2,461 results match your criteria Dissection Vertebral Artery


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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Vertebral Artery Dissection in Sport: A Systematic Review.

Sports Med 2019 Feb 13. Epub 2019 Feb 13.

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
February 2019
1 Read

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

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
1 Read

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

J Stroke Cerebrovasc Dis 2019 Jan 30. Epub 2019 Jan 30.

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
January 2019
1 Read

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
2 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
January 2019
2 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
1 Read

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
2 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
11 Reads

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

J Stroke Cerebrovasc Dis 2019 Jan 14. 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
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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2018.12.045DOI Listing
January 2019
4 Reads

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

Rozhl Chir 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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January 2018
1 Read

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
1 Read

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
1 Read

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
1 Read

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
9 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
3 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
1 Read

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

Neurol Sci 2018 Dec 6. 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
December 2018
1 Read

Occipital to Vertebral Artery Bypass to Stop Transient Ischemic Attacks Caused by Traumatic Vertebral Artery Dissection: A Case Report.

World Neurosurg 2018 Dec 6. Epub 2018 Dec 6.

Department of Neurosurgery, 687-4 Nadogaya, Kashiwa, Chiba 277-0032 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
December 2018
1 Read

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
1 Read

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
3 Reads

Radiological and Clinical Outcome after Multilevel Anterior Cervical Discectomy and/or Corpectomy and Fixation.

J Clin Med 2018 Nov 23;7(12). Epub 2018 Nov 23.

Department of Neurosurgery, Klinikum Dortmund, 44145 Dortmund, Germany.

Background: Multilevel anterior cervical decompression and fixation of four and more levels is a common surgical procedure used for several diseases.

Methods: We reviewed the radiological and clinical outcomes after anterior cervical discectomy or corpectomy and fixation of four and more levels in 85 patients (55 men and 30 women) with an average age of 59.6 years. Read More

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http://dx.doi.org/10.3390/jcm7120469DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306941PMC
November 2018
1 Read

Surgical Strategies for Ruptured Complex Aneurysms Using Skull Base Technique and Revascularization Surgeries.

Asian J Neurosurg 2018 Oct-Dec;13(4):1165-1170

Department of Neurosurgery, National Defense Medical College, Tokorozawa, Japan.

Object: Surgical clipping of paraclinoid aneurysm, thrombosed large aneurysm, and/or vertebral-basilar dissecting aneurysms can be very difficult and has relatively high morbidity. We describe our experience using skull base and bypass technique and discuss the advantages and its pitfalls.

Patients And Methods: We retrospectively reviewed medical charts of 22 consecutive patients with complex aneurysmal lesions underwent skull base and/or bypass techniques between March 2012 and April 2017. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_176_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208242PMC
November 2018
11 Reads

Clinical Characteristics of Cerebellar Infarction Due to Arterial Dissection.

Asian J Neurosurg 2018 Oct-Dec;13(4):995-1000

Department of Neurosurgery, Fujita Health University Hospital, Toyoake, Japan.

Objectives And Background: Arterial dissection (AD) of the vertebral artery (VA) or its branches may cause ischemic stroke of the posterior circulation. However, clinical and radiological characteristics of patients with AD-related cerebellar infarction (CI) have rarely been reported.

Methods: Forty-nine patients with CI admitted to our department from April 2008 to March 2015 were identified from our database. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_373_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208259PMC
November 2018
1 Read

Optical Coherence Tomography of Spontaneous Basilar Artery Dissection in a Patient With Acute Ischemic Stroke.

Front Neurol 2018 16;9:858. Epub 2018 Oct 16.

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

The diagnosis of intracranial arterial dissection (IAD) may be challenging and multimodal imaging techniques are often needed to confirm the diagnosis. Previous studies have based their criteria for diagnosis of IAD on conventional angiography, computed tomography, or magnetic resonance imaging. We report a case with acute ischemic stroke due to spontaneous basilar artery dissection in which intravascular optical coherence tomography (OCT) was used to show features of IAD. Read More

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http://dx.doi.org/10.3389/fneur.2018.00858DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6232774PMC
October 2018
1 Read

Subarachnoid Hemorrhage From a Distal Middle Cerebral Artery Aneurysm Possibly Related to Segmental Arterial Mediolysis.

World Neurosurg 2019 Feb 14;122:429-432. Epub 2018 Nov 14.

