2,665 results match your criteria Dissection Vertebral Artery


Vertebral Artery Dissection Related to Amphetamine Abuse - A Case Report.

J Cent Nerv Syst Dis 2020 30;12:1179573520939340. Epub 2020 Jun 30.

Department of Neurology, North Zealand Hospital, Hillerød, Denmark.

We report the case of a 37-year-old male patient with chronic amphetamine abuse who presented with vertebral artery dissection. Prior to presentation, he had increased the consumption of amphetamine from 5 times a year to once every week and had used amphetamine on the day of presentation. He attended with neck pain, vertigo and coordinating difficulties of his left arm. Read More

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http://dx.doi.org/10.1177/1179573520939340DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331755PMC

Ischemic stroke in young adults in Bogota, Colombia: a cross-sectional study.

Neurol Sci 2020 Jul 10. Epub 2020 Jul 10.

Pontificia Universidad Javeriana, Bogotá, Colombia.

Background: There has been an increase in the incidence of ischemic stroke in young adults. It is believed that it is due to the increase in traditional cardiovascular risk factors. This change has affected the quality of life of young adults. Read More

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http://dx.doi.org/10.1007/s10072-020-04584-2DOI Listing

Sequential Bilateral Vertebral Artery Dissections with Prompt Resolution of Initial Insult.

Case Rep Neurol 2020 May-Aug;12(2):189-198. Epub 2020 Jun 11.

Department of Neurology, Loyola University Medical Center, Maguire Center, Maywood, Illinois, USA.

Vertebral arterial dissection is a known cause of stroke in young adults. There has been a multitude of cases of bilateral vertebral dissections, including progression from one vertebral artery to another. This case reports the curious sequential nature of the healing of a previously dissected vertebral artery with subsequent dissection of the collateral vertebral artery. Read More

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http://dx.doi.org/10.1159/000506766DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325214PMC

Recurrent versus first cervical artery dissection - A retrospective study of clinical and vascular characteristics.

Eur J Neurol 2020 Jun 29. Epub 2020 Jun 29.

Department of Clinical and Experimental Sciences, Neurology Clinic, University of Brescia, Brescia, Italy.

Objective: Most recurrent cervical artery dissection (CeAD) events occur shortly after the acute first CeAD. This study compared characteristics of recurrent and first CeAD events and searched for associations between subsequent events of an individual person.

Methods: CeAD patients with a new CeAD event occuring during a three to six months follow-up were retrospectively selected in seven specialized stroke centers. Read More

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http://dx.doi.org/10.1111/ene.14417DOI Listing

Intracranial vessel wall MR imaging of an intradural vertebral artery dissection.

Clin Imaging 2020 Jun 17;68:108-110. Epub 2020 Jun 17.

University of Pennsylvania Health Systems (UPHS), 3400 Spruce Street, Philadelphia, PA 19104, USA.

Diagnosis of intracranial arterial dissections can be challenging due to the wide spectrum of imaging presentations. High-resolution vessel wall MR imaging can be a useful adjunct to conventional lumen-based imaging techniques for diagnosing arterial dissections. We present a case of a 37-year-old male with a history of a Wolff-Parkinson-White syndrome presenting with acute onset of nausea, vertigo, and left body hemisensory loss of pain and temperature. Read More

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http://dx.doi.org/10.1016/j.clinimag.2020.06.024DOI Listing

Ruptured Vertebral Artery Dissecting Aneurysm in a Patient with Recurrent Bacterial Meningitis.

World Neurosurg 2020 Jun 22. Epub 2020 Jun 22.

Department of Neurosurgery, University of Louisville, Louisville, KY.

Background: Intracranial mycotic aneurysms are uncommon, it can occur due extravascular extension or intravascular seeding of the vessel wall. It often results subarachnoid hemorrhage (SAH) with poor prognosis. We present a rare case of ruptured proximal anterior inferior cerebellar artery- posterior inferior cerebellar artery (AICA-PICA) mycotic aneurysm after an episode of bacterial meningitis. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.06.090DOI Listing

A case of vertebral artery dissection presented with refractory hiccups.

Acta Neurol Belg 2020 Jun 17. Epub 2020 Jun 17.

Department of Neurology, Ankara Yıldırım Beyazıt University, Ankara, Turkey.

