Clinical Presentation, Magnetic Resonance Angiography, Ultrasound Findings, and Stroke Patterns in Patients with Vertebral Artery Dissection

2016 ◽  
Vol 76 (5-6) ◽  
pp. 284-294 ◽  
Author(s):  
Albrecht Günther ◽  
Otto W. Witte ◽  
Martin Freesmeyer ◽  
Robert Drescher
Keyword(s):  
Magnetic Resonance ◽  
Magnetic Resonance Angiography ◽  
Vertebral Artery ◽  
Clinical Presentation ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Ultrasound Findings

scholarly journals Magnetic Resonance Angiography Source Images of Vertebral-artery Dissection

2017 ◽  
Vol 56 (1) ◽  
pp. 123-124
Author(s):  
Takao Soda ◽  
Masato Kawai ◽  
Makoto Dehara ◽  
Yasushi Hagihara
Keyword(s):  
Magnetic Resonance ◽  
Magnetic Resonance Angiography ◽  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection

scholarly journals Vertebral Artery Dissection Mimicking Migraine: A Case Report

2021 ◽  
Vol 7 (1) ◽  
pp. 21-24
Author(s):  
Rahalkar Kshitij ◽  
◽  
Hong K. Lau ◽  
R Ponampalam ◽  
◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Vertebral Artery ◽  
Thrombus Formation ◽  
Vertebral Artery Dissection ◽  
Vascular Occlusion ◽  
Antiplatelet Agents ◽  
Vascular Wall ◽  
Neurological Deficits ◽  
Artery Dissection ◽  
Common Symptom

Vertebral artery dissection (VAD) is caused by an intimal tear that leads to bleeding into the vascular wall, which may cause vascular occlusion by thrombus formation and subsequent distal emboli (leading to ischemic stroke), aneurysm formation and subarachnoid hemorrhage. Cervical artery dissections (either carotid or vertebral artery dissection) are an important cause of stroke in patients under 50-years of age. Headache with or without neck pain is a common symptom. Usually, it occurs with focal neurological signs but sometimes it may occur without any neurological deficits and may mimic migraine. Often it occurs spontaneously without trauma but sometimes there is history of minor traumas, sudden neck movements or chiropractic manipulation. Imaging modalities include magnetic resonance imaging (MRI) brain, magnetic resonance angiography (MRA), and computed tomography angiography (CTA). Treatment involves anticoagulation or antiplatelet agents.

scholarly journals Ultrasound findings in spontaneous extracranial vertebral artery dissection.

Stroke ◽  
1993 ◽  
Vol 24 (12) ◽  
pp. 1910-1921 ◽  
Author(s):  
M Sturzenegger ◽  
H P Mattle ◽  
A Rivoir ◽  
F Rihs ◽  
C Schmid
Keyword(s):  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Ultrasound Findings ◽  
Extracranial Vertebral Artery

Carotid and Vertebral Artery Dissection Syndromes.

Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 4145-4145
Author(s):  
Beatriz Grand ◽  
Jorge Solimano ◽  
Adriana Ventura ◽  
Ernesto Quiroga Micheo ◽  
Dardo Riveros
Keyword(s):  
Vertebral Artery ◽  
Clinical Presentation ◽  
Oral Anticoagulants ◽  
Vertebral Artery Dissection ◽  
Clinical Signs ◽  
Young Patients ◽  
Complete Recovery ◽  
Artery Dissection ◽  
Hemorrhagic Complication ◽  
Progressing Stroke

Abstract Objetives: To describe the clinical presentation, diagnosis and treatment of patients with carotid and vertebral artery dissection (CAD, VAD). Design: Retrospective, observational Patients and methods: Clinical recording were evaluated from 1996 to 2005; 6 patients (3 women, 3 men, mean age 37 years) with CAD (3) and VAD (3) were referred to our hematology unit. Clinical presentation: progressing stroke 4/6 and transient ischemic attack (TIA) 2/6; warning sings and symptoms preceding the onset of stroke in 80%. Vascular risk factors included smoking and hypertension; associated features were headache, visual symptoms and Horner’s syndrome; Predisposing factors as physical exercise and trauma were found in 4/6. One patient was at 20 weeks of pregnancy. Diagnosis: Diagnostic tests included: Doppler ultrasound, magnetic resonance imaging (MRI) and angiography (MRA). On admission angiographic studies showed occlusion or stenoses of dissected arteries. Treatment: Anticoagulation with heparin or low molecular weight heparin followed by oral anticoagulants. Outcome: No hemorrhagic complication, no recurrence, complete recovery in 5 patients and mild dysarthria in one. Conclusion: TIA and progressing stroke in young patients are presenting features of CAD and VAD. The diagnosis is based on clinical signs and confirming angiographic investigation. Our experience shows that anticoagulation is the treatment of choice, although controlled studies to show their effectiveness are lacking.

Uncommon ultrasound findings in traumatic extracranial vertebral artery dissection

2001 ◽  
Vol 12 (3) ◽  
pp. 227-231 ◽  
Author(s):  
N Cals ◽  
G Devuyst ◽  
D.K Jung ◽  
N Afsar ◽  
G De Freitas ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Ultrasound Findings ◽  
Extracranial Vertebral Artery
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