Department of Neurosurgery, Kurashiki Central Hospital, Okayama, Japan.

Background: Distal middle cerebral artery aneurysm (DMCAAn) is rare, and the clinical features and the etiology are not well understood. Segmental artery mediolysis (SAM) is a pathologic entity that affects the media of the muscular artery and can cause arterial dissection and a hemorrhagic event. Subarachnoid hemorrhage (SAH) due to SAM in the vertebral artery has been documented. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183257
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http://dx.doi.org/10.1016/j.wneu.2018.11.031DOI Listing
February 2019
11 Reads

Anatomical variations of the aortic arch branches in a sample of Chinese cadavers: embryological basis and literature review.

Interact Cardiovasc Thorac Surg 2018 Nov 15. Epub 2018 Nov 15.

Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou City, Guangdong Province, China.

Objectives: The aim of this study is to determine the incidence and explore the types of aortic arch branch variations found in our cadavers.

Methods: The types and incidence of aortic branch variations in 120 cadavers were analysed after careful dissection.

Results: One hundred and six of 120 cadavers had normal aortic arch branches and gave rise to usual branches, namely the brachiocephalic trunk, the left common carotid artery and the left subclavian artery. Read More

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http://fdslive.oup.com/www.oup.com/pdf/production_in_progres
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http://dx.doi.org/10.1093/icvts/ivy296DOI Listing
November 2018
24 Reads

Utility of Single Fenestrated Miniclip in Management of Small Cerebral Aneurysm: Technical Report of 2 Cases.

World Neurosurg 2019 Feb 9;122:240-244. Epub 2018 Nov 9.

Department of Neurosurgery, Iwate Prefectural Chubu Hospital, Kitakami, Iwate, Japan.

Background: Fenestrated miniclips were developed as an effective tool for dog-ear-shaped remnants of aneurysms. However, the special property of these clips may have other applications. Here, we report 2 cases of ruptured small aneurysm and suggest the alternative utility of a single application of a fenestrated miniclip. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.10.222DOI Listing
February 2019
3 Reads

A Case of Posterior Inferior Cerebellar Artery Infarction after Cervical Chiropractic Manipulation.

Korean J Neurotrauma 2018 Oct 31;14(2):159-163. Epub 2018 Oct 31.

Department of Neurosurgery, Ewha Womans University Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, Korea.

We describe the case of a patient who had infarction of the posterior inferior cerebellar artery (PICA) after a chiropractic cervical manipulation. A 39-year-old man visited the emergency room with signs of cerebellar dysfunction, presenting with a 6-hour history of vertigo and imbalance. Two weeks ago, he was treated by a chiropractor for intermittent neck pain. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.13004/kjnt.2018.
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http://dx.doi.org/10.13004/kjnt.2018.14.2.159DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218346PMC
October 2018
6 Reads

Posterior open reduction and internal fixation of C1 fractures: the C-clamp technique.

Acta Neurochir (Wien) 2018 Dec 5;160(12):2451-2457. Epub 2018 Nov 5.

Department of Neurosurgery, Stanford Hospital and Clinics, Stanford University, 300 Pasteur Drive, Edwards Bldg., R-201, Stanford, CA, 94305, USA.

Background: The treatment of isolated atlas (C1) fractures is still controversial. The surgical management usually involves an arthrodesis of the atlanto-axial (C1-C2) joint with or without occipital fixation. We reviewed the senior author's series of posterior only open reduction and internal fixation (ORIF) of isolated C1 fractures. Read More

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http://link.springer.com/10.1007/s00701-018-3710-x
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http://dx.doi.org/10.1007/s00701-018-3710-xDOI Listing
December 2018
9 Reads

Postpartum dissection in bovine aorta with anomalous brachiocephalic vessels.

Asian Cardiovasc Thorac Ann 2018 Oct 31:218492318811554. Epub 2018 Oct 31.

1 Section of Cardiac Surgery, University Hospital, Pisa, Italy.

A 42-year-old woman, with no evidence of connective tissue disease, presented with acute aortic dissection after an uneventful vaginal delivery following an uncomplicated pregnancy. Emergency computed tomography angiography showed a bovine aortic arch with a separate origin of the left vertebral artery. At surgery, a tricuspid aortic valve was found and the aortic arch was successfully repaired with reimplantation of a button incorporating the origin of the brachiocephalic vessels. Read More

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http://journals.sagepub.com/doi/10.1177/0218492318811554
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http://dx.doi.org/10.1177/0218492318811554DOI Listing
October 2018
20 Reads

Spinal Cord Infarction Because of Spontaneous Vertebral Artery Dissection.

