of ectasia of the intracerebral arteries. J Neurol Neurosurg Psychiatry 1982; 45 (1) 29-36
    CrossrefPubMedGoogle Scholar
  • 134 Narata AP, Yilmaz H, Schaller K, Lovblad KO, Pereira VM. Flow-diverting stent for ruptured intracranial dissecting aneurysm of vertebral artery. Neurosurgery 2012; 70 (4) 982-988 ; discussion 988–989
    CrossrefPubMedGoogle Scholar
  • 135 Debette S, Compter A, Labeyrie MA , et al. Epidemiology, pathophysiology, diagnosis, and management of intracranial artery dissection. Lancet Neurol 2015; 14 (6) 640-654
    CrossrefPubMedGoogle Scholar
  • 136 Yamaura A. Diagnosis and treatment of vertebral aneurysms. J Neurosurg 1988; 69 (3) 345-349
    CrossrefPubMedGoogle Scholar
  • 137 Kim BM, Kim SH, Kim DI , et al. Outcomes and prognostic factors of intracranial unruptured vertebrobasilar artery dissection. Neurology 2011; 76 (20) 1735-1741
    CrossrefPubMedGoogle Scholar
  • 138 Naito I, Iwai T, Sasaki T. Management of intracranial vertebral artery dissections initially presenting without subarachnoid hemorrhage. Neurosurgery 2002; 51 (4) 930-937 ; discussion 937–938
    CrossrefPubMedGoogle Scholar
  • 139 Metso TM, Metso AJ, Helenius J , et al. Prognosis and safety of anticoagulation in intracranial artery dissections in adults. Stroke 2007; 38 (6) 1837-1842
    CrossrefPubMedGoogle Scholar
  • 140 Georgiadis D, Baumgartner RW. Thrombolysis in cervical artery dissection. In: Baumgartner RW, Bogousslavsky J, Caso V, Paciaroni M, eds. Handbook on Cervical Artery Dissection. Basel, Switzerland: Karger; 2005: 140-146
    CrossrefGoogle Scholar
  • 141 Caplan LR, Zarins CK, Hemmati M. Spontaneous dissection of the extracranial vertebral arteries. Stroke 1985; 16 (6) 1030-1038
    CrossrefPubMedGoogle Scholar
  • 142 Ojemann RG, Fisher CM, Rich JC. Spontaneous dissecting aneurysm of the internal carotid artery. Stroke 1972; 3 (4) 434-440
    CrossrefPubMedGoogle Scholar
  • 143 Kadkhodayan Y, Jeck DT, Moran CJ, Derdeyn CP, Cross III DT. Angioplasty and stenting in carotid dissection with or without associated pseudoaneurysm. AJNR Am J Neuroradiol 2005; 26 (9) 2328-2335
    PubMedGoogle Scholar
  • 144 Kim BM, Chung EC, Park SI, Choi CS, Won YS. Treatment of blood blister-like aneurysm of the internal carotid artery with stent-assisted coil embolization followed by stent-within-a-stent technique. Case report. J Neurosurg 2007; 107 (6) 1211-1213
    CrossrefPubMedGoogle Scholar
  • 145 Korja M, Rautio R, Valtonen S, Haapanen A. Primary treatment of ruptured blood blister-like aneurysms with stent-assisted coil embolization: report of two cases. Acta Radiol 2008; 49 (2) 180-183
    CrossrefPubMedGoogle Scholar
  • 146 Lee BH, Kim BM, Park MS , et al. Reconstructive endovascular treatment of ruptured blood blister-like aneurysms of the internal carotid artery. J Neurosurg 2009; 110 (3) 431-436
    CrossrefPubMedGoogle Scholar
  • 147 Kulcsár Z, Wetzel SG, Augsburger L, Gruber A, Wanke I, Rüfenacht DA. Effect of flow diversion treatment on very small ruptured aneurysms. Neurosurgery 2010; 67 (3) 789-793
    CrossrefPubMedGoogle Scholar
  • 148 Nakagawa F, Kobayashi S, Takemae T, Sugita K. Aneurysms protruding from the dorsal wall of the internal carotid artery. J Neurosurg 1986; 65 (3) 303-308