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http://dx.doi.org/10.1007/s13760-020-01411-5DOI Listing

Avoiding iatrogenic injuries to the vertebral artery: A morphometric study of the vertebral artery-free dissection area.

Clin Neurol Neurosurg 2020 Jun 8;196:106001. Epub 2020 Jun 8.

Human Anatomy Department, Facultad de Medicina, Universidad Autónoma de Nuevo León, Monterrey 64460, Nuevo León, Mexico. Electronic address:

Objective: To determine the area of a safety window that excludes the vertebral artery for the safe access of the occipital condyle screws during occipitocervical fixation.

Methods: This study included 138 cervical computed tomography angiograms. Six measurements per side were made in each imaging study. Read More

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http://dx.doi.org/10.1016/j.clineuro.2020.106001DOI Listing

Endovascular Management of Intracranial Vertebral Artery Dissection: Technical Nuances for the Preservation of Posterior Inferior Cerebellar Artery and Basilar Artery.

Oper Neurosurg (Hagerstown) 2020 Jun 11. Epub 2020 Jun 11.

Department of Radiology, Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey.

Background: The treatment of intracranial vertebral artery dissection (VAD) can be challenging.

Objective: To evaluate the clinical presentation, endovascular treatment techniques, and prognostic outcome of patients diagnosed with intracranial VAD at our institution.

Methods: A retrospective analysis of 35 patients who were diagnosed with VAD at our institution over 17-yr period (2001-2017) is presented. Read More

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http://dx.doi.org/10.1093/ons/opaa174DOI Listing

Association between Pregnancy and Cervical Artery Dissection.

Ann Neurol 2020 Jun 11. Epub 2020 Jun 11.

Clinical and Translational Neuroscience Unit, Feil Family Brain and Mind Research Institute and Department of Neurology, Weill Cornell Medicine, New York, NY, USA.

Objective: We wanted to determine whether pregnancy is associated with cervical artery dissection.

Methods: We performed a case-control study using claims data from all nonfederal emergency departments and acute care hospitals in New York and Florida between 2005 and 2015. Cases were women 12-42 years of age hospitalized with cervical artery dissection, defined using validated diagnosis codes for carotid/vertebral artery dissection. Read More

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http://dx.doi.org/10.1002/ana.25813DOI Listing

Bow hunter syndrome: A rare yet important etiology of posterior circulation stroke.

J Clin Neurosci 2020 Jun 7. Epub 2020 Jun 7.

Division of Neurology, Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada.

A6-year-oldgirl presented with acute-onset headache andfluctuating right-sided weakness.HerPedNIHSSwas13. Brain MRI/MRA showed acute pontine arterial ischemic stroke(AIS)and remote right cerebellar and thalamic infarcts. Read More

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http://dx.doi.org/10.1016/j.jocn.2020.04.110DOI Listing

Endovascular Management of Symptomatic Intracranial Pseudoaneurysm and Intimal Flow-Limiting Dissection with a Single Device.

World Neurosurg 2020 May 31;141:72. Epub 2020 May 31.

Department of Neurological Surgery, Rush University Medical Center, Chicago, Illinois, USA.

The natural history of unruptured dissections of the intracranial vertebral artery (VA) is not well delineated. The dissected VA may heal spontaneously or may be associated with ischemic events. The literature on medical management for intracranial VA dissections is also limited. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.05.229DOI Listing

[Occlusion of the vertebrobasilar artery. Case presentation and literature review].

Laeknabladid 2020 06;106(6):302-309

Dep. of Rehabilitation Landspitali University Hospital Iceland.

This paper is a case report of a 22 year old, previously healthy woman that presented comatose to the Emergency Room at Landspitali University Hospital Iceland. A CT image of the head on admission revealed a large right cerebellar infarct with oedema compressing the fourth ventricle. A CT angiogram on admission was suspicious for a dissection of the left vertebral artery (confirmed during endovascular treatment) and a total occlusion of the distal third of the basilar artery. Read More

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http://dx.doi.org/10.17992/lbl.2020.06.586DOI Listing

Vertebral Artery Fenestration Mimicking Acute Dissection.

Ann Neurol 2020 Jun 1. Epub 2020 Jun 1.

Department of Neurosciences, Biomedicine, and Movement Sciences, University of Verona, Verona, Italy.