Stroke 2018 Nov;49(11):e314-e317

From the Department of Neurology, Warren Alpert Medical School of Brown University, Providence, RI (M.M., A.B., I.A., L.K., S.Y.).

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http://dx.doi.org/10.1161/STROKEAHA.118.022333DOI Listing
November 2018
3 Reads

Magnetic Resonance Imaging and Clinical Factors Associated With Ischemic Stroke in Patients Suspected of Cervical Artery Dissection.

Stroke 2018 Oct;49(10):2337-2344

From the Department of Radiology, Utah Center for Advanced Imaging Research (J.S.M., P.J.H., A.S., L.B.E., S.-E.K., E.P.Q., E.I., G.S.T., D.L.P.), University of Utah, Salt Lake City.

Background and Purpose- Cervical artery dissection is a major cause of ischemic stroke in the young and presents with various imaging findings, including stenosis and intramural hematoma (IMH). Our goal was to determine the relative contribution of lumen findings and IMH to acute ischemic stroke and whether a heavily T1-weighted sequence could more reliably detect IMH. Methods- Institutional review board approval was obtained for this retrospective study of 254 patients undergoing magnetic resonance imaging/magnetic resonance angiography for suspected dissection. Read More

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https://www.ahajournals.org/doi/10.1161/STROKEAHA.118.021868
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http://dx.doi.org/10.1161/STROKEAHA.118.021868DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208137PMC
October 2018
10 Reads

Management of Blunt Cerebrovascular Injury.

Curr Neurol Neurosci Rep 2018 Oct 23;18(12):98. Epub 2018 Oct 23.

Department of Neurology, University of Florida, 1149 Newell Dr., PO Box 100236, Gainesville, FL, 32610, USA.

Purpose Of Review: This review provides an updated summary of blunt cerebrovascular injury (BCVI) to guide clinicians in its early diagnosis and prevention and treatment of stroke associated with such injury.

Recent Findings: Untreated BCVI causes stroke in 10-40% of patients, but more than half will not present with stroke symptoms initially. Risk of stroke is highest in the first 7 days, with a peak in the first 24 h. Read More

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http://link.springer.com/10.1007/s11910-018-0906-7
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http://dx.doi.org/10.1007/s11910-018-0906-7DOI Listing
October 2018
11 Reads

Endovascular Stroke Therapy with a Novel 6-French Aspiration Catheter.

Cardiovasc Intervent Radiol 2019 Jan 16;42(1):110-115. Epub 2018 Oct 16.

Department of Interventional Neuroradiology, University of Lille, Hopital Roger Salengro - CHU Lille, 59800, Lille, France.

Background And Purpose: Direct thrombus aspiration is increasingly used as a first-line therapy in acute ischemic stroke with large vessel occlusion. We assessed the performance and safety of a novel aspiration catheter available: the 6-French AXS Catalyst catheter.

Materials And Methods: We conducted a cohort study from a prospective clinical registry of consecutive stroke patients treated by mechanical thrombectomy between March 2016 and July 2016. Read More

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http://dx.doi.org/10.1007/s00270-018-2093-yDOI Listing
January 2019
18 Reads

Bilateral Vertebral Artery Dissection and Unilateral Carotid Artery Dissection in Case of Ehlers-Danlos Syndrome Type IV.

World Neurosurg 2019 Jan 11;121:83-87. Epub 2018 Oct 11.

Department of Neurosurgery, Aichi Medical University, Nagakute, Aichi, Japan.

Background: Ehlers-Danlos syndrome (EDS) is a rare genetic connective tissue disorders, but the vascular type (type IV) typically poses the greatest risk to patients. We report a case of multiple cranial artery dissection, which was successfully treated with carotid artery stenting.

Case Description: A 50-year-old woman presented with recurrent severe headaches caused by bilateral vertebral artery dissections that were treated conservatively at our hospital. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183229
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http://dx.doi.org/10.1016/j.wneu.2018.09.236DOI Listing
January 2019
10 Reads

Variations in the branching pattern of the celiac trunk and its clinical significance.

Authors:
Hemamalini

Anat Cell Biol 2018 Sep 28;51(3):143-149. Epub 2018 Sep 28.

