Teaching NeuroImages: Vertebrobasilar dolichoectasia with dissection manifested as infarct and subarachnoid hemorrhage
2018-03-13
He had subarachnoid hemorrhage (SAH) on the 10th day and died on the 30th day. VBD with dissection can manifest as sequential infarct and SAH, which predicts poor prognosis.1 High-resolution MRI is a useful tool to detect dissection in VBD.
No consensus has been reached on treatment of VBD; antiplatelet agents, anticoagulants, surgical, and endovascular treatment are all treatment options.