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http://dx.doi.org/10.1002/ana.25800DOI Listing

Vertebral Artery Dissection.

J Orthop Sports Phys Ther 2020 Jun;50(6):344

A 40-year-old woman was referred to physical therapy with complaints of headaches. Examination raised suspicion of a "thunderclap headache," a condition characterized by sudden, intense headaches correlated with bleeding in and around the brain. The patient was referred to a neurologist, who ordered magnetic resonance angiography of the head and neck, which identified a partial dissection of the right vertebral artery. Read More

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http://dx.doi.org/10.2519/jospt.2020.8858DOI Listing

Top of Basilar Syndrome Presenting With Hyperekplexia Initially Diagnosed as a Convulsive Status Epilepticus.

J Emerg Med 2020 May 22. Epub 2020 May 22.

Department of Neurology University of Oklahoma Medical Center, Oklahoma City, Oklahoma.

Background: Hyperekplexia is a rare neurologic disorder characterized by pronounced startle responses to tactile or acoustic stimuli and increase tone. Acquired hyperekplexia is usually seen in brainstem pathologies and when it develops acutely it can be easily misdiagnosed as a convulsive seizure.

Case Report: A 38-year-old man presented with acute onset generalized brief involuntary jerky movements and a decreased level of consciousness. Read More

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http://dx.doi.org/10.1016/j.jemermed.2020.04.038DOI Listing
May 2020
1.175 Impact Factor

Efficacy of intraarterial superselective indocyanine green videoangiography in cerebral arteriovenous malformation surgery in a hybrid operating room.

J Neurosurg 2020 May 22:1-9. Epub 2020 May 22.

1Department of Neurosurgery, Tokushima University Hospital, Tokushima.

Objective: Although intravenous indocyanine green (ICG) videoangiography has been reported to be useful when applied to cerebral arteriovenous malformation (AVM) surgery, the ICG that remains after the procedure makes it difficult to understand the anatomy, to evaluate nidus blood flow changes, and to repeat ICG videoangiography within a short time. Intraarterial ICG videoangiography has emerged as a way to overcome these limitations. The current study presents the results of intraarterial ICG videoangiography undertaken in patients with cerebral AVMs. Read More

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http://dx.doi.org/10.3171/2020.3.JNS20319DOI Listing

E-cigarette "Vape" Device Explosion Causing C Spine Fracture.

Plast Reconstr Surg Glob Open 2020 Apr 14;8(4):e2745. Epub 2020 Apr 14.

Department of Surgery, University of Illinois College of Medicine at Rockford, and OSF St Anthony Medical Center, Rockford, Ill.

Electronic cigarette (e-cigarette) use has grown exponentially since its introduction to the US market in 2007.1 Sales went largely unregulated until 2016, when the Food and Drug Administration expanded tobacco laws to encompass the manufacturing, distribution, and marketing of e-cigarette products.2,3 Production safety standards are still being established. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002745DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209853PMC

[A case of bilateral medial medullary and left tegmentum of pontine infarction in whom DSA-MR fusion imaging identified infarct-relevant arteries].

Rinsho Shinkeigaku 2020 Jun 19;60(6):434-440. Epub 2020 May 19.

Department of Stroke and Cerebrovascular Medicine, Kyorin University Faculty of Medicine.

We herein reported a patient with acute ischemic stroke in the bilateral medial medullary and the left tegmentum of the pons who presented with various neurological symptoms. Fusing digital subtraction angiography (DSA) and MRI (DSA-MR fusion imaging) could reveal the infarct-relevant arteries. A 41-year-old male presented with headache, bilateral arm's dysesthesia, quadriplegia, left Horner's syndrome, upbeat nystagmus, internuclear ophthalmoplegia and left peripheral facial paralysis. Read More

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http://dx.doi.org/10.5692/clinicalneurol.60.cn-001391DOI Listing

Opalski Syndrome Treated with Intravenous Recombinant Tissue Type Plasminogen Activator-Case Report and Review of Literature.

J Stroke Cerebrovasc Dis 2020 May 17:104806. Epub 2020 May 17.

Department of Internal Medicine, Division of Neurology, St. Marianna University School of Medicine, Yokohama City Seibu Hospital, Kanagawa, Japan.