Department of Anatomy, Jagadguru Sri Shivarathreeshwara Medical College, Mysore, India.

Celiac trunk is the artery of foregut, arising from the abdominal aorta at the level of T12/L1 vertebral body. It extends approximately 1.5 to 2 cm horizontally forwards before dividing into three branches: left gastric, common hepatic, and splenic arteries. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.5115/acb.2018.51
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http://dx.doi.org/10.5115/acb.2018.51.3.143DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6172596PMC
September 2018
3 Reads

Shear wave elastography of the cervical arteries: A novel approach to the assessment of cervical arterial wall stiffness. An investigation of psychometric properties and intra-rater reliability.

Musculoskelet Sci Pract 2018 Sep 18. Epub 2018 Sep 18.

Centre for Advanced Imaging, University of Queensland, Australia.

Background: Cervical arterial dissection, can occur spontaneously and is a rare but catastrophic adverse event associated with neck manipulation. Pathophysiology involves altered integrity of the arterial wall increasing its vulnerability to minor trauma. Those at risk are difficult to detect. Read More

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http://dx.doi.org/10.1016/j.msksp.2018.09.008DOI Listing
September 2018
3 Reads

Digital Subtraction Angiography for CT Angiogram Negative Haemorrhages.

Can J Neurol Sci 2018 09;45(5):522-526

1Department of Diagnostic Radiology,QEII Health Sciences Centre,Halifax,Nova Scotia, Canada.

Background: In patients with subarachnoid haemorrhage (SAH) and a negative finding on CT angiography (CTA), further imaging with digital subtraction angiography (DSA) is commonly performed to identify the source of bleeding. The purpose of this study was to investigate whether negative findings on CTA can reliably exclude aneurysms in patients with acute SAH.

Methods: This retrospective study identified all DSAs performed between August 2010 and July 2014 within our institution. Read More

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http://dx.doi.org/10.1017/cjn.2018.75DOI Listing
September 2018
4 Reads

Headache secondary to cervical artery dissections: practice pointers.

Neurol Sci 2018 Sep 19. Epub 2018 Sep 19.

Unit of Neurology, Misericordia Hospital, Via Senese, 169, 58100, Grosseto, Italy.

Cervical artery dissections may present with mild and misleading symptoms such as a headache or cervical pain. In the absence of early diagnosis and therapy, such patients may have a high risk of cerebrovascular events. In order to refine evaluation of cervical artery dissections, we report the experience of a single center, focusing on clinical findings (e. Read More

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http://dx.doi.org/10.1007/s10072-018-3576-yDOI Listing
September 2018
3 Reads

A rare cause of abdominal pain: Fibromuscular dysplasia.

J Med Vasc 2018 Sep 23;43(5):329-331. Epub 2018 Jul 23.

Department of Internal Medicine and Infectious diseases, Centre Hospitalier Marc-Jacquet, 77000 Melun, France.

A 50-year-old man had a sudden severe abdominal pain. An abdominal enhanced computed tomographic scan revealed irregular stenosis of the celiac artery, dissection of the hepatic artery and of the left common iliac artery, and mid stenosis of the right renal artery with extended renal parenchymal hypodensity. After careful evaluation, the patient was diagnosed with fibromuscular dysplasia. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S25424513183011
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http://dx.doi.org/10.1016/j.jdmv.2018.07.002DOI Listing
September 2018
8 Reads

Extreme lateral transodontoid approach to the ventral craniocervical junction: cadaveric dissection and case illustrations.

J Neurosurg 2018 Sep 1:1-11. Epub 2018 Sep 1.

OBJECTIVESurgical treatment of pathological processes involving the ventral craniocervical junction (CCJ) traditionally involves anterior and posterolateral skull base approaches. In cases of bilateral extension, when lesions extend beyond the midline to the contralateral side, a unilateral corridor may result in suboptimal resection. In these cases, the lateral extent of the tumor will prevent extirpation of the lesion via anterior surgical approaches. Read More

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http://dx.doi.org/10.3171/2018.4.JNS172935DOI Listing
September 2018
2 Reads

Muscular-stage Dissection during Far Lateral Approach and Its Transcondylar Extension.

J Neurol Surg B Skull Base 2018 Oct 16;79(Suppl 4):S356-S361. Epub 2018 Aug 16.

Department of Neurosurgery, Shioda Memorial Hospital, Chiba, Japan.

