Images in clinical medicine: vertebral artery dissection

Images in clinical medicine: vertebral artery dissection

T his is a case of a 47-year-old German lorry driver with very limited English who presented with sudden onset of a neck pain followed by an occipital headache while he was on the motorway. The pain forced him to stop his vehicle and call a friend who brought him to accident and emergency department. On examination, he had unsteady gait, slight dysarthria and subtle horizontal nystagmus on extr...

Clinical manifestations of vertebral artery dissection.

The most frequent clinical manifestation of vertebral artery dissection is posterior headache or neck pain accompanied or followed by posterior circulation transient ischemic attack or stroke. Rarer clinical features include isolated headache or neck pain, cervical spinal cord ischemia and cervical root impairment. Asymptomatic vertebral artery dissections have been reported. In the case of pri...

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 ...