    CrossrefPubMedGoogle Scholar
  • 149 Ohara H, Sakamoto T, Suzuki J. Sclerotic cerebral aneurysms. In: Suzuki J, ed. Cerebral aneurysms. Tokyo, Japan: Neuron; 1979: 673-682
    Google Scholar
  • 150 Satoh A, Sugiyama T, Hongo K, Kakizawa Y, Ishihara S, Matsutani M. Nationwide surveillance of IC anterior (or dorsal) wall aneurysm: with special reference to its dissecting nature. Acta Neurochir Suppl (Wien) 2008; 103: 51-55
    PubMedGoogle Scholar
  • 151 Takahashi A, Fujiwara SJ, Mizoi S , et al. Surgical treatment of chimame (blood blister) like aneurysm at C2 portion of internal carotid artery. SurgCereb Stroke 1988; 16 (1) 72-77
    PubMedGoogle Scholar
  • 152 Charbel FT, Gonzales-Portillo G, Hoffman W, Cochran E. Distal internal carotid artery pseudoaneurysms: technique and pitfalls of surgical management: two technical case reports. Neurosurgery 1999; 45 (3) 643-648 ; discussion 648–649
    CrossrefPubMedGoogle Scholar
  • 153 Joo SP, Kim TS, Moon KS , et al. Arterial suturing followed by clip reinforcement with circumferential wrapping for blister-like aneurysms of the internal carotid artery. Surg Neurol 2006; 66 (4) 424-428 ; discussion 428–429
    CrossrefPubMedGoogle Scholar
  • 154 Karasawa H, Matsumoto H, Naito H , et al. Superior wall aneurysms of the internal carotid artery: intraoperative findings and operative technique. Jpn J Neurosurg 1996; 5: 273-280
    PubMedGoogle Scholar
  • 155 Yanaka K, Meguro K, Nose T. Repair of a tear at the base of a blister-like aneurysm with suturing and an encircling clip: technical note. Neurosurgery 2002; 50 (1) 218-221
    PubMedGoogle Scholar
  • 156 Batjer H, Samson D. Use of extracranial-intracranial bypass in the management of symptomatic vasospasm. Neurosurgery 1986; 19 (2) 235-246
    CrossrefPubMedGoogle Scholar
  • 157 Benzel EC, Kesterson L. Extracranial-intracranial bypass surgery for the management of vasospasm after subarachnoid hemorrhage. Surg Neurol 1988; 30 (3) 231-234
    CrossrefPubMedGoogle Scholar
  • 158 Hendrikse J, van der Zwan A, Ramos LM, Tulleken CA, van der Grond J. Hemodynamic compensation via an excimer laser-assisted, high-flow bypass before and after therapeutic occlusion of the internal carotid artery. Neurosurgery 2003; 53 (4) 858-863 ; discussion 863–865
    CrossrefPubMedGoogle Scholar
  • 159 Korosue K, Kondoh T, Ishikawa A , et al. Extracranial-intracranial arterial bypass in the management of symptomatic vasospasm [in Japanese]. Neurol Med Chir (Tokyo) 1989; 29 (4) 285-291 (Jpn)
    CrossrefPubMedGoogle Scholar
  • 160 Rosenstein J, Batjer HH, Samson DS. Use of the extracranial-intracranial arterial bypass in the management of refractory vasospasm: a case report. Neurosurgery 1985; 17 (3) 474-479
    CrossrefPubMedGoogle Scholar
  • 161 Santoro A, Guidetti G, Dazzi M, Cantore G. Long saphenous-vein grafts for extracranial and intracranial internal carotid aneurysms amenable neither to clipping nor to endovascular treatment. J Neurosurg Sci 1999; 43 (4) 237-250 ; discussion 250–251
    PubMedGoogle Scholar