A 65-year-old man with a history of Wallenberg syndrome caused by vertebral artery dissection at 62 years old was admitted to our hospital with nausea, vertigo, right facial dysesthesia, right hemiplegia, crossed sensory disturbance (sensory loss and numbness in the right face and left body below the neck), and right limb ataxia. Magnetic resonance imaging (MRI) performed 80 minutes after onset revealed no acute ischemic stroke lesions, but magnetic resonance angiography (MRA) demonstrated complete occlusion of the right vertebral artery. Based on these neurological and MRA findings, atypical lateral medullary infarction was suggested, and intravenous tissue plasminogen activator (IV-tPA) was started 178 minutes after onset. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2020.104806DOI Listing

Vertebral Artery Dissection After Sleeve Gastrectomy: a Case Report.

Obes Surg 2020 May 18. Epub 2020 May 18.

Minimally Invasive Surgery Research Center, Rasool-e-Akram Hospital, Iran University of Medical Sciences, Niyayesh Ave, Sattarkhan St, Tehran, Iran.

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http://dx.doi.org/10.1007/s11695-020-04693-zDOI Listing
May 2020
3.747 Impact Factor

Two-Stage Redo Aortic Arch Repair in a Patient With an Isolated Left Vertebral Artery.

Innovations (Phila) 2020 May 15:1556984520922985. Epub 2020 May 15.

6915 Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN, USA.

A 47-year-old male presented with an enlarging distal aortic arch false lumen 6 months status post ascending and hemiarch replacement with antegrade endograft insertion for acute type A aortic dissection complicated by lower body malperfusion. Preoperative computed tomographic angiography showed an isolated but dominant left vertebral artery. A 2-stage open surgical repair was performed. Read More

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http://dx.doi.org/10.1177/1556984520922985DOI Listing

Window to the circulatory system: Ocular manifestations of cardiovascular diseases.

Eur J Ophthalmol 2020 Apr 27:1120672120914232. Epub 2020 Apr 27.

Department of Ophthalmology, Advanced Eye Center, Postgraduate Institute of Medical Education & Research, Chandigarh, India.

The changes in the cardiovascular system are associated with ocular manifestations, often as a consequence of pathological alteration in the ocular vasculature. The ease of visualization of these retinal changes makes the eye a window to the cardiovascular system. Certain congenital cardiac defects lead to changes in the retinal vascularity due to increased tortuosity and dilatation. Read More

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http://dx.doi.org/10.1177/1120672120914232DOI Listing

Celiac trunk and its anatomic variations: cadaveric study.

Folia Morphol (Warsz) 2020 Apr 17. Epub 2020 Apr 17.

Department of Anatomy, Jagiellonian University Medical College, 12th Kopernika Street, 31-034 Cracow, Poland.

Background: Celiac trunk is the first major visceral branch of the abdominal aorta. The aim of this work was to present the celiac trunk division pattern and its anatomical variants in a sample of Polish population.

Materials And Methods: Celiac trunk dissection was performed in 50 adult cadavers in the Department of Anatomy, Jagiellonian University Medical College. Read More

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http://dx.doi.org/10.5603/FM.a2020.0042DOI Listing

Vertebral Artery Injury with Coinciding Unstable Cervical Spine Trauma: Mechanisms, Evidence-based Management, and Treatment Options.

Cureus 2020 Mar 9;12(3):e7225. Epub 2020 Mar 9.

Neurological Surgery, University of Florida College of Medicine, Gainesville, USA.

Unstable traumatic cervical spine fracture is a commonly encountered neurosurgical issue. Concomitant vertebral artery injuries present a challenge in surgical decision-making regarding the timing and order of surgical intervention with respect to endovascular intervention and internal fixation of the unstable fracture. Currently, there are no studies that have specifically examined stroke rate or outcomes for patients who have vertebral artery injuries and unstable cervical spine fractures with respect to temporal treatment course. Read More

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http://dx.doi.org/10.7759/cureus.7225DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141798PMC

Applicability of a standardized thoracic endograft with a single branch for the left subclavian artery to treat aortic disease involving the distal arch.

J Vasc Surg 2020 Apr 6. Epub 2020 Apr 6.

