The Surgical Management of Vertebrobasilar Insufficiency

Overview

Journal Acta Neurochir (Wien)

Specialty Neurosurgery

Date 1983 Jan 1

PMID 6880877

Citations 2

Authors

R A de los Reyes

J I Ausman

F G Diaz

H Pak

J E Pearce

M Dujovny

Affiliations

Soon will be listed here.

Abstract

Vertebrobasilar insufficiency may result from structural lesions anywhere along the vertebrobasilar system. Recently developed techniques in angiography and microsurgery have made the vertebrobasilar system more accessible to surgical therapy. The syndrome of vertebrobasilar insufficiency is discussed, and our experience with the surgical treatment of lesions from the vertebral origin to the distal basilar region is reviewed.

Citing Articles

Transcutaneous angioplasty of vertebral artery atheromatous ostial stricture.

Courtheoux P, Tournade A, Theron J, Henriet J, Maiza D, Derlon J Neuroradiology. 1985; 27(3):259-64.

PMID: 3159970 DOI: 10.1007/BF00344498.

Percutaneous transluminal angioplasty of the vertebral artery. A therapeutic alternative to operative reconstruction of proximal vertebral artery stenoses.

Bruckmann H, Ringelstein E, Buchner H, Zeumer H J Neurol. 1986; 233(6):336-9.

PMID: 2949063 DOI: 10.1007/BF00313919.

References

Caplan L . Vertebrobasilar disease. Time for a new strategy. Stroke. 1981; 12(1):111-4. DOI: 10.1161/01.str.12.1.111. View

Millikan C . Anticoagulant treatment to prevent cerebral infarction. Med Clin North Am. 1979; 63(4):897-904. DOI: 10.1016/s0025-7125(16)31679-0. View

Fisher C . Clinical syndromes in cerebral thrombosis, hypertensive hemorrhage, and ruptured saccular aneurysm. Clin Neurosurg. 1975; 22:117-47. DOI: 10.1093/neurosurgery/22.cn_suppl_1.117. View

KUBIK C, Adams R . Occlusion of the basilar artery; a clinical and pathological study. Brain. 2010; 69(2):73-121. DOI: 10.1093/brain/69.2.73. View

Berguer R, Andaya L, BAUER R . Vertebral artery bypass. Arch Surg. 1976; 111(9):976-9. DOI: 10.1001/archsurg.1976.01360270048009. View

Allen G, Cohen R, Preziosi T . Microsurgical endarterectomy of the intracranial vertebral artery for vertebrobasilar transient ischemic attacks. Neurosurgery. 1981; 8(1):56-9. DOI: 10.1227/00006123-198101000-00011. View

Bradshaw P, MCQUAID P . THE SYNDROME OF VERTEBRO-BASILAR INSUFFICIENCY. Q J Med. 1963; 32:279-96. View

Cartlidge N, Whisnant J, ELVEBACK L . Carotid and vertebral-basilar transient cerebral ischemic attacks. A community study, Rochester, Minnesota. Mayo Clin Proc. 1977; 52(2):117-20. View

Ausman J, Diaz F, de los Reyes R, Pak H, Patel S, Boulos R . Anastomosis of occipital artery to anterior inferior cerebellar artery for vertebrobasilar junction stenosis. Surg Neurol. 1981; 16(2):99-102. DOI: 10.1016/0090-3019(81)90105-1. View

10.

Ausman J, Lee M, Klassen A, SELJESKOG E, CHOU S . Stroke: what's new? Cerebral revascularization. Minn Med. 1976; 59(4):223-7. View

11.

Roon A, Ehrenfeld W, Cooke P, Wylie E . Vertebral artery reconstruction. Am J Surg. 1979; 138(1):29-36. DOI: 10.1016/0002-9610(79)90238-1. View

12.

Whisnant J, Cartlidge N, ELVEBACK L . Carotid and vertebral-basilar transient ischemic attacks: effect of anticoagulants, hypertension, and cardiac disorders on survival and stroke occurrence--a population study. Ann Neurol. 1978; 3(2):107-15. DOI: 10.1002/ana.410030204. View

13.

KHODADAD G, Singh R, Olinger C . Possible prevention of brain stem stroke by microvascular anastomosis in the vertebrobasilar system. Stroke. 1977; 8(3):316-21. DOI: 10.1161/01.str.8.3.316. View

14.

Sundt Jr T, Piepgras D . Occipital to posterior inferior cerebellar artery bypass surgery. J Neurosurg. 1978; 48(6):916-28. DOI: 10.3171/jns.1978.48.6.0916. View

15.

Millikan C, SIEKERT R . Studies in cerebrovascular disease. I. The syndrome of intermittent insufficiency of the basilar arterial system. Proc Staff Meet Mayo Clin. 1955; 30(4):61-8. View

16.

SANDOK B, Furlan A, Whisnant J, Sundt Jr T . Guidelines for the management of transient ischemic attacks. Mayo Clin Proc. 1978; 53(10):665-74. View

17.

Ausman J, Diaz F, de los Reyes R, Pak H, Patel S, Mehta B . Posterior circulation revascularization. Superficial temporal artery to superior cerebellar artery anastomosis. J Neurosurg. 1982; 56(6):766-76. DOI: 10.3171/jns.1982.56.6.0766. View

18.

Cormier J, Laurian C . Surgical management of vertebral-basilar insufficiency. J Cardiovasc Surg (Torino). 1976; 17(3):205-23. View

19.

Faught E, Trader S, Hanna G . Cerebral complications of angiography for transient ischemia and stroke: prediction of risk. Neurology. 1979; 29(1):4-15. DOI: 10.1212/wnl.29.1.4. View

20.

Millikan C, SIEKERT R, SHICK R . Studies in cerebrovascular disease. III. The use of anticoagulant drugs in the treatment of insufficiency or thrombosis within the basilar arterial system. Proc Staff Meet Mayo Clin. 1955; 30(6):116-26. View