  • 162 Streefkerk HJ, Wolfs JF, Sorteberg W, Sorteberg AG, Tulleken CA. The ELANA technique: constructing a high flow bypass using a non-occlusive anastomosis on the ICA and a conventional anastomosis on the SCA in the treatment of a fusiform giant basilar trunk aneurysm. Acta Neurochir (Wien) 2004; 146 (9) 1009-1019 ; discussion 1019
    PubMedGoogle Scholar
  • 163 Satoh A, Nakamura H, Odaki M , et al. The nationwide surveillance on the dorsal aneurysm of the internal carotid artery: Part 2. Study on the surgical treatment in hemorrhagic cases. Surg Cereb Stroke 2006; 34 (5) 372-376
    CrossrefPubMedGoogle Scholar
  • 164 Kobayashi S, Nakagawa F, Kyojima K , et al. Characteristics and operative problems of dorsally projected internal carotid aneurysms. Surg Cereb Stroke 1983; 12: 56-60
    PubMedGoogle Scholar
  • 165 Nakatomi H, Nagata K, Kawamoto S, Shiokawa Y. Ruptured dissecting aneurysm as a cause of subarachnoid hemorrhage of unverified etiology. Stroke 1997; 28 (6) 1278-1282
    CrossrefPubMedGoogle Scholar
  • 166 Sano K. Concerning the nomenclature and classification of internal carotid aneurysm. Surg Cereb Stroke 1996; 24: 333-339
    CrossrefPubMedGoogle Scholar
  • 167 Satoh A. Surgical management for internal carotid dorsal aneurysm. CP Neurosurg 1998; 6: 479-482
    PubMedGoogle Scholar
  • 168 Satoh A. Anterior or dorsal wall aneurysm of internal carotid artery. Clin Neurosci 2003; 21: 1284-1285
    PubMedGoogle Scholar
  • 169 Amin-Hanjani S, Alaraj A, Charbel FT. Flow replacement bypass for aneurysms: decision-making using intraoperative blood flow measurements. Acta Neurochir (Wien) 2010; 152 (6) 1021-1032 ; discussion 1032
    CrossrefPubMedGoogle Scholar
  • 170 van Doormaal TP, van der Zwan A, Verweij BH , et al. Treatment of giant middle cerebral artery aneurysms with a flow replacement bypass using the excimer laser-assisted nonocclusive anastomosis technique. Neurosurgery 2008; 63 (1) 20-22
    PubMedGoogle Scholar
  • 171 Uhl E, Schmid-Elsaesser R, Steiger HJ. Ruptured intracranial dissecting aneurysms: management considerations with a focus on surgical and endovascular techniques to preserve arterial continuity. Acta Neurochir (Wien) 2003; 145 (12) 1073-1083 ; discussion 1083–1084
    CrossrefPubMedGoogle Scholar
  • 172 Adams Jr HP, Aschenbrener CA, Kassell NF, Ansbacher L, Cornell SH. Intracranial hemorrhage produced by spontaneous dissecting intracranial aneurysm. Arch Neurol 1982; 39 (12) 773-776
    CrossrefPubMedGoogle Scholar
  • 173 Yasukawa K, Kamijo Y, Momose G , et al. A case of anterior cerebral artery dissecting aneurysm presenting subarachnoid hemorrhage and cerebral infarction at the same time. Surg Cerebral Stroke 1993; 21 (6) 461-466
    PubMedGoogle Scholar
  • 174 Nanbara S, Tsutsumi K, Takahata H , et al. Spontaneous dissection of the anterior cerebral artery that simultaneously presented with cerebral infarction and subarachnoid hemorrhage, successfully treated with conservative management: a case report [in Japanese]. No Shinkei Geka 2012; 40 (7) 635-642
    PubMedGoogle Scholar
  • 175 Mizutani T, Kojima H, Asamoto S. Healing process for cerebral dissecting aneurysms presenting with subarachnoid hemorrhage. Neurosurgery 2004; 54 (2) 342-347 ; discussion 347–348
    CrossrefPubMedGoogle Scholar