2,984 results match your criteria Dissection Vertebral Artery


[Dissection of brachiocephalic arteries as a complication of open neurosurgery: case report and literature review].

Zh Vopr Neirokhir Im N N Burdenko 2022 ;86(3):83-91

Federal Center of Brain and Neurotechnologies, Moscow, Russia.

Background: Abnormal styloid processes cause dissection of supra-aortic arteries in some cases. In total, about 33 cases have been described in the world and national literature. However, there were no dissections associated with neurosurgery. Read More

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January 2022

Association between aortic coverage and spinal cord ischemia after endovascular repair of type B aortic dissection.

Indian J Thorac Cardiovasc Surg 2022 Jul 11;38(4):375-381. Epub 2022 May 11.

Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, 110029 India.

Objectives: To examine the association between aortic coverage and occurrence of spinal cord ischemia (SCI) after thoracic endovascular aortic repair (TEVAR) for type B aortic dissection.

Methods: Thirty-eight consecutive patients (mean age 52 years; 35 men) who underwent TEVAR for type B aortic dissection at our centre were included. Patients were stratified into two groups based on stent graft length (SGL): group I (≤ 200 mm;  = 19) and group II (> 200 mm;  = 19). Read More

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The Clinical Features of Dissection of the Cervical Brain-Supplying Arteries.

Dtsch Arztebl Int 2022 09 5(Forthcoming). Epub 2022 Sep 5.

Background: Dissections of the cervical brain-supplying arteries are a leading cause of ischemic stroke in young adults, with an annual incidence of 2.5-3 / 100 000 for carotid artery dissection and 1-1.5 / 100 000 for vertebral artery dissection. Read More

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September 2022

"Incidence, characteristics and prognosis of cervical artery dissection-induced ischemic stroke in central Iran".

BMC Neurol 2022 Jun 21;22(1):227. Epub 2022 Jun 21.

Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Hezar Jarib Street, Isfahan, 73461-81746, Iran.

Objectives: Ischemic stroke is the most common presentation of cervical artery dissection (CAD). Information regarding CAD-induced stroke is scarce, especially in the Middle East. Here we investigated the incidence of CAD-induced stroke, its characteristics, and the clinical course in central Iran. Read More

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Vertebral Artery Transposition and Dural Ring Reconstruction: A New Treatment Modality for Cervical Spinal Cord Compression Resulting From Aberrant Vertebral Arteries.

Oper Neurosurg (Hagerstown) 2022 Jul 9;23(1):e26-e30. Epub 2022 May 9.

Department of Neurosurgery, China International Neuroscience Institute, Xuanwu Hospital, Capital Medical University, Beijing, China.

Background: Two of three patients who were consecutively treated within the past 7 years using traditional methods in our center presented with recurrence and even aggravation during follow-up. Therefore, a new approach was developed to treat a recent patient to provide for complete decompression of the spinal cord.

Objective: To illustrate a new treatment modality for patients with cervical spinal cord compression resulting from aberrant vertebral arteries. Read More

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Cervical Artery Dissection in Postpartum Women after Cesarean and Vaginal Delivery.

J Stroke Cerebrovasc Dis 2022 Jun 15;31(8):106572. Epub 2022 Jun 15.

Clinical Research Center, Institute of Sciences and Innovation in Medicine, Faculty of Medicine Clínica Alemana Universidad del Desarrollo, Chile; Neurology Service, Department of Neurology and Psychiatry, Clínica Alemana de Santiago, Faculty of Medicine Clínica Alemana Universidad del Desarrollo, Santiago, Chile; The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, Australia. Electronic address:

Background And Aims: Cervical artery dissection (CAD) is an infrequent but potentially disabling and fatal disease, accounting for up to 25 % of strokes in young adults. Pregnancy-related hormonal changes and increased hemodynamic stress on artery walls during vaginal delivery have been associated to CAD. We aim to describe a series of women presenting CAD during postpartum (PP) after cesarean and vaginal delivery. Read More

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Case Report: Vertebral Artery Dissection After Use of Handheld Massage Gun.

Clin Pract Cases Emerg Med 2022 May;6(2):159-161

Mike O'Callaghan Federal Medical Center, Department of Emergency Medicine, Las Vegas, Nevada.

Introduction: Arterial dissection is well known as a potential cause of stroke in young patients. Vertebral artery dissection occurs most commonly in the setting of minor trauma but has been seen in cases of cervical manipulation. With advances in at-home therapeutic modalities for neck pain came the advent of handheld massage guns. Read More

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Late Diagnosis of a Patient With Gradual Onset of Lateral Medullary Syndrome Secondary to Spontaneous Vertebral Artery Dissection: A Case Report.

Cureus 2022 May 12;14(5):e24934. Epub 2022 May 12.

