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General

Vertebral Artery Dissection Clinical Presentation

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Methods Participants were individuals 55 years of age or younger from the Hunter region of New South Wales, Australia with radiologically confirmed vertebral or internal carotid artery dissection and an age- and sex-matched comparison group. Participants were interviewed about risk factors, preceding events, and clinical features of While much is known about the pathogenesis, presentation, and prognosis of cervical artery dissections, intracranial artery dissections (IAD) are much rarer and more poorly characterized. There are relatively few studies of IAD in the literature, but they seem to have a predilection for young adults and arteries of the posterior circulation [1], [2]. There are

Vertebral artery dissection occurs when a tear forms in one or more layers of your vertebral artery. This vessel provides oxygen-rich blood to your brain and spine. With recent innovations in neuroendovascular therapies, intracranial dissections are commonly treated with stents and/or coil embolization of associated pseudoaneurysms. This chapter reviews the presentation, treatment, and clinical outcomes for patients with extracranial and intracranial carotid and vertebral artery dissections. Vertebral artery dissection (VAD) is a rare cause of ischemic stroke in young patients. The largely nonspecific symptoms and delayed presentation pose a serious diagnostic challenge. Medical management with either anticoagulation or antiplatelet therapy is recommended, but there are no reports of successful dual therapy. We report a case of

Vertebral Artery Stenosis: A Narrative Review

Text - Understanding Vertebral Artery Dissection (VAD) - HealthClips Online

Abstract A study was performed to evaluate the relationship between the imaging features and clinical presentation of vertebral artery (VA) dissection. Twenty-two patients with 24 VA dissections at angiography and clinical evaluation also underwent computed tomography and magnetic resonance imaging. Carotid artery dissection (CAD) is a diverse clinical condition; patients have variable presentations, broad predisposing factors, and varying severity. Patients with CAD can present with head, face, interviewed about risk factors or neck pain; partial Horner syndrome; focal neurological deficits related to cerebral or retinal ischemia; or no symptoms. Urgent management is essential, including Since the ischemic stroke mechanism is often unknown or unconfirmed at the time of decision-making for intravenous thrombolysis, and since cervical or cerebral artery dissection is not a contraindication, patients with suspected cervical or intracranial dissection should receive intravenous thrombolysis if otherwise eligible.

A literature search of MEDLINE/PubMed, Embase, and other major abstracts in the English language was performed for the following terms: cervical artery, vertebral artery, and carotid artery dissection. Vertebral artery dissection (VAD) is a rare cause of non-traumatic subarachnoid hemorrhage (SAH) with significant clinical implications. This study compared the clinical characteristics and outcomes of SAH from intracranial VAD rupture to those from other etiologies, primarily aneurysmal rupture.

introduction Cervical artery dissection is characterised by the formation of a haematoma within the wall of the internal carotid or Why do the symptoms vertebral arteries. The dissecting arterial haematoma can exert local effects, as well as providing a nidus for thrombotic emboli.

Antiplatelet therapy vs anticoagulation therapy in cervical artery dissection: the cervical artery dissection in stroke study (CADISS) Randomized Clinical Trial final results.

Objective To describe the case of a patient with vertebral artery dissection seeking care in a chiropractic clinic. Clinical Features A 25-year-old established patient who had previously from the Hunter region of been successfully treated for neck pain and headache sought care for similar complaints. Several factors in the patient history and presentation of the current complaint

Most information about IAD is extrapolated from series of carotid and vertebral artery dissections that include both intracranial and extracranial segments. Studies an important cause of from different geographic regions with substantially different ethnic populations report different ratios of intracranial to extracranial dissection.

A review of carotid and vertebral artery dissection

When a tear occurs in one of the major cervicocerebral arteries and allows blood to enter the wall of the artery and split its layers, the result is either stenosis or aneurysmal dilatation of the vessel. Vertebral artery dissection (VAD) is an Abstract Background and purpose: Few data exist about clinical, radiologic findings, clinical outcome, and its predictors in patients with spontaneous vertebral artery dissection (sVAD). Methods: Clinical characteristics, imaging findings, 3-month outcomes, and its predictors were investigated in consecutive patients with sVAD. However, few studies have reported on the distribution of cerebral arterial dissection and angiographic pattern related to the presenting clinical symptom pattern. We analyzed the distribution of cerebral artery dissection along with angiographic and clinical presenting a pattern as depicted on angiograms.

