2,494 results match your criteria Dissection Vertebral Artery


Cervical artery dissection after sports - An analytical evaluation of 190 published cases.

Eur Stroke J 2017 Dec 10;2(4):335-345. Epub 2017 Jul 10.

Department of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany.

Introduction: Cervical artery dissections may be preceded by mechanical trigger events, often related to sports.

Methods: Using the MEDLINE database, we identified case reports and case series of sports-related cervical artery dissections. Information of the type of sport, age and gender of the patient, affected vessels, associated infarction, time delay, and neurological sequelae were extracted. Read More

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http://dx.doi.org/10.1177/2396987317720544DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453193PMC
December 2017

Three Rare Structural Anomalies: Right Aberrant Subclavian Artery, , and Isolated Left Vertebral Artery All Associated with Type B Aortic Dissection.

Case Rep Surg 2019 17;2019:7927613. Epub 2019 Mar 17.

Department of Cardiothoracic Surgery, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia.

Introduction And Background: Right aberrant subclavian artery accounts for 0.5-1.8% of the population as the most frequently encountered aortic arch anomaly, while the prevalence of an isolated left vertebral artery ranges from 3 to 8%. Read More

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https://www.hindawi.com/journals/cris/2019/7927613/
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http://dx.doi.org/10.1155/2019/7927613DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441505PMC
March 2019
2 Reads

Rivaroxaban in cervical and "cervico-cerebral" artery dissections: a new therapeutic option?

Neurol Sci 2019 Apr 12. Epub 2019 Apr 12.

Department of Medicine, Maggiore Hospital, Bologna, BO, Italy.

Antiplatelet agents and vitamin K antagonists (VKA) are usually used in the treatment of cervical (carotid or vertebral) artery dissections (CADs); however, data about the use of direct oral anticoagulants (DOACs) in these conditions are very limited. DOACs have proven to be effective in stroke reduction in non-valvular atrial fibrillation and, when possible, they are preferred to warfarin because of their better safety profile. We describe four cases of CADs and, firstly in literature, cervico-cerebral (CCADs) in young patients (average age of 42 years) treated with rivaroxaban 20 mg daily. Read More

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http://dx.doi.org/10.1007/s10072-019-03882-8DOI Listing
April 2019
2 Reads

Vertebral Artery Dissection Probably Caused by Massage: A Case Report.

Chin Med Sci J 2019 Mar;34(1):65-68

Medical Imaging Center, The First Affiliated Hospital of Jinan University, Guangzhou 510630, China.

MASSAGE has been recommended to more people as an adjunct to health care. We illustrate a case of vertebral artery dissection (VAD) probably caused by massage that almost resulted in the patient's death. The patient experienced sudden cardiac arrest and paralysis. Read More

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http://dx.doi.org/10.24920/003480DOI Listing
March 2019
1 Read

Craniocervical Arterial Dissection in Children: Pathophysiology and Management.

Pediatr Neurol 2019 Feb 2. Epub 2019 Feb 2.

Section of Pediatric Neurology, Department of Pediatrics and Child Health, University of Manitoba, Manitoba, Canada; Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada. Electronic address:

Background: Craniocervical arterial dissection is a commonly reported arteriopathy associated with stroke in children. It is characterized by a high stroke recurrence rate and variable outcomes. Here we review the pathophysiology, clinical presentation, and diagnostic neuroimaging approaches that are helpful in accurate diagnosis and follow-up of children with arterial dissection. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08878994183130
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http://dx.doi.org/10.1016/j.pediatrneurol.2019.01.020DOI Listing
February 2019
3 Reads

Vertebral artery dissection secondary to hangman's fracture.

Med Clin (Barc) 2019 Apr 3. Epub 2019 Apr 3.

Servicio de Radiodiagnóstico, Hospital Virgen de las Nieves, Granada, España.

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http://dx.doi.org/10.1016/j.medcli.2019.02.008DOI Listing
April 2019
1 Read

Clinical application of high-resolution MRI in combination with digital subtraction angiography in the diagnosis of vertebrobasilar artery dissecting aneurysm: An observational study (STROBE compliant).

Medicine (Baltimore) 2019 Apr;98(14):e14857

Department of Neurosurgery, QiLu Hospital, Shandong University, Jinan.

Vertebrobasilar artery dissecting aneurysm (VBA-DA) is associated with serious complications and poor prognosis in patients. High-resolution magnetic resonance imaging (HR-MRI) is a noninvasive method for the diagnosis of VBA-DA.VBA-DAs were classified according to the feature of HR-MRI in combination with digital subtraction angiography (DSA), and the clinical outcomes of different types of VBA-DAs were analyzed. Read More

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http://dx.doi.org/10.1097/MD.0000000000014857DOI Listing
April 2019
4 Reads
5.723 Impact Factor

Anterior Atlantooccipital Transarticular Screw Fixation: A Cadaveric Study and Description of a Novel Technique.

