Vertebral artery dissection: Difference between revisions
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/* Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease: Recommendations for Management of Patients with Cervical Artery Dissection{{cite journal| author=Brott TG, Halperin JL, Abbara S, Bacharach JM, Barr... |
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===Symptoms=== | ===Symptoms=== | ||
Typical features are [[pain and nociception|pain]] in the [[neck]] associated with stroke-like symptoms of the "posterior circulation": [[cranial nerve]] palsies, [[ataxia]], and cortical visual loss.<ref>{{cite journal |author=Thanvi B, Munshi SK, Dawson SL, Robinson TG |title=Carotid and vertebral artery dissection syndromes |journal=Postgrad Med J |volume=81 |issue=956 |pages=383–8 |year=2005 |pmid=15937204 |doi=10.1136/pgmj.2003.016774|url= http://pmj.bmj.com/cgi/content/full/81/956/383}}</ref> It can also cause [[subarachnoid hemorrhage]] (bleeding into the area around the brain); dissecting aneurysms of the vertebral artery represent about 4% of all [[aneurysm]]s.<ref name=Santos-Franco>{{cite journal |journal= Neurosurg Rev |date=2008 |title= Dissecting aneurysms of the vertebrobasilar system. A comprehensive review on natural history and treatment options |author= Santos-Franco JA, Zenteno M, Lee A |doi=10.1007/s10143-008-0124-x |pmid=18309525}}</ref> | Typical features are [[pain and nociception|pain]] in the [[neck]] associated with stroke-like symptoms of the "posterior circulation": [[cranial nerve]] palsies, [[ataxia]], and cortical visual loss.<ref>{{cite journal |author=Thanvi B, Munshi SK, Dawson SL, Robinson TG |title=Carotid and vertebral artery dissection syndromes |journal=Postgrad Med J |volume=81 |issue=956 |pages=383–8 |year=2005 |pmid=15937204 |doi=10.1136/pgmj.2003.016774|url= http://pmj.bmj.com/cgi/content/full/81/956/383}}</ref> It can also cause [[subarachnoid hemorrhage]] (bleeding into the area around the brain); dissecting aneurysms of the vertebral artery represent about 4% of all [[aneurysm]]s.<ref name=Santos-Franco>{{cite journal |journal= Neurosurg Rev |date=2008 |title= Dissecting aneurysms of the vertebrobasilar system. A comprehensive review on natural history and treatment options |author= Santos-Franco JA, Zenteno M, Lee A |doi=10.1007/s10143-008-0124-x |pmid=18309525}}</ref> | ||
===CT=== | ===CT=== | ||
Revision as of 16:29, 5 November 2012
| Vertebral artery dissection | |
 | |
|---|---|
| Arteries of the neck | |
| ICD-9 | 443.24 |
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 ischemic stroke in young people.
Epdidemiology and Demographics
The annual incidence is about 1 per 100,000 in America and 1.5 per 100,000 in France.[1]
Diagnosis
Symptoms
Typical features are pain in the neck associated with stroke-like symptoms of the "posterior circulation": cranial nerve palsies, ataxia, and cortical visual loss.[2] 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.[1]
CT
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Vertebral artery dissection 1 -
Vertebral artery dissection 2
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Vertebral artery dissection 3 -
Vertebral artery dissection 4
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Vertebral artery dissection 5 -
Vertebral artery dissection 6 -
Vertebral artery dissection 7
Related Chapters
References
- ↑ 1.0 1.1 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.
- ↑ 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.