 The far lateral approach includes exposure of the C1 transverse process, vertebral artery, posterior arch of the atlas, and occipital condyle. We designed a method for systematic muscular-stage dissection and present our experience with this approach.  We used a horseshoe scalp flap that was reflected downward and medially. Read More

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http://dx.doi.org/10.1055/s-0038-1668518DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133689PMC
October 2018
3 Reads

One burr-hole craniotomy: Suboccipital midline approach to the fourth ventricle in Helsinki neurosurgery.

Surg Neurol Int 2018 22;9:170. Epub 2018 Aug 22.

International Center for Neurosurgery, Henan Provincial People's Hospital, Zhengzhou, China.

Background: In this video-abstract, we present one burr-hole craniotomy for the standard suboccipital midline approach developed in Helsinki neurosurgery for the microsurgical management of forth ventricle lesions, distal posterior inferior cerebellar artery aneurysms, and tumoral and vascular lesions of the vermis, cisterna magna region, and posterior brainstem as well.

Case Description: We prefer to position the patient in sitting praying position. A midline straight single-layer incision starts on the inion and extends caudally toward the level of C2. Read More

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http://dx.doi.org/10.4103/sni.sni_194_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122287PMC
August 2018
1 Read

Comparison of Clinical and Radiologic Outcomes of Diverse Endovascular Treatments in Vertebral Artery Dissecting Aneurysm Involving the Origin of PICA.

World Neurosurg 2019 Jan 3;121:e22-e31. Epub 2018 Sep 3.

Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Republic of Korea. Electronic address:

Objective: To determine clinical and radiologic outcomes of vertebral artery dissecting aneurysms involving posterior inferior cerebellar artery according to different types of endovascular treatment.

Methods: This study included 18 vertebral artery dissecting aneurysms (6 ruptured and 12 unruptured) involving posterior inferior cerebellar artery treated from January 2009 to December 2016. Treatments were multiple stenting, stent-assisted coil embolization, vertebral artery trapping with vertebral artery-posterior inferior cerebellar artery stenting, and Pipeline embolization. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.08.184DOI Listing
January 2019
5 Reads

Color Doppler ultrasonography is a reliable diagnostic tool in the diagnosis of extracranial vertebral artery dissections.

J Med Ultrason (2001) 2019 Jan 5;46(1):153-158. Epub 2018 Sep 5.

Department of Radiology, University of Health Sciences, Adana Health Practice and Research Center, Adana, Turkey.

The purpose of this study was to evaluate the role of color Doppler sonography (CDS) in the diagnosis of extracranial vertebral artery dissections (EVADs). One hundred and fifty consecutive patients (age range 21-51 years, mean 44 years) with a clinical suspicion of vertebral artery dissection (VAD) were included in this study. All patients underwent CDS of vertebral arteries as the first-line imaging modality. Read More

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http://dx.doi.org/10.1007/s10396-018-0901-2DOI Listing
January 2019
4 Reads

One burr-hole craniotomy: Enough lateral approach to foramen magnum in helsinki neurosurgery.

Surg Neurol Int 2018 14;9:165. Epub 2018 Aug 14.

International Center for Neurosurgery, Henan Provincial People's Hospital, Zhengzhou, China.

Background: In this video-abstract, we present a one burr-hole craniotomy for the enough lateral approach (ELA) to the foramen magnum developed in Helsinki Neurosurgery, a less invasive variant of the classical far lateral approach. ELA does not require the resection of the occipital condyle nor the exposure of the extracranial/intraosseal course of the lower cranial nerves. The vertebral artery is not transposed and the sigmoid sinus is not skeletonized. Read More

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http://dx.doi.org/10.4103/sni.sni_193_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6108163PMC
August 2018
280 Reads

One burr-hole craniotomy: Upper retrosigmoid approach in helsinki neurosurgery.

Surg Neurol Int 2018 14;9:163. Epub 2018 Aug 14.

International Center for Neurosurgery, Henan Provincial People's Hospital, Zhengzhou, China.

Background: In this video-abstract, we present a one burr-hole craniotomy for the upper retrosigmoid approach developed in Helsinki Neurosurgery to access the lateral cerebellar hemisphere, the cerebellopontine angle, and lateral skull base (e.g. including the posterior petrous bone). Read More

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http://dx.doi.org/10.4103/sni.sni_186_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6108164PMC
August 2018
16 Reads