Spine (Phila Pa 1976) 2019 Apr 2. Epub 2019 Apr 2.

Department of Spinal Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.

MINI: By measurements on the CT slices of 30 patients and operation on eight cadaver specimens, the ideal anterior atlantooccipital screw directed 41.7° posteriorly in the sagittal plane and 11.6° laterally in the coronal plane, with a safe length around 30. Read More

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http://dx.doi.org/10.1097/BRS.0000000000003056DOI Listing
April 2019
3 Reads

Anterior cervical spine blood supply: a cadaveric study.

Surg Radiol Anat 2019 Apr 1. Epub 2019 Apr 1.

Department of Orthopaedic Surgery and Musculoskeletal Medicine (MSM), University of Otago, Christchurch School of Medicine, 2 Riccarton Avenue, Christchurch, 8011, New Zealand.

Purpose: To describe the origin of the vessels supplying the anterior sub-axial cervical vertebrae (C3-C7) to further understand their potential influence on anterior bone loss after anterior cervical spinal surgery.

Method: Cadaveric dissection was performed on ten adult human necks after latex perfusion of their subclavian, common carotid and vertebral arteries. The nutrient vessels of the sub-axial cervical spine were identified and traced to their origin. Read More

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http://dx.doi.org/10.1007/s00276-019-02236-5DOI Listing
April 2019
4 Reads

Vertebral Artery Ultrasound.

Radiol Clin North Am 2019 May 21;57(3):519-533. Epub 2019 Feb 21.

Department of Radiology and Biomedical Imaging, Yale University School of Medicine, 333 Cedar Street, PO Box 208042, New Haven, CT 06520-8042, USA.

There is renewed interest in ultrasound imaging of the vertebral artery due to the increasing use of stent placement for treating vertebral artery stenosis. Changes in vertebral artery waveforms are helpful in detecting pathologic processes involving the proximal and distal neurovascular circulation. We review the normal anatomy, scanning technique, normal gray scale, and color Doppler ultrasound appearance and differential diagnosis of spectral Doppler waveform changes in the extracranial vertebral artery. Read More

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http://dx.doi.org/10.1016/j.rcl.2019.01.011DOI Listing
May 2019
2 Reads

Microsurgical Treatment of Foramen Magnum Cognard Type V Dural Arteriovenous Fistula: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2019 Mar 28. Epub 2019 Mar 28.

Department of Neurological Surgery, Mayo Clinic, Phoenix, Arizona.

Cognard type V dural fistulas represent a rare and unique entity, and present clinically with myelopathy. They are frequently located around the foramen magnum and are most commonly fed by dural branches of the vertebral and external carotid artery. Detection requires meticulous angiography to define the angioarchitecture of the fistula, which in turn defines the treatment modality. Read More

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http://dx.doi.org/10.1093/ons/opz030DOI Listing
March 2019
1 Read

Segment Occlusion vs. Reconstruction-A Single Center Experience With Endovascular Strategies for Ruptured Vertebrobasilar Dissecting Aneurysms.

Front Neurol 2019 13;10:207. Epub 2019 Mar 13.

Abteilung für Neuroradiologie, Universitätsklinikum Leipzig, Leipzig, Germany.

Ruptured dissecting aneurysms of the intracranial vertebral arteries exhibit an extraordinarily high risk for morbidity and mortality and are prone to re-rupture. Therefore, early treatment is mandatory to induce stagnation of the critical dynamic mural process. Appropriate endovascular approaches are segment sacrifice and reconstruction, however, both carry specific risks and benefits. Read More

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http://dx.doi.org/10.3389/fneur.2019.00207DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424888PMC
March 2019
1 Read

Significance of the absent vertebral artery T2 flow void on cervical spine MRI in atraumatic patients without acute neurological symptoms.

Neuroradiol J 2019 Mar 22:1971400919839201. Epub 2019 Mar 22.

1 Department of Radiology, Hospital of the University of Pennsylvania, USA.

Purpose: Loss of the T2 vertebral artery flow void can be an ominous sign in patients with trauma. However, the significance of an absent vertebral artery flow void is less clear when discovered incidentally in patients without trauma or acute neurological symptoms. The purpose of this study was to review retrospectively the results of additional imaging and clinical evaluation in atraumatic patients without acute neurological symptoms found to have an incidentally discovered absent vertebral artery flow void on magnetic resonance imaging. Read More

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http://dx.doi.org/10.1177/1971400919839201DOI Listing
March 2019
18 Reads

Clinically-relevant morphometric parameters and anatomical variations of the aortic arch branching pattern.

