Neurologia medico-chirurgica
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Neurol. Med. Chir. (Tokyo) · Jul 2004
Review Case ReportsRuptured vertebral artery-posterior inferior cerebellar artery aneurysm associated with pulseless disease--case report.
A 48-year-old woman with a 29-year history of pulseless disease presented with subarachnoid hemorrhage caused by a rare ruptured intracranial aneurysm of the right vertebral-posterior inferior cerebellar artery. The aneurysm was successfully clipped. ⋯ Almost all patients have ischemic disorders of the involved vessels, manifesting as syncope, visual disturbance, or a faint or absent pulse. The mechanisms responsible for pulseless disease and intracranial aneurysms are likely to be different.