Endovascular stenting is a feasible and effective treatment option for acute basilar artery dissection caused by strenuous physical effort.
Supports feasibility of endovascular stenting in rare basilar dissections; hypothesis-generating and should not yet change practice.
A basilar artery dissection (BAD) is an extremely rare disease. It can lead to hemorrhage or infarction involving the brain stem, and is often associated with grave outcome. However, little is known about the pathophysiology of BAD, and its proper managements are yet in controversy. Herein, we report on two rare cases of basilar artery dissection from strenuous physical effort; one from sexual intercourse and another from defecation. The treatment modalities and the outcomes are also discussed.
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Kim et al. (2016) studied this question.
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