Surg Radiol Anat 2019 Mar 21. Epub 2019 Mar 21.

Department of Radiology, Faculty of Medicine, Cairo University, Giza, Egypt.

Introduction: The ever expanding advances in various domains of cardiac and endovascular interventions has drawn tremendous attention toward the importance of the anatomical variability and morphometric parameters of the aortic arch (AA) and its branches.

Methods: The current study delineates the morphometry and anatomical variations of the AA branches by evaluating coronal, axial and sagittal CT multiplanar reformatted three-dimensional angiograms. Correlations between morphometric data as well as the distribution of morphometric data in relation to the anatomical variations were also illustrated. Read More

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http://dx.doi.org/10.1007/s00276-019-02215-wDOI Listing
March 2019
3 Reads

Clinical and Radiological Characteristics of Intracranial Artery Dissection Using Recently Proposed Diagnostic Criteria.

J Stroke Cerebrovasc Dis 2019 Mar 18. Epub 2019 Mar 18.

Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Japan.

Background: Data on the clinical and radiological characteristics of intracranial artery dissection (IAD) have remained limited. Our purpose was to reveal the clinical and radiological characteristics of IAD according to diagnostic criteria for IAD as recently reported by a group of international experts.

Methods: Patients were retrospectively enrolled using a prospective single-center stroke registry between 2011 and 2016. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2019.02.019DOI Listing
March 2019
2 Reads

Spontaneous Dissection of Both Vertebral Arteries Diagnosed with Three-Dimensional T1-Weighted Image.

J Stroke Cerebrovasc Dis 2019 Mar 18. Epub 2019 Mar 18.

Department of Stroke Medicine, Kawasaki Medical School, Okayama, Japan. Electronic address:

A 48-year-old woman spontaneously developed occipital pain, without any other neurological deficit. A brain magnetic resonance angiography showed narrowing, irregular dilatation, and aneurysmal formation in both the vertebral arteries (VA). According to these findings and the clinical course, we diagnosed the patient with spontaneous VA dissection. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2019.02.035DOI Listing
March 2019
1 Read

Leading symptoms in cerebrovascular diseases: what about headache?

Neurol Sci 2019 Mar 20. Epub 2019 Mar 20.

Department of Neuroscience, Neurology and Stroke Unit, ASST GOM Niguarda Cà Granda Hospital, Piazza Ospedale Maggiore 3, 20162, Milan, Italy.

Headache is a milestone in cerebrovascular disorders; indeed, it may represent the only symptom at onset or predominates over the other neurological features. Unfortunately, headache associated with cerebrovascular diseases lacks clear-cut characteristics as it may resemble a migraine attack, tension-type headache, or cluster headache; pain localization is also misleading along with drug (analgesic) response. However, in this review, we have analyzed and described the most common patterns of headache for different vascular disorders: it is known that headache due to subarachnoid aneurysmal hemorrhage presents peculiar characteristics (thunderclap, acute presentation, and high intensity), whereas in cerebral vasoconstriction syndrome, the short duration and the relapsing-remitting course of the thunderclap headache are key points for the diagnosis; in cervicocerebral artery, dissection pain is most commonly ipsilateral to the dissected vessel and is mainly perceived in the temporal area in case of carotid artery dissection and in the occipital area in case of vertebral artery dissection; in cerebral venous thrombosis, pain is often acute or subacute and severe; unfortunately, it may resemble a typical migraine attack or a tension-type episode; by the contrary, in primary angiitis of the central nervous system, pain is always subacute or chronic with mild-to-moderate intensity; finally, in brain arteriovenous shunts such as malformation or fistula, pain is more frequently a clue for disease complication such as hemorrhage from the malformation or thrombosis of the draining vein. Read More

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http://link.springer.com/10.1007/s10072-019-03793-8
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http://dx.doi.org/10.1007/s10072-019-03793-8DOI Listing
March 2019
4 Reads

A risk-benefit assessment strategy to exclude cervical artery dissection in spinal manual-therapy: a comprehensive review.

Ann Med 2019 Mar 19:1-10. Epub 2019 Mar 19.

a Head and Neck Research Group, Research Centre, Akershus University Hospital , Oslo , Norway.

Cervical artery dissection refers to a tear in the internal carotid or the vertebral artery that results in an intramural haematoma and/or an aneurysmal dilatation. Although cervical artery dissection is thought to occur spontaneously, physical trauma to the neck, especially hyperextension and rotation, has been reported as a trigger. Headache and/or neck pain is the most common initial symptom of cervical artery dissection. Read More

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http://dx.doi.org/10.1080/07853890.2019.1590627DOI Listing
March 2019
2 Reads

Neck movement during cervical transforaminal epidural injections and the position of the vertebral artery: an anatomical study.

