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Basilar artery occlusion caused by thrombosis of atherosclerotic fusiform aneurysm of the basilar artery

Basilar artery occlusion caused by thrombosis of atherosclerotic fusiform aneurysm of the basilar artery

Stroke 25(5): 1068-1070

Background: Basilar artery occlusion caused by thrombosis of atherosclerotic fusiform aneurysm of the basilar artery is rare. We present a case confirmed by 6 years of follow-up and autopsy. Case Description: A 63-year-old man suffered from brain stem infarction. Computed tomography and angiography showed a fusiform aneurysm on the proximal portion of the basilar artery. At the time of the third attack 5 years later, complete thrombosis of the aneurysm was found, and the proximal basilar artery was occluded. On autopsy, an atherosclerotic aneurysm 15 mm in diameter was found. Conclusions: A large atherosclerotic fusiform aneurysm of the basilar artery often causes brain stem infarction and involves a risk of complete thrombosis of the aneurysm and subsequent parent artery occlusion.

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Accession: 008214436

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PMID: 8165681

DOI: 10.1161/01.str.25.5.1068

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