Emergency Medicine, King Fahd University Hospital, Dammam, SAU.

Lateral medullary syndrome (LMS), also known as Wallenberg syndrome, is a cerebrovascular event following ischemia of the lateral part of the medulla oblongata. Some of its etiologies include atherosclerotic changes, hypertension, thromboembolism, vertebral artery dissection (VAD), and aneurysm. We present a case of a 45-year-old male with LMS with a gradual onset of atypical symptoms of LMS, which has led to a late diagnosis of our patient. Read More

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Clinical Manifestation and Radiologic Patterns of Spontaneous Cervicocephalic Dissection According to the Anatomic Location: A Single-Center Analysis in Korean Patients.

Neurointervention 2022 Jun 13. Epub 2022 Jun 13.

Neurointervention Clinic, Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Purpose: Spontaneous cervicocephalic dissection (SCAD) is an important cause of stroke and shows various lesion locations and clinical features. The purpose of this study was to analyze the location of SCAD and its clinical and radiologic patterns in Korean patients.

Materials And Methods: Patients with SCAD who were evaluated between 2013 and 2018 at a tertiary center in Korea were reviewed. Read More

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Bilateral vertebral arteries entering the C4 foramen transversarium with the left vertebral artery originating from the aortic arch.

Folia Morphol (Warsz) 2022 Jun 13. Epub 2022 Jun 13.

Department of Pathology, Albert Einstein College of Medicine, Bronx, NY, United States.

Vertebral arteries (VAs) serve as major blood vessels to the central nervous system. Vertebral arteries typically arise from the subclavian arteries and ascend separately within the transverse foramina of the cervical vertebrae (C6-C1) before entering the skull at the foramen magnum and joining at the base of the pons to form the basilar artery of the vertebrobasilar circulation. Therefore, variations in the origin and anatomic course of the vertebral arteries have implications for invasive medical procedures involving the superior thoracic/cervical regions or the cervical vertebrae. Read More

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Antiplatelets or anticoagulants? Secondary prevention in cervical artery dissection: an updated meta-analysis.

Neurol Res Pract 2022 Jun 13;4(1):23. Epub 2022 Jun 13.

Division of Neurology, Department of Medicine, National University Hospital, Singapore, Singapore.

Background: Extracranial artery dissection involving either internal carotid artery or vertebral artery is a major cause of stroke in adults under 50 years of age. There is no conclusive evidence whether antiplatelets or anticoagulants are better suited in the treatment of extracranial artery dissection.

Objectives: To determine whether antiplatelets or anticoagulants have advantage over the other in the treatment of extracranial artery dissection for secondary prevention of recurrent ischemic events or death. Read More

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Ruptured peripheral superior cerebellar artery dissecting aneurysms associated with primitive trigeminal artery: a case report.

BMC Neurol 2022 Jun 6;22(1):208. Epub 2022 Jun 6.

Department of Neurosurgery, Japanese Red Cross Nagahama Hospital, Miyamae-cho 14-7, Nagahama, Shiga, Japan.

Background: Persistent primitive trigeminal artery (PPTA) is a remnant of the carotid-vertebrobasilar anastomoses in the embryo. Although PPTAs are discovered incidentally in most cases, altered hemodynamics may lead to increased risk of stroke. To the best of our knowledge, no reports of PPTA associated with superior cerebellar artery (SCA) dissecting aneurysms have been published in the English language. Read More

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Lateral Suboccipital Infrafloccular Approach with Extensive Arachnoid Dissection for Vertebral Artery-Associated Hemifacial Spasm: Two-Dimensional Operative Video.

World Neurosurg 2022 Jun 3;164:305. Epub 2022 Jun 3.

Department of Neurosurgery, Hamanomachi Hospital, Fukuoka, Japan.

Hemifacial spasm (HFS) is generally caused by compression of the root exit zone (REZ) of the facial nerve by the anterior and posterior inferior cerebellar arteries and occasionally the vertebral artery (VA). Owing to its large caliber and high stiffness, microvascular decompression (MVD) for VA-associated HFS is considered more difficult, and the result is worse than for HFS not associated with the VA. Therefore, a safer, more reliable MVD is required for VA-associated HFS. Read More

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[Aortic arch debranching in hybrid thoracic aortic replacement].

Khirurgiia (Mosk) 2022 (6):32-39

Petrovsky National Research Centre of Surgery, Moscow, Russia.

Objective: To analyze the outcomes of aortic arch debranching in hybrid thoracic aortic replacement.

Material And Methods: There were 107 patients who underwent hybrid thoracic aortic repair with debranching of supra-aortic vessels between 2015 and 2021. Patients underwent total and partial debranching (subtotal debranching and subclavian-carotid anastomosis/bypass). Read More

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Selective endovascular treatment of cervical arterial dissection using quantitative magnetic resonance angiography.