Acta Radiol Open 2019 Mar 12;8(3):2058460119834688. Epub 2019 Mar 12.

Seattle Science Foundation, Seattle, WA, USA.

Background: Cervical transforaminal epidural steroid injections (CTFESIs) are sometimes performed in patients with cervical radiculopathy secondary to nerve-root compression. Neck movements for patient positioning may include rotation, flexion, and extension. As physicians performing such procedures do not move the neck for fear of injuring the vertebral artery, we performed fluoroscopy and cadaveric dissection to analyze any movement of the vertebral artery during head movement and its relation to the foramina in the setting of CTFESI. Read More

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http://dx.doi.org/10.1177/2058460119834688DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415478PMC
March 2019
2 Reads

Bilateral Internal Carotid and Left Vertebral Artery Dissection after Blunt Trauma: A Case Report and Literature Review.

Neurol Med Chir (Tokyo) 2019 Apr 16;59(4):154-161. Epub 2019 Mar 16.

Department of Neurosurgery, Tokyo Metropolitan Bokutoh Hospital.

Multi-vessel cervical arterial injury after blunt trauma is rare, and its pathophysiology is unclear. Although blunt cerebrovascular injury is a common cause of cerebral ischemia, its management is still controversial. We describe a 23-year-old man in previously good health who developed three-vessel cervical arterial dissections due to blunt trauma. Read More

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http://dx.doi.org/10.2176/nmc.cr.2018-0239DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465530PMC
April 2019
1 Read

Stroke mechanisms and their correlation with functional outcome in medullary infarction.

J Neurol Sci 2019 May 1;400:1-6. Epub 2019 Mar 1.

Department of Neurology, Kyoto Prefectural University of Medicine, Japan. Electronic address:

Purpose: To study the stroke mechanism of medullary infarction (MI) and their correlation with prognosis.

Methods: We collected 81 consecutive patients with acute isolated MI including 50 patients with lateral MI (LMI), 30 with medial MI (MMI) and one with combined MI. The stroke mechanisms were defined as follows: 1. Read More

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http://dx.doi.org/10.1016/j.jns.2019.02.039DOI Listing
May 2019
2 Reads

Angioplasty and stenting for severe symptomatic atherosclerotic stenosis of intracranial vertebrobasilar artery.

J Clin Neurosci 2019 May 6;63:17-21. Epub 2019 Mar 6.

Department of Neurology, Xinqiao Hospital & the Second Affiliated Hospital, the Army (Third Military) Medical University, Chongqing, China. Electronic address:

This retrospective study is to investigate the safety and efficacy of the stent implanting for treating severe symptomatic atherosclerotic stenosis of the intracranial vertebrobasilar artery (ICVBA). 213 patients who had undergone intervention for severe symptomatic ICVBA stenosis between September 2012 to May 2018 were enrolled into this study. Among the 213 enrolled patients, 210 patients (98. Read More

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http://dx.doi.org/10.1016/j.jocn.2019.02.017DOI Listing
May 2019
3 Reads
1.318 Impact Factor

Management of type B aortic dissection with an isolated left vertebral artery.

J Vasc Surg 2019 Mar 2. Epub 2019 Mar 2.

Department of Cardiology, Vascular Center, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. Electronic address:

Objective: The objective of this study was to report our single-center experience of thoracic endovascular aortic repair (TEVAR) and concomitant procedures in patients with type B aortic dissection (TBAD) with an isolated left vertebral artery (ILVA) and the early to midterm outcomes in these patients.

Methods: Between March 2011 and June 2018, there were 31 patients (27 men; median age, 55 years; range, 31-66 years) with TBAD and an ILVA who received TEVAR and concomitant procedures in our center. Demographics, coexisting medical conditions, imaging features, operation details, and follow-up outcomes in these patients were retrospectively collected and analyzed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07415214193016
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http://dx.doi.org/10.1016/j.jvs.2018.11.052DOI Listing
March 2019
8 Reads

[Efficacy analysis of LVIS and Enterprise stent assisted coil in the treatment of vertebral artery dissection aneurysm].

Zhonghua Yi Xue Za Zhi 2019 Mar;99(9):685-689

Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070 Chian.

To observe and evaluate the therapeutic efficacy of LVIS stent and Enterprise stent assisted coil in embolization of vertebral artery dissection aneurysm (VDA). Clinical data of 96 patients with VDAs treated by LVIS stent and Enterprise stent assisted coil were analyzed retrospectively between January, 2013 and June, 2017.Of all, the LVIS stent assisted coil was performed in 28 patients (LVIS-stent group) and Enterprise in 68 patients (Enterprise-stent group). Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2019.09.010DOI Listing
March 2019
1 Read

Aortic Dissection Repair Using the STABILISE Technique Associated with Arch Procedures: Report of Two Cases.