Aortic Centre, Groupe Hospitalier Paris Saint Joseph, Hôpital Marie Lannelongue, Le Plessis Robinson, Université Paris Saclay, Le Plessis-Robinson, France. Electronic address:

Objective: Coverage of the left subclavian artery (LSA) origin during thoracic endovascular aortic repair (TEVAR) is associated with increased neurologic complications. Our group is involved in the development of an off-the-shelf (OTS) thoracic endograft incorporating a left common carotid artery (LCCA) scallop and a retrograde inner branch for LSA perfusion. This study aimed to evaluate the arch morphology of patients treated by TEVAR and requiring LSA coverage to determine the applicability of this OTS device. Read More

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http://dx.doi.org/10.1016/j.jvs.2020.02.011DOI Listing

Multimodal Magnetic Resonance Imaging to Diagnose Vertebral Artery Dissection.

Headache 2020 Apr 9. Epub 2020 Apr 9.

Department of Neurology, Tenri Hospital, Tenri, Japan.

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http://dx.doi.org/10.1111/head.13800DOI Listing

Surgical Management and Outcomes of Aneurysms of Posterior Inferior Cerebellar Artery: Location-Based Approaches with Review of Literature.

J Neurosci Rural Pract 2020 Jan 27;11(1):34-43. Epub 2020 Jan 27.

Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.

 Posterior inferior cerebellar artery (PICA) is a tortuous, variable, and uncommon site for aneurysms. Surgical management of PICA aneurysms involves careful selection of approach based on the location of the aneurysm and meticulous dissection of the neurovascular structures and perforators.  We did a retrospective review of all the PICA aneurysms operated at our institute in the past 10 years along with the site, presentation, and approach used for the same. Read More

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http://dx.doi.org/10.1055/s-0039-3399486DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7138643PMC
January 2020

Holographic image-guided thoracoscopic surgery: possibility of usefulness for esophageal cancer patients with abnormal artery.

Esophagus 2020 Apr 3. Epub 2020 Apr 3.

Department of Surgical Oncology, Gifu Graduate School of Medicine, 1-1 Yanagido, Gifu City, 501-1194, Japan.

Background: With the recent improvement of medical image analysis technology, three-dimensional (3D) holograms technology is beginning to be used as intraoperative image support.

Case Presentation: We used a wearable holographic computer during thoracoscopic esophagectomy in a 70-year-old man with esophageal cancer. During lymph node dissection around the right recurrent laryngeal nerve, abnormal blood vessels were observed beside the right subclavian artery (RSA). Read More

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http://dx.doi.org/10.1007/s10388-020-00737-6DOI Listing

Bilateral vertebral artery dissection and cerebellar stroke: a rare complication of massage.

N Z Med J 2020 04 3;133(1512):88-92. Epub 2020 Apr 3.

Casey Hospital Emergency Department, Monash Health; Faculty of Medicine, Nursing and Health Sciences, Monash University.

Dissection of a cervical artery is a well-known cause of stroke, especially in younger patients. We describe the case of a 39-year-old male, who presented to our emergency department after a one-day history of headache and vomiting, with associated sudden onset posterior neck pain and cerebellar signs following a massage. Computed tomography angiogram and brain demonstrated bilateral vertebral artery dissection and cerebellar stroke. Read More

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Microanatomical considerations for safe uncinate removal during anterior cervical discectomy and fusion: 10-year experience.

Clin Anat 2020 Apr 2. Epub 2020 Apr 2.

Department of Neurosurgery, Mayo Clinic Health Systems, Eau Claire, Wisconsin, USA.

Cervical radiculopathy from uncovertebral joint (UVJ) hypertrophy and nerve root compression often occurs anterior and lateral within the cervical intervertebral foramen, presenting a challenge for complete decompression through anterior cervical approaches owing to the intimate association with the vertebral artery and associated venous plexus. Complete uncinatectomy during anterior cervical discectomy and fusion (ACDF) is a controversial topic, many surgeons relying on indirect nerve root decompression from restoration of disc space height. However, in cases of severe UVJ hypertrophy, indirect decompression does not adequately address the underlying pathophysiology of anterolateral foraminal stenosis. Read More

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http://dx.doi.org/10.1002/ca.23596DOI Listing

Association of aberrant subclavian arteries with aortic pathology and proposed classification system.