Interv Neuroradiol 2022 Jun 3:15910199221106040. Epub 2022 Jun 3.

Department of Neurosurgery, 14681University of Illinois at Chicago, Chicago, IL, USA.

Introduction: The role of endovascular treatment in cervical artery dissection (CAD) is equivocal. This study compared cerebral blood flow in CAD between medically and endovascularly treated patients using quantitative magnetic resonance angiography (QMRA).

Methods: Retrospective chart review was completed for patients with CAD. Read More

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Kinematics of the head and associated vertebral artery length changes during high-velocity, low-amplitude cervical spine manipulation.

Chiropr Man Therap 2022 Jun 1;30(1):28. Epub 2022 Jun 1.

Human Performance Laboratory, Faculty of Kinesiology, University of Calgary, Calgary, Canada.

Background: Cervical spine manipulation (CSM) is a frequently used treatment for neck pain. Despite its demonstrated efficacy, concerns regarding the potential of stretch damage to vertebral arteries (VA) during CSM remain. The purpose of this study was to quantify the angular displacements of the head relative to the sternum and the associated VA length changes during the thrust phase of CSM. Read More

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Rupture of Vertebral Artery Dissecting Aneurysm after mRNA Anti-COVID-19 Vaccination: A Report of Two Cases.

NMC Case Rep J 2022 28;9:95-100. Epub 2022 Apr 28.

Department of Neurosurgery, Iwate Medical University, Shiwa, Iwate, Japan.

The coronavirus disease 2019 (COVID-19) pandemic continues to spread around the world, and widespread vaccination is considered the most effective way to end it. Although the efficacy of COVID-19 vaccines has been confirmed, their safety remains a concern. In this paper, we report two cases of ruptured vertebral artery dissecting aneurysm (VADA) immediately after messenger RNA (mRNA) anti-COVID-19 vaccination. Read More

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Detection of cerebral aneurysm and intracranial vertebral dissection using non-enhanced magnetic resonance imaging in emergency setting: Emphasis on magnitude image of susceptibility-weighted image.

Interv Neuroradiol 2022 May 31:15910199221104613. Epub 2022 May 31.

Department of Neurosurgery, The Catholic University of Korea, The Catholic University of Korea, St Vincent's Hospital, Suwon, Republic of Korea.

Purpose: To evaluate image features and diagnostic performance of susceptibility-weighted image (SWI) in detection of intracranial vertebral artery dissection (VAD) and unruptured intracranial aneurysm (UIA).

Materials And Methods: From January 2015 to December 2021, symptomatic patients who underwent 3.0 T MR SWI were recruited. Read More

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Diagnostic yield of CT angiography performed for suspected cervical artery dissection in the emergency department.

Emerg Radiol 2022 May 30. Epub 2022 May 30.

Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA, WCB90, USA.

Background And Purpose: Computed tomography angiographies are frequently performed in the emergency department (ED) for the assessment of cervical artery dissection (CeAD) due to the high risk of associated morbidity, but their diagnostic utility is not fully evaluated. We assessed the radiological outcomes and clinical correlates of CTAs performed for suspected CeAD.

Materials And Methods: CTAs for all indications (Indication) over a 10-year period were evaluated to identify those with CeAD. Read More

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Effects of the home-based exercise program with an augmented reality system on balance in patients with stroke: a randomized controlled trial.

Disabil Rehabil 2022 May 15:1-8. Epub 2022 May 15.

Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Purpose: To investigate the therapeutic potentials of the home-based exercise program (HEP) with an augmented reality (AR) system to improve balance in patients with stroke.

Methods: Sixty-eight patients with stroke were recruited in this randomized controlled study with blind observer. Patients in the smart-rehab group underwent HEP with an AR system for four weeks, whereas patients in the control group underwent the written and pictorial HEP. Read More

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Bilateral occipital arteries arising from the thyrocervical trunks (ascending cervical artery-occipital artery anastomosis) diagnosed by magnetic resonance angiography.

Radiol Case Rep 2022 Jul 5;17(7):2299-2303. Epub 2022 May 5.

Department of Neuroendovascular Therapy, Saitama Sekishinkai Hospital, 2-37-20 Irumagawa Sayama, Saitama 350-1305, Japan.

We herein report a case of bilateral occipital arteries (OAs) arising from the thyrocervical trunks (TCTs). The patient was a 34-year-old woman with suspected basilar artery aneurysm underwent magnetic resonance (MR) angiography of the head and neck region using a 3-Tesla scanner. Cranial MR angiography revealed no aneurysm. Read More

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Deconstructive repair of a traumatic vertebrovertebral arteriovenous fistula via a contralateral endovascular approach.

J Cerebrovasc Endovasc Neurosurg 2022 May 16. Epub 2022 May 16.