EJVES Short Rep 2019 13;42:26-30. Epub 2019 Feb 13.

Vascular Surgery Department, Heart and Vessels Division, Hospital de Santa Maria (CHLN), Lisbon, Portugal.

Introduction: The stent assisted balloon induced intimal disruption and relamination in aortic dissection repair (STABILISE) technique is being increasingly used for the treatment of complicated aortic dissections. However, as it is a fairly recent technique, the scientific information is limited.

Report: In this paper we report two cases of the STABILISE technique associated with procedures in the ascending aorta and supra-aortic trunks, consisting of a "frozen elephant trunk" procedure in one case and in the other, a carotid endarterectomy associated with reimplantation of the vertebral artery and partial arch debranching. Read More

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http://dx.doi.org/10.1016/j.ejvssr.2019.01.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383177PMC
February 2019
4 Reads

Conservative Management of Unruptured Spontaneous Intracranial Vertebral Artery Dissection.

World Neurosurg 2019 Feb 26. Epub 2019 Feb 26.

Department of Neurosurgery, Ajou University Hospital, Suwon, South Korea. Electronic address:

Objective: The present study investigated the clinical and morphological characteristics of the vertebrobasilar artery associated with vascular healing in patients with unruptured spontaneous intracranial vertebral artery (VA) dissection (VAD).

Methods: We retrospectively reviewed the data from 69 consecutive patients with a diagnosis of unruptured VAD who were treated conservatively for ≥21 days from November 2003 to February 2018 at our institute. Univariate and multivariate analyses were performed to evaluate the clinical characteristics and morphological findings of VAD. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.02.063DOI Listing
February 2019
1 Read

Antiplatelet Therapy vs Anticoagulation Therapy in Cervical Artery Dissection: The Cervical Artery Dissection in Stroke Study (CADISS) Randomized Clinical Trial Final Results.

JAMA Neurol 2019 Feb 25. Epub 2019 Feb 25.

Clinical Neuroscience, St George's University of London, London, England.

Importance: Extracranial carotid and vertebral artery dissection is an important cause of stroke, particularly in younger individuals. In some but not all observational studies, it has been associated with a high risk of recurrent stroke. Both antiplatelet agents (APs) and anticoagulants (ACs) are used to reduce stroke risk, but whether 1 treatment strategy is more effective is unknown. Read More

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http://dx.doi.org/10.1001/jamaneurol.2019.0072DOI Listing
February 2019

Giant carotid pseudoaneurysm amenable to pipeline stenting in a patient with Ehlers-Danlos type IV.

Surg Neurol Int 2019 25;10:11. Epub 2019 Jan 25.

Michigan State University College of Human Medicine, 15 Michigan St NE, Grand Rapids, MI, 49503, USA.

Background: Ehlers-Danlos type IV primarily affects collagen synthesis in the vasculature, increasing the risk of these patients to have dissection and pseudoaneurysm formation. Due to friable vessels, antiplatelet or anticoagulation has been the treatment of choice. However, newer intravascular surgical devices may be promising for future management. Read More

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http://dx.doi.org/10.4103/sni.sni_343_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367946PMC
January 2019
3 Reads

Vertebral Artery Dissection in Active-Duty Soldier Due to Mixed Martial Arts Choke Hold.

Fed Pract 2018 Jul;35(7):12-17

is an Internist, is a Neurology Resident, is a Radiology Resident, is an Internal Medicine Resident, and is a Neuroophthalmologist, all at San Antonio Military Medical Center in Texas.

In the military health system, it is important to be aware of this potential complication of combatives as instruction in close-quarters combat continues to be an important aspect of military training. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368010PMC
July 2018
1 Read

Vertebral Artery Dissection in Sport: A Systematic Review.

Sports Med 2019 Apr;49(4):553-564

University of Canberra Research Institute for Sport and Exercise (UCRISE), Canberra, ACT, Australia.

Background: Vertebral artery dissection (VAD) is a potentially catastrophic injury that may occur during sports participation. A comprehensive review is needed to collate documented cases to improve understanding and inform future preventative approaches.

Objective: This review aimed to understand the extent of VAD in sport and characterise trends suggestive of mechanisms of injury. Read More

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http://link.springer.com/10.1007/s40279-019-01066-0
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http://dx.doi.org/10.1007/s40279-019-01066-0DOI Listing
April 2019
12 Reads

Novel Oral Anticoagulants as Treatment for Vertebral Artery Dissection: Case Report.