J Vasc Surg 2020 Mar 29. Epub 2020 Mar 29.

Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, Calif. Electronic address:

Objective: Aberrant subclavian artery (aSCA) is a rare anatomic variant whose association with other aortic branch variations and aortic pathology has yet to be established. Knowledge of such an association could be relevant to recommendations for screening and awareness as associated variations are important for operative planning. We describe the incidence of aSCA variations, its association with aortic pathology, and a proposed classification system. Read More

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http://dx.doi.org/10.1016/j.jvs.2020.01.042DOI Listing

A comparison of endovascular strategies in the treatment of ruptured vertebral artery aneurysms.

J Clin Neurosci 2020 May 25;75:168-175. Epub 2020 Mar 25.

Department of Radiology, Auckland City Hospital, Auckland, New Zealand.

Background: Contemporary management of ruptured vertebral artery dissecting aneurysms (VADA) has evolved beyond proximal parent artery occlusion (PPAO) to include endovascular trapping (ET) of the diseased segment and vessel preserving stent treatments. The aim of this retrospective cohort study was to assess the outcomes of patients with ruptured VADAs who underwent endovascular management with trapping of the diseased segment as the first-line treatment approach.

Methods: We evaluated an institutional database of patients with ruptured VADAs who were treated at Auckland City Hospital from 1998 to 2017. Read More

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http://dx.doi.org/10.1016/j.jocn.2019.07.018DOI Listing

Cervical Vertebral Artery to Facial Branch External Carotid Artery Bypass: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2020 Jun;18(6):E224-E225

Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.

Posterior circulation ischemia often presents with dizziness, ataxia, visual disturbances, or motor-sensory deficits. The vertebral artery stenosis most frequently involves the V1 segment proximal to the foraminal segment. This patient demonstrated critical stenosis of the left V1 segment of the vertebral artery related to atherosclerotic disease. Read More

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http://dx.doi.org/10.1093/ons/opaa028DOI Listing

Endovascular Treatment with Drug-Eluting Balloon for Severe Subclavian Artery Stenosis Involving the Origin of the Vertebral Artery.

Transl Med UniSa 2020 Jan-Apr;21:35-37. Epub 2020 Feb 20.

Vascular Surgery Unit; Department of Surgical, Oncological and Oral Sciences, University of Palermo.

The first line approach for subclavian steal syndrome is PTA-stenting of subclavian artery. When the ipsilateral vertebral artery origin is involved or in closed proximity of the atherosclerotic lesion in the subclavian artery PTA-stenting is at risk of ipsilateral vertebral artery coverage. Herein we report our experience with DEB to address lesions involving the subclavian artery and the origin of the ipsilateral vertebral artery. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7039271PMC
February 2020

Cocaine-Induced Renal Artery Dissection as a Cause of Secondary Hypertension: A Rare Presentation.

Am J Case Rep 2020 Feb 25;21:e921565. Epub 2020 Feb 25.

Nephrology Division, Federal University of São Paulo, São Paulo, SP, Brazil.

BACKGROUND Cocaine abuse is a globally recognized problem with great socioeconomic and health impacts on society. We report a case of dissection of vertebral arteries and right renal artery after cocaine abuse that clinically presented as atypical headache and hypertension. CASE REPORT A 36-year-old male sought emergency care due to cervical pain after cocaine abuse. Read More

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http://dx.doi.org/10.12659/AJCR.921565DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061928PMC
February 2020

Anomalies of the right vertebral vein increasing the difficulty of lymph-node dissection along the right recurrent laryngeal nerve: a single-institution, retrospective study.

Esophagus 2020 Jul 22;17(3):257-263. Epub 2020 Feb 22.

Department of Gastroenterological Surgery, Saitama Cancer Center Hospital, 780 Komuro Inamachi, Kitaadachi-gun, Saitama, 362-0806, Japan.

Background: Radical lymph-node dissection along the recurrent laryngeal nerves (RLN) improves the prognosis of patients with esophageal cancer. The RLN is a landmark for achieving adequate lymph-node dissection. However, the right RLN is sometimes covered by the right vertebral veins (VVs), making it undetectable. Read More

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http://dx.doi.org/10.1007/s10388-020-00723-yDOI Listing

A case of multiple Vertebrobasilar artery fenestration misdiagnosed as vertebral artery dissection.

