Monotherapy with stenting in subarachnoid hemorrhage (SAH) after middle cerebral artery dissection

We describe a young patient who presented with acute headache from a subarachnoid hemorrhage that was ultimately determined to be due to a vascular dissection in the middle cerebral artery. The initial angiogram showed vascular irregularities in this area with stenosis. Repeat imaging 4 days after presentation identified a pseudoaneurysm proximal to the stenosis. The patient was successfully treated with a self-expanding nitinol stent and followed up with serial angiography during postoperative recovery in the hospital; additional angiograms were performed approximately 1 and 6 months after treatment. Serial angiograms demonstrated incremental healing of the dissection. The patient was discharged and remains neurologically intact at the 6-month follow-up.

Source: Journal of NeuroInterventional Surgery - March 15, 2016 Category: Neurosurgery Authors: Puri, A. S., Gounis, M. J., Massari, F., Howk, M., Weaver, J., Wakhloo, A. K. Tags: Electronic pages Source Type: research