scholarly journals Diagnosis of vertebral artery dissection in childhood posterior circulation arterial ischaemic stroke

2015 ◽  
Vol 58 (1) ◽  
pp. 63-69 ◽  
Author(s):  
Nadine McCrea ◽  
Dawn Saunders ◽  
Emmanouil Bagkeris ◽  
Manali Chitre ◽  
Vijeya Ganesan
Keyword(s):  
Ischaemic Stroke ◽  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Posterior Circulation ◽  
Artery Dissection ◽  
Arterial Ischaemic Stroke

Abstract TP84: Prognostic Factor of Intracranial Vertebral Artery Dissection: High Resolution Vessel Wall Magnetic Resonance Imaging Study

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Jae-Hwan Kim ◽  
Hyung Jun Kim ◽  
Ye Sel Kim ◽  
Woo-Keun Seo ◽  
Oh Young Bang ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
High Resolution ◽  
Prognostic Factor ◽  
Vertebral Artery ◽  
Vessel Wall ◽  
Independent Predictor ◽  
Vertebral Artery Dissection ◽  
Posterior Circulation ◽  
Artery Dissection ◽  
Poor Outcomes

Background: Vertebral artery dissection (VAD) is well recognized cause of stroke in young and middle aged individuals. But, prognostic factor of posterior circulation ischemic stroke or transient ischemic attack (TIA) caused by intracranial VAD has been rarely discussed. Our aim was to evaluate the predictors of poor outcomes in posterior circulation ischemic stroke caused by intracranial VAD. Methods: We retrospectively reviewed patients with posterior circulation ischemic stroke or TIA caused by intracranial VAD using high-resolution vessel wall MRI who were recruited from Samsung Medical Center Stroke Registry (between January 1, 2011 and April 30, 2019). Poor outcomes were defined as a 3-months modified Rankin scale (mRS) score ≥ 2. Results: We registered 96 patients (74 males; mean age, 58.9±14.2 years) with acute posterior circulation ischemic stroke or TIA caused by intracranial VAD. Trauma history associated with VAD was presented in 23 (24%) of patients. Headache and neck pain around neurological symptom onset were presented in 41 (42.7%) and 19 (19.8%) of patients, respectively. Dissecting aneurysm, bilateral vertebral artery involvement, basilar artery involvement and wall hematoma with dissection were presented in 26 (27.1%), 26 (27.1%), 12 (12.5%) and 66 (68.8%) of patients, respectively. Of the 96 VADs, 26 (27.1%) presented with focal stenosis, 21 (21.9%) with multifocal stenosis, and 57 (59.4%) with occlusion. Lateral medulla involvement and multiple territory involvement were presented in 35 (36.5%) and 31 (32.3%) of patients. Recurrence rate of ischemic stroke or TIA within 90 days of symptom onset was 6.25%. Twenty-nine patients (30.2%) had poor outcomes at 3 months. Lateral medulla involvement was an independent predictor for poor outcome (odds ratio=3.293, 95% confidence interval=1.301-8.333, p=0.012). Conclusion: Posterior circulation ischemic stroke or TIA caused by intracranial VAD is associated with relatively benign clinical course. But the presence of lateral medulla involvement is independent predictor for poor outcome. Patients presenting lateral medullary infarction caused by intracranial VAD should be monitored closely.

scholarly journals Combined thrombolysis in posterior circulation stroke caused by bilateral vertebral artery dissection in squash player

2014 ◽  
Vol 48 (4) ◽  
pp. 299-304 ◽  
Author(s):  
Emilia Frankowska ◽  
Krzysztof Brzozowski ◽  
Jacek Staszewski ◽  
Norbert Kolmaga ◽  
Adam Stępień ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Posterior Circulation ◽  
Artery Dissection ◽  
Posterior Circulation Stroke

scholarly journals Medical and Interventional Therapy for Spontaneous Vertebral Artery Dissection in the Craniocervical Segment