BMC Neurol 2020 Feb 20;20(1):63. Epub 2020 Feb 20.

Department of Neurology, China-Japan Friendship Hospital, Beijing, China.

Background: Fenestration of vertebra-basilar artery is an uncommon congenital vascular anomaly, which is identified by incidental findings on imaging in patients presented without related symptoms or in patients with intracerebral hemorrhage secondary to concomitant artery aneurysm or arteriovenous malformations. Yet, cases of fenestration being misdiagnosed as cerebral artery dissection have never been reported.

Case Presentation: We present a patient of 66-year-old female with acute onset of dizziness after chiropractic manipulation of the neck. Read More

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http://dx.doi.org/10.1186/s12883-020-01642-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7033924PMC
February 2020

Unique Indications for Covered Stent Grafts in Neuroradiology Departments of Level 1 Trauma Centers.

J Neurol Surg A Cent Eur Neurosurg 2020 May 11;81(3):243-252. Epub 2020 Feb 11.

Unfallkrankenhaus Berlin, Department of Radiology and Neuroradiology, Berlin, Germany.

Objective:  To describe unique indications for covered stent grafts in trauma-associated cerebrovascular injuries.

Patients:  Between 2006 and 2018, five patients with cerebrovascular injuries were treated with a covered stent graft. We present a retrospective analysis of technique and outcomes. Read More

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http://dx.doi.org/10.1055/s-0039-1697604DOI Listing

A case of aberrant bilateral vertebral arteries orgin presenting with right VA dissection.

Caspian J Intern Med 2020 ;11(1):116-119

Department of Neurology, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran.

Background: Knowledge of variations in the origin of vertebral artery (VA) is indispensable to vascular surgeons. Aberrant origin of vertebral artery on either side is an uncommon finding. There are unilateral and bilateral variability in VA origin. Read More

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http://dx.doi.org/10.22088/cjim.11.1.116DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6992730PMC
January 2020

Endovascular treatment of patients with high-risk symptomatic intracranial vertebrobasilar stenoses: long - term outcomes.

Stroke Vasc Neurol 2019 Dec 2;4(4):182-188. Epub 2019 Jun 2.

Department of Neuroradiology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.

Background And Purpose: We present the long-term outcome after endovascular treatment of symptomatic intracranial posterior circulation stenoses.

Methods: 30 patients with symptomatic intracranial posterior circulation stenoses exceeding 70% underwent endovascular treatment between 2006 and 2012. Data regarding presentation, follow-up, procedure details, complications and imaging follow-up were reviewed. Read More

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http://dx.doi.org/10.1136/svn-2019-000230DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979875PMC
December 2019

Predictors of Cervical Vertebral and Carotid Artery Dissection During Blunt Trauma: Experience From a Level 1 Trauma Center.

World Neurosurg 2020 May 3;137:e315-e320. Epub 2020 Feb 3.

Department of Neurosurgery, Stanford University School of Medicine, Stanford, California, USA; Division of Neurosurgery, Santa Clara Valley Medical Center, San Jose, California, USA. Electronic address:

Background: The current data available to identify the factors associated with vertebral and carotid artery dissection in the trauma setting are conflicting, and further research is needed to accurately assess these predictors.

Methods: The data from 950 patients who had undergone neck computed tomography angiography (CTA) at a level 1 trauma center were analyzed. Of the 950 patients, 435 were included who had undergone neck CTA for blunt traumatic injuries. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.01.191DOI Listing

A case of severe headache attributed to vertebral artery dissection.

JA Clin Rep 2019 Apr 8;5(1):27. Epub 2019 Apr 8.

Department of Anesthesiology, Shimane University Faculty of Medicine, 89-1 Enya-cho, Izumo, Shimane, Japan.

Background: Vertebral artery dissection (VAD) sometimes has no specific symptoms and is difficult to differentiate from other forms of headache.

Case Presentation: A woman in her thirties had a severe, throbbing left-sided headache. A migraine without aura was suspected and zolmitriptan was administered, which alleviated the symptoms. Read More

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http://dx.doi.org/10.1186/s40981-019-0247-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6967268PMC

Bow Hunter's syndrome combined with ipsilateral vertebral artery dissection/pseudoaneurysm: case study and literature review.

