Vertebral artery dissection: Difference between revisions
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==Overview== | |||
'''Vertebral artery dissection''' is the development of [[Dissection (medical)|dissection]] (a flap-like tear) in the [[vertebral artery]]. It is commonly associated with [[physical trauma]] but may also develop spontaneously. It is a major cause of [[stroke]] in young people. | '''Vertebral artery dissection''' is the development of [[Dissection (medical)|dissection]] (a flap-like tear) in the [[vertebral artery]]. It is commonly associated with [[physical trauma]] but may also develop spontaneously. It is a major cause of [[stroke]] in young people. | ||
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==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{Circulatory system pathology}} | {{Circulatory system pathology}} | ||
Revision as of 20:04, 3 October 2012
| Vertebral artery dissection | |
 | |
|---|---|
| Arteries of the neck | |
| ICD-9 | 443.24 |
| eMedicine | emerg/832 |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Vertebral artery dissection is the development of dissection (a flap-like tear) in the vertebral artery. It is commonly associated with physical trauma but may also develop spontaneously. It is a major cause of stroke in young people.
Presentation
Typical features are pain in the neck associated with stroke-like symptoms of the "posterior circulation": cranial nerve palsies, ataxia, and cortical visual loss.[1] It can also cause subarachnoid hemorrhage (bleeding into the area around the brain); dissecting aneurysms of the vertebral artery represent about 4% of all aneurysms.[2]
Incidence
The annual incidence is about 1 per 100,000 in America and 1.5 per 100,000 in France.[2]
Diagnosis
CT
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References
- ↑ Thanvi B, Munshi SK, Dawson SL, Robinson TG (2005). "Carotid and vertebral artery dissection syndromes". Postgrad Med J. 81 (956): 383–8. doi:10.1136/pgmj.2003.016774. PMID 15937204.
- ↑ 2.0 2.1 Santos-Franco JA, Zenteno M, Lee A (2008). "Dissecting aneurysms of the vertebrobasilar system. A comprehensive review on natural history and treatment options". Neurosurg Rev. doi:10.1007/s10143-008-0124-x. PMID 18309525.