Journal of neurosurgery
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Journal of neurosurgery · Jan 1982
Case ReportsNontraumatic dissecting aneurysm of the vertebral artery. Case report.
A case is described of a nontraumatic dissecting aneurysm of the vertebral artery, which presented as a subarachnoid hemorrhage (SAH). Differentiation from vasospasm and from atherosclerosis is critical. Dissection between the adventitia and media should be noted in the differential diagnosis of SAH when an aneurysm or vascular malformation is not demonstrated angiographically.
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Journal of neurosurgery · Jan 1982
Case ReportsSpontaneous migration of an intracranial bullet to the cervical spinal canal causing Lhermitte's sign. Case report.
A case is presented of a woman who was shot in the left occipital area with a .32 caliber automatic pistol. She was neurologically intact on admission, and skull x-ray films revealed the bullet in the right suboccipital area. ⋯ Repeat films showed that the bullet had migrated to the C-4 vertebral level. The bullet was subsequently removed via a total laminectomy at C3-4.