Surgical management of intracranial artery dissection

Koichi Arimura, Koji Iihara

Research output: Contribution to journalReview articlepeer-review

5 Citations (Scopus)


Intracranial artery dissection (IAD) is a relatively rare cause of stroke, but it has been recognized increasingly with recent advances of the neuroimaging technique. Since rebleeding occurs frequently in the acute stage in the ruptured IAD, urgent surgical treatment should be performed to prevent rebleeding. On the other hand, surgical treatment for unruptured IAD is controversial because it has little risk for bleeding. However, surgical treatment for unruptured IAD may be considered if the formation or enlargement of the aneurysmal dilatation has been confirmed. Since there are several proposed surgical strategies for IAD, it is important to select an appropriate strategy on a case-by-case basis. If the risk of infarction due to vessel occlusion is high, combined bypass surgery should be considered.

Original languageEnglish
Pages (from-to)517-523
Number of pages7
JournalNeurologia medico-chirurgica
Issue number9
Publication statusPublished - 2016

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology


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