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Case Report
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J Korean Neurol Assoc. 2026;44(2):163-167. Published online May 1, 2026.
DOI: https://doi.org/10.17340/jkna.2026.0005
- Endovascular Treatment for Vertebral Artery Occlusion with Anterior Spinal Artery Involvement: Contrasting Outcomes in Two Cases
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Chan Hyun Lee1, Soo-Kyoung Kim1,2, Nack-Cheon Choi1,2, Chang Hun Kim1,2
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1Department of Neurology, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, Jinju, Korea
2Gyeongnam Regional Cerebrovascular Center, Gyeongsang National University Hospital, Jinju, Korea
- 전방척수동맥 침범을 동반한 척추동맥폐색에서의 혈관 내 치료: 두 증례의 상반된 임상 결과
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이찬현1, 김수경1,2, 최낙천1,2, 김창헌1,2
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- Corresponding author: Chang Hun Kim ,Tel: +82-55-750-9597, Fax: +82-55-755-1709, Email: honey0407@naver.com
- Received: January 13, 2026; Revised: February 20, 2026 Accepted: February 23, 2026.
- Abstract
- Vertebral artery (VA) occlusion is often managed conservatively, but anterior spinal artery (ASA) involvement may cause rapid neurological deterioration. We report two contrasting cases of VA occlusion with ASA compromise. One patient achieved complete recovery after timely endovascular treatment (EVT) restoring ASA flow, whereas the other developed severe bilateral medial medullary infarctions following unsuccessful EVT. These cases highlight the prognostic importance of ASA involvement and suggest that EVT should be considered when ASA perfusion is threatened.
Keywords :Thrombectomy, Vertebral artery, Anterior spinal artery syndrome
- 초록
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