Vertebral Artery Dissection: A Pain in the Neck

Vertebral artery dissection after a chiropractor neck manipulation.

The differential diagnosis for ischemic central nervous system infarcts in young patients includes paradoxic emboli through cardiac shunts, vasculitis, and vascular trauma. We report a young woman who developed headache, vomiting, diplopia, dizziness, and ataxia following neck manipulation by her chiropractor. A computed tomography scan of the head revealed an infarct in the inferior half of th...

Vertebral artery dissection with compelling evidence on duplex ultrasound presenting only with neck pain

Vertebral artery dissection (VAD) is among the most common identifiable etiologies of stroke in young adults and poses a diagnostic challenge due to nonspecific symptoms and substantial variability of imaging results. Here, we present a case of unspecific neck pain as isolated symptom of VAD with unusually compelling evidence on duplex ultrasound. This observation has clinical relevance as the ...

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 ...