Bilateral Vertebral Artery Dissection - Multiple Artery Affection or Early Recurrence?

Extracranial vertebral artery dissection

Vertebral artery dissection (VAD) is not uncommon in the young adult population. Owing to the various clinical manifestations; the diagnosis of VAD mainly depends on imaging examinations. Ultrasound has found an increasingly wide utilization in the diagnosis of VAD because of the continuous improvement in the resolution of ultrasonic instruments and accessibility.We retrospectively collected th...

Extracranial vertebral artery dissection.

Vertebral Artery Dissection

Background and Purpose: In this study we analyzed the value of ultrasound examination for diagnosis of vertebral artery dissection. Methods: The vertebrobasilar arterial system was assessed in 14 patients using transcranial and extracranial pulsed-wave Doppler and duplex sonography. Results: The dissections were verified by angiography (in 1 patient), magnetic resonance imaging (in 5), or both ...

Bilateral thalamic infarction after traumatic vertebral artery dissection.

A 29-year-old female patient visited the emergency room for whirling dizziness and hypersomnolence. She had had a cervical chiropractic manipulation two weeks before admission. She had no previous history of stroke or vasculitis. Initial diffusionweighted images showed diffusion restriction in the bilateral thalami, occipital lobes, and brain stem. Subsequent magnetic resonance angiography (MRA...

Left vertebral artery dissection causing bilateral internuclear ophthalmoplegia.

A 21-year-old woman presented to the emergency department 1 day after a fall. On the day of presentation, she awoke with horizontal diplopia and posterior neck pain. Based on clinical findings, she was diagnosed with bilateral internuclear ophthalmoplegia. A conventional angiogram identified a left vertebral artery dissection. She was started on anticoagulant therapy, with gradual improvement o...