Is Vertebral Artery Dissection Important in the Differential Diagnosis of Dizziness and Vertigo?

2013 ◽  
Vol 2 (6) ◽  
pp. e3
Author(s):  
John Dimar
Keyword(s):  
Differential Diagnosis ◽  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection

scholarly journals Vertebral artery dissection: an important differential diagnosis of vertigo

2017 ◽  
Vol 83 (3) ◽  
pp. 367-369
Author(s):  
Maíra da Rocha ◽  
Bruno Higa Nakao ◽  
Evandro Maccarini Manoel ◽  
Guilherme Figner Moussalem ◽  
Fernando Freitas Ganança
Keyword(s):  
Differential Diagnosis ◽  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Important Differential Diagnosis

Spinal Cord Ischemia due to Vertebral Artery Dissection

2005 ◽  
Vol 18 (3) ◽  
pp. 390-394
Author(s):  
M. Bergui ◽  
G. Ventilii ◽  
F.M. Ferrio ◽  
D.R. Daniele ◽  
G.B. Bradač
Keyword(s):  
Spinal Cord ◽  
Differential Diagnosis ◽  
Vertebral Artery ◽  
Grey Matter ◽  
Spinal Cord Ischemia ◽  
Vertebral Artery Dissection ◽  
Cervical Cord ◽  
Artery Dissection ◽  
Spinal Cord Infarction ◽  
Central Regions

We reviewed clinical and neuroradiological findings in 37 consecutive patients with cervical cord infarction due to vertebral artery dissection diagnosed at our institution from 1996 to 2004. Four patients had clinical and neuroradiological findings consistent with spinal cord ischemia. Three patients had “pencil-like” infarction at C3-C5 level; one patient had an infarction of the anterior horns of the spinal grey matter at C3-C4 level. Symptoms were crural sensory deficit with mild tetraparesis and proximal strength deficit of the arms, respectively. Spinal cord infarction complicated vertebral artery dissection in about 10% of patients of our series. Infarctions involved the most central regions of the spinal cord, with relative sparing of the peripheral white matter tracts. Clinical and MRI pictures were almost typical, and consistent with a hemodynamic mechanism for the lesions. Vertebral artery dissection must be considered in the differential diagnosis in patients with cervical cord infarction.

scholarly journals Minor Trauma Causing Stroke in a Young Athlete

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Vineet Gupta ◽  
Naveen Dhawan ◽  
Jaya Bahl
Keyword(s):  
Differential Diagnosis ◽  
Vertebral Artery ◽  
Treatment Modality ◽  
Vertebral Artery Dissection ◽  
Young Athlete ◽  
Left Vertebral Artery ◽  
Artery Dissection ◽  
Minor Trauma ◽  
The Third ◽  
Ct Angiogram

A 17-year-old Caucasian male presented with sudden dizziness, ataxia, vertigo, and clumsiness lasting for a couple of hours. He had a subtle trauma during a wrestling match 2 days prior to the presentation. A CT Angiogram (CTA) and MRI showed left vertebral artery dissection (VAD). The patient was treated with anticoagulation with heparin drip in the ICU. The patient was discharged home on the third day on Lovenox-warfarin bridging. This case underscores the importance of considering VAD as a differential diagnosis in patients with sports-related symptoms especially in activities entailing hyperextension or hyperrotation of neck. Due to a varied latent period, often minor underlying trauma, and subtle presentation, a low index of suspicion is warranted in timely diagnosis and treatment of VAD. Considering recent evidence in treatment modality, either antiplatelet therapy or anticoagulation may be used for treatment of VAD.

scholarly journals Postpartum vertebral artery dissection: case report and review of the literature

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Nicholas T. Manasewitsch ◽  
Ahmed A. Hanfy ◽  
Bryce D. Beutler ◽  
Daniel Antwi-Amoabeng ◽  
Moutaz Taha ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Iron Deficiency ◽  
Vertebral Artery ◽  
Iron Deficiency Anemia ◽  
Vertebral Artery Dissection ◽  
Deficiency Anemia ◽  
Artery Dissection ◽  
Hypertensive Disorder ◽  
Acute Hemorrhage ◽  
History Of