Br J Neurosurg 2020 Feb 3:1-5. Epub 2020 Feb 3.

Neurology Department, Xuanwu Hospital, Capital Medical University, Beijing, China.

Bow hunter's syndrome (BHS), also known as rotational vertebral artery occlusion syndrome, is rare. Occasionally, it combines with dissection/pseudoaneurysm of the ipsilateral VA. We report a case of BHS combined with ipsilateral VA dissection/pseudoaneurysm and review eight similar cases reported in the literature. Read More

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http://dx.doi.org/10.1080/02688697.2020.1718604DOI Listing
February 2020
0.947 Impact Factor

Anatomical Variations of Vertebrobasilar Artery are Closely Related to the Occurrence of Vertebral Artery Dissection-An MR Angiography Study.

J Stroke Cerebrovasc Dis 2020 Apr 31;29(4):104636. Epub 2020 Jan 31.

Department of Neurosurgery, Graduate School of Medicine and Pharmaceutical Science, University of Toyama, Toyama, Japan.

Goal: Intracranial arterial dissection is a major cause of ischemic stroke and subarachnoid hemorrhage in relatively young patients. We assessed the hypothesis that the tortuosity of the vertebrobasilar artery is associated with the occurrence of vertebral artery (VA) dissection, using MR angiography (MRA).

Materials And Methods: This study enrolled 43 patients with VA dissection, and 63 age- and sex-matched healthy subjects were used as the controls. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2020.104636DOI Listing

A Multidisciplinary Approach in the Management of a Paediatric Posterior Fossa Ischaemic Stroke: A Case Report.

Cureus 2019 Dec 19;11(12):e6418. Epub 2019 Dec 19.

Neuroradiology Unit, Biomedical Sciences and Morphologic and Functional Images, University of Messina, Messina, ITA.

Posterior circulation acute ischaemic stroke in childhood is a rare but life-threatening disease. We describe a paediatric case of a 17-year-old Indian boy who was admitted to our centre for headache, nausea, vomiting, asthenia, and fever for two days. Computed tomography angiography (CTA), magnetic resonance angiography (MRA) and digital subtraction angiography (DSA) were performed, showing a thrombotic occlusion of the basilar artery due to focal dissection into the proximal third of the left vertebral artery. Read More

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http://dx.doi.org/10.7759/cureus.6418DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6970101PMC
December 2019

Imaging features of vertebral artery fenestration.

Neuroradiology 2020 May 24;62(5):587-592. Epub 2020 Jan 24.

Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institution, 600 N. Wolfe St., Baltimore, MD, 21287, USA.

Purpose: Vertebral artery fenestration (VAF) is a rare congenital vascular anomaly which has been associated with intracranial aneurysm. VAF can share some similar imaging features with vertebral artery dissection (VAD), which may confound diagnosis of the latter on CT and MR angiography. The purpose of this investigation is to assess the prevalence of VAF, evaluate its association with other vascular anomalies, and identify imaging features to help in distinguishing VAF and VAD. Read More

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http://dx.doi.org/10.1007/s00234-020-02370-7DOI Listing
May 2020
2.485 Impact Factor

Left Vertebral Artery to Common Carotid Artery Transposition in a Patient With Bilateral Vertebral Insufficiency: 3-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2020 Jan 24. Epub 2020 Jan 24.

Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.

Extracranial vertebral artery (VA) atherosclerosis is responsible for 14% to 32% of posterior circulation infarctions.1 In the posterior circulation, narrowing of the VA > 30% is significantly associated with strokes. Subclavian artery (SCA) atherosclerosis can produce subclavian steal. Read More

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http://dx.doi.org/10.1093/ons/opaa001DOI Listing
January 2020

Delayed Sudden Respiratory Arrest After a High-energy Motorcycle Accident.

Cureus 2019 Dec 17;11(12):e6406. Epub 2019 Dec 17.

Acute Critical Care Medicine, Juntendo University Shizuoka Hospital, Izunokuni, JPN.

A 50-year-old man driving a motorcycle at 100 kph crashed at a curve on a racing course. On arrival, he had clear consciousness, and his vital signs showed mild hypertension and tachycardia. His chief complaint was general pain. Read More

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http://dx.doi.org/10.7759/cureus.6406DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6968826PMC
December 2019