Journal article
Vertigo secondary to isolated PICA insufficiency: successful treatment with balloon angioplasty
Surgical neurology, v 60(4), pp 306-310
2003
PMID: 14505846
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The posterior inferior cerebellar arteries (PICA) arise from the intracranial segments of the vertebral artery (VA). We report a case where a nondominant isolated vertebral artery, which terminated in PICA, was stenotic. This resulted in brainstem-lower cerebellar ischemia, corrected with balloon angioplasty.
A 62-year-old male presented primarily with transient vertigo, syncope, and dizziness and was diagnosed with transient ischemic attack. Angiography of the left vertebral artery (VA) demonstrated a small-caliber vessel terminating in PICA with a 90% stenosis at the C6 level. Angioplasty of the left VA was performed with excellent resolution of the stenosis.
This case illustrates cerebellar insufficiency in a unique case where the PICA was isolated, supplied by a small- caliber VA. Correction of the stenosis improved the patient's symptomatology and prevented an inferior brainstem-cerebellar infarction.
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Details
- Title
- Vertigo secondary to isolated PICA insufficiency: successful treatment with balloon angioplasty
- Creators
- Robert A Koenigsberg - Department of Radiologic Sciences, Philadelphia, Pennsylvania, USADaniel McCormick - Drexel UniversityCarole Thomas - Drexel UniversityMelissa Yee - Department of Radiologic Sciences, Philadelphia, Pennsylvania, USANicole Williams - Department of Radiologic Sciences, Philadelphia, Pennsylvania, USA
- Publication Details
- Surgical neurology, v 60(4), pp 306-310
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Radiology (Radiologic Sciences)
- Web of Science ID
- WOS:000185472400007
- Scopus ID
- 2-s2.0-0141514768
- Other Identifier
- 991019167726104721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Clinical Neurology
- Surgery