Abstract Background Hypertensive disorders of pregnancy are associated with vascular complications, including ischemic stroke and cervical artery dissection. Vertebral artery dissection (VAD), however, is rare. We describe a 31-year-old female who presented with vertigo, nausea, and vomiting and was found to have a VAD. In addition, we discuss the presentation, differential diagnosis, and pathogenesis of this uncommon but clinically significant vascular event and summarize other cases of vertebral artery dissection described in the medical literature. Case presentation A 31-year-old Hispanic woman presented 10 days postpartum with a one-day history of vertigo, nausea, vomiting, and frontal headache. The patient’s pregnancy course had been complicated by preeclampsia, chorioamnionitis, and iron-deficiency anemia, and her delivery was complicated by acute hemorrhage. Physical examination was significant for left leg ataxia. Laboratory studies showed marked thrombocytosis. Emergent computed tomography (CT) scan of the head was obtained and revealed a left cerebellar ischemic large vessel stroke. Subsequent CT angiography of the head and neck showed a left VAD. Based on correlation of the clinical history and laboratory and imaging findings, a diagnosis of vertebral artery dissection secondary to reactive (secondary) thrombocytosis from overlapping iron-deficiency anemia and acute hemorrhage was established. The patient was started on a heparin infusion and experienced significant improvement after a four-day hospitalization. Conclusion VAD is a rare but important cause of neurologic symptoms in the postpartum period and should be considered in the differential diagnosis for women who present with headache and/or vertigo. Women aged 30 years or older and those with a history of a hypertensive disorder of pregnancy are at particularly high risk. Prompt diagnosis and management of VAD is essential to ensure favorable outcomes.

scholarly journals Vertebral artery dissection in term pregnancy after cervical spine manipulation: a case report and review the literature

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Francesca Monari ◽  
Stefano Busani ◽  
Maria Giovanna Imbrogno ◽  
Isabella Neri ◽  
Massimo Girardis ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Cervical Spine ◽  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Caucasian Woman ◽  
Ischemic Lesion ◽  
History Of ◽  
Cervical Spine Manipulation ◽  
In Pregnancy

Abstract Background Vertebral artery dissection is an uncommon, but potentially fatal, vascular event. This case aimed to describe the pathogenesis and clinical presentation of vertebral artery dissection in a term pregnant patient. Moreover, we focused on the differential diagnosis, reviewing the available evidence. Case presentation A 39-year-old Caucasian woman presented at 38 + 4 weeks of gestation with a short-term history of vertigo, nausea, and vomiting. Symptoms appeared a few days after cervical spine manipulation by an osteopathic specialist. Urgent magnetic resonance imaging of the head was obtained and revealed an ischemic lesion of the right posterolateral portion of the brain bulb. A subsequent computed tomography angiographic scan of the head and neck showed a right vertebral artery dissection. Based on the correlation of the neurological manifestations and imaging findings, a diagnosis of vertebral artery dissection was established. The patient started low-dose acetylsalicylic acid and prophylactic enoxaparin following an urgent cesarean section. Conclusion Vertebral artery dissection is a rare but potential cause of neurologic impairments in pregnancy and during the postpartum period. It should be considered in the differential diagnosis for women who present with headache and/or vertigo. Women with a history of migraines, hypertension, or autoimmune disorders in pregnancy are at higher risk, as well as following cervical spine manipulations. Prompt diagnosis and management of vertebral artery dissection are essential to ensure favorable outcomes.

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

Chiropractic associated vertebral artery dissection: An analysis of 34 patients amongst a cohort of 310

2021 ◽  
pp. 106665
Author(s):  
Akash Mitra ◽  
Hooman A. Azad ◽  
Nikil Prasad ◽  
Nathan A. Shlobin ◽  
Michael B. Cloney ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection
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