期刊名称：Aktuelnosti iz Neurologije, Psihijatrije i Graničnih Područja
印刷版ISSN：0354-2726
出版年度：2010
卷号：XVIII
期号：4
页码：36-39
出版社：Clinical Center of Vojvodina
摘要：We report a case of a 26-year-old man presenting with mild left hemiparesis and hemisensory deficit which started developing six months prior to the hospitalization. Medical history showed multiple substance use in adolescence and mild hypertension for which the patient regularly used prescribed anti-hypertensive drugs. Family history was positive for Huntington's chorea. During hospitalization, CT scan (native and contrast enhanced), head and neck MRI and MRA, intraarterial DSA and echocardiography were made. On the initial CT, a giant partially thrombosed aneurysm was seen in the posterior fossa. Su-bsequently, head and neck MRI and MRA were made and a giant aneurysm was registered, most likely localized in the V4 segment of the right vertebral artery, heavily compressing and dislocating the medu-lla oblongata posteriorly. DSA examination confirmed the existence of right vertebral artery aneurysm in the segments V2-V4. The diagnosis of a giant, fusiform, unruptured aneurysm of the right vertebral artery was established and a neurosurgeon was consulted, who recommended further follow-up of the patient. The patient's neurological deficit has remained stationary
