{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T15:12:34Z","timestamp":1778944354594,"version":"3.51.4"},"reference-count":14,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1990,2]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 Among 86 patients with aneurysms arising from the vertebral artery or its branches, 24 had dissecting aneurysms. The patients with dissecting aneurysms were characteristically relatively young males. Twenty-one patients presented with subarachnoid hemorrhage (SAH) and three with ischemia. Severe headache or neck pain occurred in all three patients with ischemia. Five of the 21 patients with SAH and all three patients with ischemia experienced recurrent episodes. Angiography typically showed fusiform dilatation and proximal and\/or distal narrowing of the affected artery. The difficulty of diagnosing this disorder is pointed out. Surgery was performed in 19 patients, the most common technique being clip-occlusion of the proximal vertebral artery. There were no postoperative deaths or rebleeding; a lateral medullary syndrome developed in three patients. The observation at surgery of intramural clot with characteristic discoloration was limited to the cases operated on within 36 days after the ictus. After this period, the aneurysm was whitish gray in color and had become firm. Of 36 other cases of vertebral dissecting aneurysm reported in the literature, 20 were operated on. The indications for surgery are discussed.<\/jats:p>","DOI":"10.3171\/jns.1990.72.2.0183","type":"journal-article","created":{"date-parts":[[2009,5,13]],"date-time":"2009-05-13T18:20:46Z","timestamp":1242238846000},"page":"183-188","source":"Crossref","is-referenced-by-count":346,"title":["Dissecting aneurysms of the intracranial vertebral artery"],"prefix":"10.3171","volume":"72","author":[{"given":"Akira","family":"Yamaura","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiro","family":"Watanabe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naokatsu","family":"Saeki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"882","DOI":"10.3171\/jns.1984.61.5.0882","article-title":"Intracranial dissecting aneurysms of the posterior circulation. Report of six cases and review of the literature.","volume":"61","author":"Berger","year":"1984"},{"key":"b2","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"126","DOI":"10.1136\/jnnp.46.2.126","article-title":"Basilar artery dissection.","volume":"46","author":"Berkovic","year":"1983"},{"key":"b3","series-title":"Schweiz Arch Neurol Neurochir Psychiatry","first-page":"209","article-title":"An\u00e9vrysme diss\u00e9quant du tronc basilaire.","volume":"104","author":"Campiche","year":"1969"},{"key":"b4","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"325","DOI":"10.3171\/jns.1984.60.2.0325","article-title":"Subarachnoid hemorrhage from intracranial dissecting aneurysm.","volume":"60","author":"Friedman","year":"1984"},{"key":"b5","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"14","DOI":"10.3171\/jns.1968.28.1.0014","article-title":"Surgical risk as related to time of intervention in the repair of intracranial aneurysms.","volume":"28","author":"Hunt","year":"1968"},{"key":"b6","series-title":"Arch Neurol","doi-asserted-by":"publisher","first-page":"776","DOI":"10.1001\/archneur.1982.00510240038010","article-title":"Intracranial dissecting and saccular aneurysms in polycystic kidney disease. Report of a case.","volume":"39","author":"Kulla","year":"1982"},{"key":"b7","series-title":"J Neurol","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1007\/BF00313594","article-title":"Dissecting aneurysm of intracranial vertebral artery: case report and review of literature.","volume":"230","author":"Manz","year":"1983"},{"key":"b8","series-title":"Sem Hop Paris","first-page":"2519","article-title":"H\u00e9modissection pari\u00e9tale oblit\u00e9rante ou an\u00e9vrisme diss\u00e9quant vert\u00e9brobasilaire.","volume":"52","author":"Pasquier","year":"1976"},{"key":"b9","series-title":"No Shinkei Geka","first-page":"125","article-title":"Dissecting aneurysms of the vertebrobasilar system: clinical and angiographic observation.","volume":"9","author":"Sekino","year":"1982"},{"key":"b10","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"128","DOI":"10.3171\/jns.1982.56.1.0128","article-title":"Nontraumatic dissecting aneurysm of the vertebral artery. Case report.","volume":"56","author":"Senter","year":"1982"},{"key":"b11","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1038","DOI":"10.3171\/jns.1984.61.6.1038","article-title":"Dissecting aneurysm of the vertebral artery. Report of seven cases and angiographic findings.","volume":"61","author":"Shimoji","year":"1984"},{"key":"b12","series-title":"Surg Neurol","first-page":"237","article-title":"Dissecting aneurysm of the vertebral artery.","volume":"10","author":"Waga","year":"1978"},{"key":"b13","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"345","DOI":"10.3171\/jns.1988.69.3.0345","article-title":"Diagnosis and treatment of vertebral aneurysms.","volume":"69","author":"Yamaura","year":"1988"},{"key":"b14","series-title":"Surg Neurol","first-page":"407","article-title":"Dissecting intracranial aneurysms.","volume":"8","author":"Yonas","year":"1977"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/72\/2\/article-p183.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/72\/2\/article-p183.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/72\/2\/article-p183.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,26]],"date-time":"2023-03-26T22:12:40Z","timestamp":1679868760000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/72\/2\/article-p183.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1990,2]]},"references-count":14,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/jns.1990.72.2.0183","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1990,2]]}}}