Abstract. Background/Aims: Vertebral artery dissection (VAD) is an important cause of ischemic stroke. In this observational study, clinical data, magnetic resonance (MR) and ultrasound therapy vs anticoagulation therapy (US) imaging findings and ischemic patterns were analyzed. Methods: Forty-seven patients with a diagnosis of VAD underwent clinical examination, US, MR of the brain and neck

Vertebral artery stenosis (VAS) is the cause of approximately 20% of ischemic strokes in the posterior circulation. There are several causes of vertebral artery stenosis, including atherosclerosis, calcification, dissections, fibromuscular Vertebral artery dissection (VAD) may result from impact and/or from intracranial VAD rupture movement during sports participation. Impact to the mastoid region is consistently implicated in fatal cases and should be the focus of injury-prevention strategies in sport. Clinicians should be alert to the possibility of VAD in patients presenting with ischaemic symptoms following impact and/or

Why are the symptoms of cervical artery dissection often fluctuating? Why do the symptoms of cervical artery dissection sometimes seem to not fit an anatomical distribution? What are the key clinical features that would trigger you to suspect cervical artery dissection? How do you decide which patients require a CT angiogram? Most frequently, the mechanism of cerebral ischemia in the case of an extracranial arterial dissection is through artery-to-artery embolism from an intraluminal thrombus, hence the rationale for the use of antithrombotics in secondary stroke prevention [6]. Case Presentation

Lateral medullary syndrome, or Wallenberg syndrome, arises due to the infarction of the posterolateral part of the medulla oblongata and is commonly associated with vertebral artery dissection in young patients. This case report is about a 27-year-old female patient who presented with symptoms of right-sided headache, vertigo, dizziness, facial weakness, and

Vertebral artery dissections (VADs) have the distinct particularity that they can cause ischemic stroke (in the brainstem, cerebellum or even the spinal cord), but also subarachnoid hemorrhage, when the dissection occurs in the intracranial Summary Dissection of the carotid is essential or vertebral arteries (collectively known as the cervical arteries) refers to the separation of the tunica media and tunica intima of a vessel. Cervical artery dissection can cause stenosis, thrombosis, or distal embolization. Most affected individuals are adults.

Cervical artery dissection (CAD) is a general term including both carotid and vertebral artery dissections. A dissection occurs when there is a tear in the intimal layer of a carotid or vertebral artery that leads to the development of an intramural hematoma. The hematoma can cause stenosis, occlusion, or aneurysmal dilation. Early detection is critical as Abstract Background/aims: Vertebral artery dissection (VAD) is an important cause of ischemic stroke. In this observational study, clinical data, magnetic resonance (MR) and ultrasound (US) imaging findings and ischemic patterns were analyzed. The aim of the study is to evaluate the natural history of extracranial cervical artery dissection (CAD) including comorbidities, symptoms at presentation, recurrence of symptoms, and long-term outcome following different treatment approaches.

Cervical artery dissection is an important cause of stroke, particularly in young adults. Data conflict on the diagnostic evaluation and treatment of patients with suspected cervical artery dissection, leading to variability in practice. We aim to provide an overview of cervical artery dissection in the setting of minor or no reported mechanical trigger with a focus on Methods: Participants were individuals 55 years of age or younger from the Hunter region of New South Wales, Australia with radiologically confirmed vertebral or internal carotid artery dissection and an age- and sex-matched comparison group. Participants were interviewed about risk factors, preceding events, and clinical features of their stroke.

A study was performed to evaluate the relationship between the imaging features and clinical presentation of vertebral artery (VA) dissection. Twenty-two patients with 24 VA dissections at angiogra

Cervical artery dissections is the collective term for dissections of the carotid or vertebral arteries. They are important causes of stroke in younger people and are often difficult diagnoses to make 3.Vertebral artery dissection: spectrum of imaging findings with emphasis on angiography and correlation with clinical presentation. Shin JH, Suh DC, Choi CG, Leei HK. Abstract A study was performed to evaluate the relationship between the imaging features and clinical presentation of vertebral artery (VA) dissection. Twenty-two patients with 24 VA dissections at angiography and clinical evaluation also underwent computed tomography and magnetic resonance imaging.

Vertebral artery dissection (VAD) is an increasingly recognized cause of stroke in patients younger than 45 years. Although its pathophysiology and treatment closely resemble that of its sister condition, carotid artery dissection (CAD), the clinical presentation, etiology, VAD is a and epidemiological profile of VADs are unique. Cervical artery dissection encompasses dissections of both the carotid and vertebral arteries. These conditions have similar aetiology but different clinical presentations. The combined incidence is around 3.5-4.5 per 100,000

Intracranial vertebral artery dissection (VAD) represents the underlying etiology in a significant percentage of posterior circulation ischemic strokes and subarachnoid hemorrhages. These lesions are particularly challenging in their diagnosis, Vertebral artery dissection (VAD) is a rare cause of non-traumatic subarachnoid hemorrhage (SAH) with significant clinical implications. This study compared the clinical characteristics and outcomes of SAH from intracranial VAD rupture to those from other etiologies, primarily aneurysmal rupture.