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Table 2 Dissecting signs on catheter angiography, and VWI for the individual patient and lesion

From: Practical value of three-dimensional high resolution magnetic resonance Vessel Wall imaging in identifying suspicious intracranial vertebrobasilar dissecting aneurysms

Patient No.Symptoms and time from onset to imagingLesion locationCatheter angiographyVWI
Direct signIndirect signDiagnosisDirect signIndirect signDiagnosis
1Diplopia, 90 daysBAFusiform dilationPossible VBDAIMHFusiform dilationVBDA
2Dizziness and limb weakness, 10 daysLeft ICVAFusiform dilation with stenosisPossible VBDAIntimal flap/ double lumen/ IMHFusiform dilation with stenosisVBDA
Right ICVAAneurysmal dilationPossible VBDAIntimal flap/ double lumenAneurysmal dilationVBDA
3Recurrent vertigo, 61 daysLeft ICVA to BAIntimal flap/double lumenFusiform dilation with stenosisVBDAIntimal flap/ double lumenFusiform dilation with stenosisVBDA
4Limb numbness and weakness, 30 daysRight ICVA to BAFusiform dilation with stenosisPossible VBDAIntimal flap/ IMHFusiform dilation with stenosisVBDA
5Slurred speech, 26 daysLeft ICVA to BAIrregularityPossible VBDAIntimal flap/ double lumenIrregularityVBDA
6Recurrent dizziness, 1460 daysLeft ICVAAneurysmal dilationPossible VBDAIntimal flap/ double lumen/ IMHAneurysmal dilationVBDA
7Recurrent dizziness, 61 daysLeft ICVAAneurysmal dilation with stenosisPossible VBDAIntimal flap/ double lumen/ IMHFusiform dilationVBDA
Right ICVAIrregularityPossible VBDAIntimal flap/ double lumenIrregularityVBDA
8Recurrent vertigo, 30 daysBAStenosisPossible VBDAIntimal flap/ double lumenFusiform dilationVBDA
Left ICVAIntimal flap/double lumenAneurysmal dilation with stenosisVBDAIMHFusiform dilation with stenosisVBDA
9Recurrent headache, 365 daysLeft ICVAAneurysmal dilationPossible VBDAIntimal flap/ double lumen/ IMHAneurysmal dilationVBDA
10Recurrent headache, 30 daysLeft ICVAAneurysmal dilationPossible VBDAIMHAneurysmal dilationVBDA
11Recurrent dizziness, 60 daysBAIntimal flap/double lumenFusiform dilation with stenosisVBDAIntimal flap/ double lumenFusiform dilation with stenosisVBDA
12Recurrent vertigo, 7 daysLeft ICVAFusiform dilation with stenosisPossible VBDAIntimal flap/ double lumen/ IMHFusiform dilation with stenosisVBDA
13Coma, 4 hLeft ICVAAneurysmal dilationPossible VBDAIntimal flap/ double lumenAneurysmal dilationVBDA
14Dizziness and slurred vision, 30 daysBAIntimal flap/double lumenStenosisVBDAIntimal flap/ double lumenIrregularityVBDA
Left ICVAStenosisPossible VBDAIntimal flap/ double lumen/ IMHStenosisVBDA
15Recurrent headache, 1460 daysBAIrregularityPossible VBDAIntimal flap/ IMHIrregularityVBDA
16Dizziness, 1 dayRight ICVAAneurysmal dilationPossible VBDAIntimal flap/ IMHAneurysmal dilationVBDA
17Recurrent dizziness, 30 daysBAIntimal flap/ double lumenAneurysmal dilation with stenosisVBDAIntimal flap/ double lumen/ IMHFusiform dilation with stenosisVBDA
18Dizziness, 60 daysBAFusiform dilationPossible VBDAIntimal flap/ double lumenFusiform dilationVBDA
19Recurrent headache, 365 daysDistal segment of right ICVAIntimal flap/ double lumenFusiform dilationVBDAIntimal flap/ double lumenFusiform dilationVBDA
Proximal segment of right ICVAIntimal flap/ double lumenAneurysmal dilationVBDAIntimal flap/ double lumenAneurysmal dilationVBDA
 Left ICVAOcclusionPossible VBDAIMHOcclusionVBDA
20Limb numbness and weakness, 60 daysBAFusiform dilationPossible VBDA— (Normal wall thickness)Fusiform dilationSegmental ectasia
21Dysphagia and right side weakness, 20 daysRight ICVAFusiform dilationPossible VBDA— (Normal wall thickness)Fusiform dilationSegmental ectasia
  1. VWI vessel wall images, BA basilar artery, IMH intramural haematoma, VBDA vertebrobasilar dissecting aneurysm, ICVA intracranial vertebral artery