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Extracranial vertebral artery dissecting aneurysm presenting as vertebrobasilar stroke in a young adult: Case report of flow-diverter stenting

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datacite.rightshttp://purl.org/coar/access_right/c_abf2
dc.contributor.authorCoronel, Maria Angelica
dc.contributor.authorLuque-Llano, Melissa
dc.contributor.authorNúñez-Bravo, Narledis
dc.contributor.authorRebolledo, Carlos
dc.contributor.authorBarceló-Martínez, Ernesto
dc.date.accessioned2025-12-04T21:41:30Z
dc.date.available2025-12-04T21:41:30Z
dc.date.issued2025
dc.description.abstractBackground: Extracranial vertebral artery aneurysms (EVAAs) are exceptionally rare vascular lesions and an uncommon cause of posterior circulation stroke. Their diagnosis is often delayed due to nonspecific symptoms, yet prompt recognition is essential to guide management. Objective: This study aimed to report a rare case of an extracranial vertebral artery dissecting aneurysm presenting as a posterior circulation stroke in a young adult, successfully managed with flow-diverter stenting. Clinical Case: A 33-year-old woman presented with sudden-onset dysarthria, vertigo, nausea, and vomiting. Brain magnetic resonance imaging revealed infarcts in the left occipital lobe, cerebellar peduncle, and both cerebellar hemispheres. Computed tomography angiography (CTA) demonstrated a fusiform aneurysm in the V2 segment of the left vertebral artery, and digital subtraction angiography (DSA) confirmed a dissecting aneurysm. The patient was successfully treated with a flow-diverting stent and remained stable at 6 months’ follow-up with mRS 1. Results: EVAA are uncommon but can manifest as posterior circulation ischemic events in young patients. Endovascular treatment with flow-diverting stents has been reported as a feasible option in selected cases, although evidence remains limited to case reports and small series. Conclusions: This case underscores the importance of considering rare yet potentially treatable etiologies of vertebrobasilar stroke in young patients and highlights the value of a multidisciplinary approach to management.eng
dc.format.mimetypepdf
dc.identifier.citationAngelica-Coronel, M.; Luque-Llano, M.; Nuñez-Bravo, N.; Rebolledo, C.; Barceló-Martínez, E. Extracranial Vertebral Artery Dissecting Aneurysm Presenting as Vertebrobasilar Stroke in a Young Adult: Case Report of Flow-Diverter Stenting. Neurol. Int. 2025, 17, 187. https://doi.org/10.3390/neurolint17110187eng
dc.identifier.doihttps://www.mdpi.com/2035-8377/17/11/187#
dc.identifier.issn20358377  (Electrónico)
dc.identifier.urihttps://hdl.handle.net/20.500.12442/17168
dc.identifier.urlhttps://www.mdpi.com/2035-8377/17/11/187
dc.language.isoeng
dc.publisherMDPIeng
dc.publisherEdiciones Universidad Simón Bolívarspa
dc.publisherFacultad de Ciencias de la Saludspa
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internationaleng
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.sourceNeurology Internationaleng
dc.sourceNeurol. Int.eng
dc.sourceVol. 17 No. 11 Año 2025spa
dc.subject.keywordsVertebral arteryeng
dc.subject.keywordsAneurysmeng
dc.subject.keywordsStrokeeng
dc.subject.keywordsYoung adulteng
dc.subject.keywordsStentseng
dc.subject.keywordsDissectioneng
dc.subject.keywordsVertigoeng
dc.subject.keywordsEndovascular procedureseng
dc.subject.keywordsCase reporteng
dc.titleExtracranial vertebral artery dissecting aneurysm presenting as vertebrobasilar stroke in a young adult: Case report of flow-diverter stentingeng
dc.type.driverinfo:eu-repo/semantics/other
dc.type.spaOtros
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oaire.versioninfo:eu-repo/semantics/publishedVersion
sb.programaEspecialización en Neurologíaspa
sb.sedeSede Barranquillaspa

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