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Volume 6, Issue 5 (Suppl)
OMICS J Radiol, an open access journal
ISSN: 2167-7964
Radiology and Oncology 2017
October 19-20, 2017
World Congress on
October 19-20, 2017 | New York, USA
Radiology and Oncology
Spontaneous intradural cerebral artery dissection: Spectrum of clinical presentations and correlation with
angiographic findings
Aminur Rahman
National Institute of Neurosciences and Hospital, Bangladesh
Aim:
Aim of this study was to analysis the distribution of spontaneous intradural cerebral artery dissection in angiographically with
the symptomatology of admitted patients to our hospital.
Materials & Methods:
We analyzed retrospectively collected data of the stroke patients with 4-vessels angiogram in our institute
from January 2013 to June 2014. Out of 164 of cerebral dissections in angiographic pattern, we found only 16 patients of intradural
dissecting aneurysms that were included in this study. The male-female ratio was 37.5:62.5 and the mean age was 47.56±13.19 years.
According to the angiographic finding depicting the location of the dissection plane in the arterial wall, we categorized to steno-
occlusive, aneurysmal, combined (steno-occlusive and aneurysmal) pattern. In each dissection pattern, we evaluated presenting
symptoms and presence of subarachnoid hemorrhage (SAH), infarction, intracerebral hemorrhage (ICH) or combined.
Results:
The most common symptomatic presentation was headache (75%), followed by neck pain (50%), motor weakness of limb(s)
(43.8%) and loss of consciousness (LOC) (37.5%). The most common angiographic pattern was aneurysmal patterns (68.75%)
followed by steno-occlusive (18.75%) and combined (12.5%) patterns. Aneurysmal pattern was most frequently related to SAH (7/11,
63.63%) in contrast to steno-occlusive pattern was only related to infarction (3/3, 100%). The most frequent dissections were in the
intradural vertebral arteries (IV) and posterior cerebral artery (PCA), presented with SAH 80% (4/5) and 33.33% (1/3) respectively.
Infarction was common abnormality in patients with the intradural carotid arteries (IC) 33.33% (1/3), superior cerebellar artery
(SCA) 33.33% (1/3) and basilar artery (BA) 33.33% (1/3) each whereas ICH was common abnormality in patients with the posterior
inferior cerebellar artery (PICA) 50% (1/2).
Conclusion:
The most common symptomatology of intradural cerebral artery dissection are headache and neck pain followed by
motor weakness of limbs and LOC. SAH with aneurysmal pattern, in the posterior circulation especially in the IV is the most
frequent diagnosis which requires combined analysis of angiographic pattern and clinical presentations of stroke.
Biography
Aminur Rahman has completed his MD from Sir Salimullah Medical College Mitford Hospital, University of Dhaka, Bangladesh . He is the Assistant Professor, National
Institute of Neurosciences and Hospital, Sher-e Bangla Road, Dhaka, Bangladesh. He has published more than 15 papers in reputed journals and Author of neurology book.
draminur@yahoo.comAminur Rahman, OMICS J Radiol 2017, 6:5 (Suppl)
DOI: 10.4172/2167-7964-C1-015