J Vasc Interv Neurol 2018 Nov;10(2):56-58

Servicio de Neurología del Hospital Universitario Dr. José Eleuterio González de la Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México.

Background And Purpose: Cervical artery dissections, which may be traumatic or spontaneous, account for a significant proportion of strokes in the young. Antithrombotic therapy is the mainstay of treatment, but new oral anticoagulants could be an alternative treatment to the optimal strategy of anticoagulation followed by antiplatelet drugs.

Summary Of Case: We report the case of a 40-year-old patient with a spontaneous vertebral artery dissection who developed a cerebellar ischemic stroke, who had a favorable outcome and complete vessel recanalization after three months of treatment with the oral factor Xa inhibitor rivaroxaban. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350868PMC
November 2018
1 Read

Spontaneous bilateral internal carotid and vertebral artery dissections with dominant-hemisphere circulation maintained by external carotid artery-ophthalmic artery anastomoses.

Neurosurg Focus 2019 Feb;46(2):E6

3Department of Radiology, and.

Spontaneous cervical artery dissection (sCAD) is a major cause of stroke in young adults. Multiple sCAD is a rarer, more poorly understood presentation of sCAD that has been increasingly attributed to cervical trauma such as spinal manipulation or genetic polymorphisms in extracellular matrix components. The authors present the case of a 49-year-old, otherwise healthy woman, who over the course of 2 weeks developed progressive, hemodynamically significant, bilateral internal carotid artery and vertebral artery dissections. Read More

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http://dx.doi.org/10.3171/2018.11.FOCUS18443DOI Listing
February 2019
3 Reads
2.105 Impact Factor

The Comparison of Clinical Findings and Treatment Between Unilateral and Bilateral Vertebral Artery Dissection.

J Stroke Cerebrovasc Dis 2019 May 31;28(5):1192-1199. Epub 2019 Jan 31.

Department of Neurosurgery, Fukuoka University, Fukuoka Japan.

Background: There are limited clinical studies of bilateral vertebral artery dissection (VAD).

Objective: To compare the characteristics, imaging findings, and treatments between patients with bilateral and unilateral VAD.

Methods: Between February 2007 and May 2017, 31 (mean age: 53. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2019.01.009DOI Listing
May 2019
2 Reads

Posterior Inferior Cerebellar Artery Originating from the Jugular Branch of the Ascending Pharyngeal Artery.

NMC Case Rep J 2019 Jan 18;6(1):21-24. Epub 2018 Dec 18.

Department of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Fukuoka, Japan.

The variation in which the posterior inferior cerebellar artery arises from the hypoglossal branch of the ascending pharyngeal artery is thought to be related to the remnant of the primitive hypoglossal artery, and is referred to as a primitive hypoglossal artery variant. Cases in which the posterior inferior cerebellar artery arises from the jugular branch of the ascending pharyngeal artery are extremely rare. The authors present a case of a 50-year-old male with vertebral artery dissection who had this extremely rare variation bilaterally. Read More

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http://dx.doi.org/10.2176/nmccrj.cr.2018-0171DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350027PMC
January 2019
3 Reads

Alport's syndrome and intracranial aneurysm: mere coincidence or undiscovered causal relationship.

BMJ Case Rep 2019 Jan 29;12(1). Epub 2019 Jan 29.

Department of Nephrology, Deaconess Health System, Evansville, Indiana, USA.

A 44-year-old Caucasian man with a history of deceased donor renal transplant for end-stage renal disease from Alport's syndrome (AS), presented with a spontaneous subarachnoid haemorrhage and hydrocephalus. Following an external ventricular drain for the hydrocephalus, a CT angiography revealed a dissection of the left vertebral artery extending into vertebro-basilar junction necessitating a bypass between left occipital artery to left posterior inferior cerebellar artery. He had a posterior fossa Craniectomy, C1 laminectomy and coiling off, of the left vertebral artery. Read More

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http://dx.doi.org/10.1136/bcr-2018-228175DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352827PMC
January 2019
3 Reads

Threat of a Cycle Proof: Vertebral Artery Dissection Associated with Posterior Inferior Cerebellar Artery Infarction.

Case Rep Otolaryngol 2018 27;2018:5387607. Epub 2018 Dec 27.

Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Center of Vila Nova Gaia/Espinho, Rua Conceição Fernandes s/n, 4434-502 Vila Nova de Gaia, Portugal.

This paper presents a case of a perfectly healthy 36-year-old male, who went to the emergency department with a clinical picture of diffuse headache, dizziness, and asthenia with 3 days of evolution, after a long cycling race. He was admitted to the ENT Department with suspected diagnosis of peripheral vertigo. The patient developed hypoesthesia of the face, diplopia, right lateropulsion, and Romberg with preferential rightward fall, and imaging studies demonstrated an extracranial vertebral artery dissection concomitant with PICA territory infarction. Read More

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http://dx.doi.org/10.1155/2018/5387607DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327282PMC
December 2018
2 Reads

Vertebral artery triplication.