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Guiyun Zhang ◽  
Zuoquan Chen
Keyword(s):  
Ischemic Stroke ◽  
Vertebral Artery ◽  
Conservative Therapy ◽  
Vertebral Artery Dissection ◽  
Clinical Manifestations ◽  
Interventional Therapy ◽  
Posterior Circulation ◽  
Artery Dissection ◽  
Stroke In The Young ◽  
Ischemic Attack

Background and Purpose. Spontaneous vertebral artery dissection (SVAD) is an important reason for posterior-circulation-ischemic stroke in the young and middle-aged population. Although some previous reports reveal a favorable outcome with conservative therapy, it is still controversial in the treatment of SVAD in some specific patients. Herein, we present our 10 years of clinical experience for SVAD at this location. Material and Methods. 20 patients with 20 SVADs in V2 and V3 segments were retrospectively studied. Clinical manifestations and imageology materials were collected and analyzed. All the patients underwent anticoagulation except for one patient because of contraindication. 14 patients underwent Wingspan stents implantation with general anesthesia. Results. In our sample, ischemia (infarction or transient ischemic attack, TIA) was found in all the patients. Angiographic stenosis and dissection aneurysm were the most common findings in the segments mentioned above. 19 of the patients (95%) got the excellent imageological and clinical outcomes. Conclusions. According to our experience in this group, although anticoagulation is effective in vertebral artery dissection, interventional therapy for SVADs in V2 and/or V3 segments is preferred in some specific patients. Stent with higher radial supporting and flexibility, such as Wingspan stent, is suggested.

scholarly journals Bilateral vertebral artery dissection complicated by posterior circulation stroke in a young man

Medicine ◽  
2020 ◽  
Vol 99 (44) ◽  
pp. e22822
Author(s):  
Zhichao Li ◽  
Junni Liu ◽  
Xiang Wang ◽  
Xiaohui Liu ◽  
Qinjian Sun ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Posterior Circulation ◽  
Artery Dissection ◽  
Posterior Circulation Stroke

scholarly journals P.105 Missed vertebral artery dissection: a case series

2018 ◽  
Vol 45 (s2) ◽  
pp. S44-S44
Author(s):  
A Persad ◽  
B Stewart
Keyword(s):  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Case Series ◽  
Posterior Circulation ◽  
Artery Dissection ◽  
Minor Trauma ◽  
Posterior Circulation Stroke ◽  
Acute Infarction ◽  
History Of ◽  
Neck Manipulation

Background: Vertebral artery dissections are the second most common cause of posterior circulation stroke. Particularly in young people, they must be considered as causes of acute infarction, especially with a history of cervical trauma. Here, we present three cases of vertebral artery dissection that were initially not diagnosed as such. All were caused by uncommon mechanisms; one by self-inflicted neck manipulation, and one as a sequela of falling from a trampoline, and one from minor trauma to the head while standing. Methods: This is a series of three cases seen by the authors of posterior circulation stroke secondary to vertebral artery dissection caused by uncommon mechanisms. Results: N/A Conclusions: Vertebral artery dissection should be considered as a differential diagnosis in patients presenting with acute head and/or neck pain and any neurological findings in relation to acute neck trauma.

Preferential involvement of hypoplastic vessels in vertebral artery dissection: a comparative study

2011 ◽  
Vol 42 (01) ◽  
Author(s):  
R.J. Strege ◽  
P. Hohnstädt ◽  
H. Schindler ◽  
T. Vestring ◽  
R. Kiefer
Keyword(s):  
Comparative Study ◽  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection

Radiological Findings of Vertebral Artery Dissection

1995 ◽  
Vol 33 (4) ◽  
pp. 507
Author(s):  
Ik Won Kang ◽  
Kil Woo Lee ◽  
Ji Hun Kim ◽  
Hong Kil Suh ◽  
Kyu Sun Kim ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Radiological Findings
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