Department of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Vertebrovertebral arteriovenous fistulas (VVAVFs) are rare entities that lack consensus guidelines for their management. Our case describes the successful treatment of a traumatic VVAVF via a contralateral deconstructive endovascular approach. A 64-year-old female presented following a traumatic fall. Read More

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Stroke Recurrence in Children with Vertebral Artery Dissecting Aneurysm.

AJNR Am J Neuroradiol 2022 06 12;43(6):913-918. Epub 2022 May 12.

Department of Radiology (L.Z.F., JA.M., D.M.M., I.N., N.V.S.), Children's Hospital Colorado, University of Colorado Denver, Anschutz Medical Campus, Aurora, Colorado

Background And Purpose: Pediatric vertebral artery dissecting aneurysm is a subtype of vertebral artery dissection that can be challenging to diagnose and may be associated with stroke recurrence. This study examines the presenting features, clinical outcomes, and recurrence risk in a cohort of children with vertebral artery dissection, comparing those with aneurysms with those without.

Materials And Methods: The medical records of children evaluated for vertebral artery dissection were retrospectively reviewed for neurologic presentation, treatment, stroke recurrence, and angiographic appearance of dissection. Read More

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Clinical response to surgical decompression in atypical pediatric Bow Hunter's syndrome suggesting alternative pathophysiology: Case report.

Childs Nerv Syst 2022 May 10. Epub 2022 May 10.

Department of Childrens Neurosurgery, Fleni, Montañeses 2325, 1428, Buenos Aires, Argentina.

Bow Hunter's syndrome is a rare cause of posterior circulation ischemia, produced by the mechanical and reversible occlusion of the vertebral artery during cephalic rotation. Diagnosis requires clinical suspicion and careful inspection of images with three-dimensional reconstruction. The study of choice is dynamic digital subtraction angiography (DSA). Read More

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Reconstructive embolization for contralateral vertebral artery dissecting aneurysm that developed after internal trapping of ruptured vertebral artery dissection: A case report and literature review.

Surg Neurol Int 2022 31;13:124. Epub 2022 Mar 31.

Department of Neurosurgery, Yokohama City University, Yokohama, Japan.

Background: It is not well-known that contralateral vertebral artery dissecting aneurysms (VADA) may be newly revealed after parental artery occlusion for unilateral VADA. However, the optimal treatment strategies and perioperative management have not been established. In this report, we present the case of a patient who required reconstructive embolization in the subacute stage for contralateral VADA developed after endovascular internal trapping of the ruptured VADA. Read More

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In reference to Microvascular decompression for hemifacial spasm involving the vertebral artery.

Authors:
Fabio Piazza

Acta Neurol Belg 2022 May 4. Epub 2022 May 4.

Department of Otolaryngology-Head and Neck Surgery, ASST Carlo Poma Mantova, Mantua, Italy.

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A review of carotid and vertebral artery dissection.

Br J Hosp Med (Lond) 2022 Apr 23;83(4):1-11. Epub 2022 Apr 23.

Department of Stroke Medicine, University Hospital Crosshouse, Kilmarnock, UK.

Cervical artery dissection is a major cause of ischaemic stroke in young adults. The diagnosis can be challenging as some patients may present with seemingly benign symptoms such as a headache, neck pain or dizziness. However, the neurological sequelae of a transient ischaemic attack, vision loss or ischaemic stroke are potentially devastating. Read More

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Transposition of left subclavian artery with reimplantation of isolated left vertebral artery before thoracic endovascular aneurysm repair for type B aortic dissection.

J Vasc Surg Cases Innov Tech 2022 Jun 22;8(2):222-226. Epub 2022 Mar 22.

Department of Surgery, Advocate Lutheran General Hospital, Park Ridge, IL.

Understanding and recognizing anatomic anomalies of the aortic arch is important when planning extra-anatomic debranching before thoracic endovascular aortic repair. A rare anomaly is the left vertebral artery aberrantly arising from the aortic arch; found in ∼5% of adults. When present, the artery courses through the carotid sheath at a variable length before entering the third or fourth cervical transverse foramen. Read More

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Symptomatic ischemic complications following endovascular treatment of vertebral artery dissecting aneurysms.

Acta Neurochir (Wien) 2022 06 27;164(6):1645-1651. Epub 2022 Apr 27.

Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, South Korea.

Purpose: The aim of this study is to investigate the clinical and radiological features related to the symptomatic ischemic complications of vertebral artery dissecting aneurysm (VADA) following endovascular treatment (EVT).

Methods: The clinical and radiological features of 127 VADAs, which were treated in a single tertiary institute between September 2008 and December 2020, were retrospectively reviewed. We defined a thrombosed aneurysm as being one which the thrombus was in the aneurysm in magnetic resonance imaging (MRI). Read More

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