Surg Radiol Anat 2019 Jan 25. Epub 2019 Jan 25.

Division of Interventional Neuroradiology, The Johns Hopkins Hospital, 1800 E Orleans Street, Baltimore, MD, 21287, USA.

Purpose: To report an extremely rare vertebral artery (VA) origin configuration.

Methods: Angiographic and MRI features of a VA triplication in a child are presented.

Results: The VA trifurcation was the result of the simultaneous persistence of the 4th, 5th and 6th primitive cervical intersegmental arteries, respectively, reaching the transverse canal at C4, C5 and C6. Read More

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http://dx.doi.org/10.1007/s00276-019-02192-0DOI Listing
January 2019
3 Reads

C2-C3 spinal fracture subluxation with ligamentous and vascular injury: a case report and review of management.

Spinal Cord Ser Cases 2019 16;5. Epub 2019 Jan 16.

1Department of Neurosurgery, Medstar Georgetown University Hospital, 3800 Reservoir Rd., PHC 7, Washington, DC 20007 USA.

Introduction: Spinal cord injury is one of the leading causes of paralysis and permanent morbidity. High cervical spine injuries, in particular, have the potential to be fatal and debilitating due to injury to multiple components, including but not limited to, discoligamentous disruption, vascular insult and spinal cord injury. To date, no unifying algorithm exists making it challenging to guide treatment decisions. Read More

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http://dx.doi.org/10.1038/s41394-019-0150-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335400PMC
January 2019
18 Reads

Catastrophic Secondary Infarctions with Onset Seizure Following Tissue Plasminogen Activator Therapy.

J Stroke Cerebrovasc Dis 2019 Apr 14;28(4):e24-e26. Epub 2019 Jan 14.

Division of Neurology, Department of Internal Medicine, Jichi Medical University School of Medicine, Shimotsuke, Tochigi, Japan.

Fatalities following intravenous recombinant tissue-type plasminogen activator therapy have been reported. Major fatal complications following intravenous recombinant tissue-type plasminogen activator therapy include intracranial hemorrhage, aortic dissection, and extracranial bleeding. However, the possibility that intravenous recombinant tissue-type plasminogen activator therapy itself paradoxically induces synchronized multiple cerebral novel infarctions has never been considered. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10523057183074
Publisher Site
http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2018.12.045DOI Listing
April 2019
13 Reads

Trauma of the extracranial cerebral arteries due to injuries of the cervical spine.

Rozhl Chir Winter 2018;97(11):504-508

Introduction: Cervical spine injuries are immanently accompanied by trauma to cerebral neck arteries.

Method: A prospective two-cohort study, from oct. 2013 to oct. Read More

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April 2019
2 Reads

Double Origin of the Posterior Inferior Cerebellar Artery: Anatomic Case Report.

World Neurosurg 2019 Jan 3. Epub 2019 Jan 3.

Division of Neurological Surgery, Barrow Neurological Institute, Phoenix, Arizona, USA. Electronic address:

Background: Double origin of the posterior inferior cerebellar artery (DOPICA) is rare. It has important clinical implications especially in cases of aneurysms of the vertebral artery (VA) or the posterior inferior cerebellar artery (PICA). Several radiologic reports of this variant exist. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.12.127DOI Listing
January 2019
6 Reads

Endovascular management of basilar artery occlusion secondary to fusiform aneurysm with intraluminal thrombus.

Neurosurg Focus 2019 Jan;46(Suppl_1):V2

Acute basilar artery occlusion is one of the most devastating subtypes of ischemic stroke with an extremely high morbidity and mortality rate. The most common causes include embolism, large-artery atherosclerosis, penetrating small-artery disease, and arterial dissection. The heart and vertebral arteries are the main source of emboli in embolic basilar occlusions. Read More

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http://dx.doi.org/10.3171/2019.1.FocusVid.18468DOI Listing
January 2019
6 Reads

Combined reconstructive and deconstructive endovascular approach for bilateral vertebral artery dissection with subarachnoid hemorrhage.

Neurosurg Focus 2019 Jan;46(Suppl_1):V13

The video highlights a challenging case of bilateral vertebral artery dissection presenting with subarachnoid hemorrhage. The patient was found to have a critical flow-limiting stenosis in his dominant right vertebral artery and a ruptured pseudoaneurysm in his left vertebral artery. A single-stage endovascular treatment with stent reconstruction of the right vertebral artery and coil embolization sacrifice of the left side was performed. Read More

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http://dx.doi.org/10.3171/2019.1.FocusVid.18483DOI Listing
January 2019
3 Reads

Cerebellar Infarction in a 9 Year Old Child Presenting with Fever and Ataxia: A Case Report.

Iran J Child Neurol 2019 ;13(1):107-114

Pediatric Neurology, Tehran University of Medical Sciences, Tehran, Iran.

Cerebellar acute ischemic stroke (AIS) can be a complication of minor head trauma, vertebral artery dissection, vasospasm or systemic hypoperfusion. CT scan usually is negative few hours after acute infarction. Magnetic resonance imaging (MRI) is superior to CT scan for posterior fossa lesions and also in acute phase of cerebellar stroke especially in children. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6296698PMC
January 2019
14 Reads

Delayed presentation of neck arteries dissection, caused by water slide activity.

BMJ Case Rep 2018 Dec 13;11(1). Epub 2018 Dec 13.

Pediatrics, Icare clinics, Dubai, Dubai, UAE.

A 16-year-old Korean boy presented with acute onset vertigo, dysphagia and gait ataxia of 16 hours duration. He had history of headache and neck pain along with transient vertigo during a water slide ride 12 days before presentation. CT brain showed left cerebellar and left lateral medullary infarcts. Read More

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http://dx.doi.org/10.1136/bcr-2018-226333DOI Listing
December 2018
5 Reads

Early detection of vertebral artery dissection.

BMJ Case Rep 2018 Nov 28;11(1). Epub 2018 Nov 28.

Acute Medicine, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.

A 36-year-old female patient presented to hospital with a 1-week history of occipital headache. It was sudden onset following a fall into a swimming pool. Examination was unremarkable. Read More

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http://dx.doi.org/10.1136/bcr-2018-226902DOI Listing
November 2018
2 Reads

The pathological spectrum behind migraine aura status: a case series.

Neurol Sci 2019 Apr 6;40(4):861-864. Epub 2018 Dec 6.

Department of Neuroscience, University of Padova, Via Giustiniani 5, 35128, Padova, Italy.

Background: The recently released International Classification of Headache Disorders-3rd edition (1) includes migraine aura status (MAS) among the complications of migraine (A1.4.5). Read More

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http://dx.doi.org/10.1007/s10072-018-3671-0DOI Listing
April 2019
2 Reads

Occipital Artery-to-Vertebral Artery Bypass to Stop Transient Ischemic Attacks Caused by Traumatic Vertebral Artery Dissection.

World Neurosurg 2019 Mar 7;123:64-66. Epub 2018 Dec 7.

Department of Neurosurgery, Nadogaya Hospital, Kashiwa, Chiba, Japan.

Background: Ischemic symptoms caused by traumatic vertebral artery dissection after cervical maneuvers are treated medically and surgically. This is a report of the infrequently documented occipital to vertebral artery bypass to stop the transient ischemic attacks following traumatic vertebral artery dissection.

Case Description: A 33-year-old man presented with a sudden right posterior neck pain following a sudden neck movement, accompanied by left lower quadrant anopsia and rotational vertigo. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.11.220DOI Listing
March 2019
7 Reads

Stent-Assisted Angioplasty of Spontaneous Bilateral Extracranial Vertebral Dissections under Intravascular Ultrasound Guidance.

Authors:
Won-Bae Seung

Case Rep Neurol 2018 Sep-Dec;10(3):314-321. Epub 2018 Nov 14.

Department of Neurosurgery, Dongguk University Gyeongju Hospital, Dongguk University College of Medicine, Gyeongju, Republic of Korea.

The authors here report a case of stent-assisted angioplasty under intravascular ultrasound (IVUS) guidance for the treatment of spontaneous bilateral extracranial vertebral artery (VA) dissection. A 47-year-old woman presented with spontaneous severe posterior neck pain. Examinations revealed bilateral extracranial VA dissection, which was thought to be the reason for her symptom. Read More

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http://dx.doi.org/10.1159/000494324DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276765PMC
November 2018
2 Reads

Successful heart transplantation in a patient with Loeys-Dietz Syndrome.

Ann Thorac Surg 2018 Dec 1. Epub 2018 Dec 1.

Division of Cardiac Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.

Our patient is a 45-year-old woman with a history of Loeys-Dietz syndrome (LDS), vertebral artery dissection, stroke, prior atrial septal defect (ASD) repair, and spontaneous left main coronary artery dissection re-vascularized with coronary artery bypass grafting who progressed to end-stage heart failure. She was listed for cardiac transplantation and a suitable organ became available. She underwent heart transplantation over one year ago successfully. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2018.10.058DOI Listing
December 2018
5 Reads