INTRODUCTION The authors present an interesting case of a 19-year-old male who presented as a polytrauma patient following a fall from a height. PRESENTATION OF CASE He was initially managed on the intensive care unit with intracranial pressure bolt monitoring after being intubated and sedated and having his other traumatic injuries stabilized. Upon attempting to wean sedation and extubation ...

BACKGROUND AND PURPOSE Vertebral and carotid artery dissections may present with very different signs and symptoms, making early recognition difficult. However, diagnosis should be established as soon as possible to prevent unnecessary diagnostic investigations and to institute adequate treatment. CASE DESCRIPTION A 46-year-old man presented with severe intermittent pain of his left upper arm...

AIM To assess morphometrically the structural changes, which occur with ageing, along the length of the vertebral artery. METHODS A series of 36 vessels were removed at necropsy from subjects aged between 9 months and 86 years. Image analysis was used to measure the medial width, the circumference, the intimal: medial area ratio and the adventitial: medial area ratio along each artery. The ar...

The clinical association of a left lateral medullary syndrome with left corticospinal and posterior column deficits is reported in the case of a young woman with a left vertebral artery dissection. The signs are explicable on the basis of occlusion of branches of the vertebral artery to both the upper cervical cord and the medulla. The dissection may have been due to sustained rotation of the n...

This paper presents the case report of an 11-year-old boy with an acute dissection with thrombosis of the left vertebral artery and thrombosis of the basilar artery. The patient was treated with acute systemic thrombolysis, followed by intra-arterial thrombolysis, without any clinical improvement, showing left hemiplegia, bilateral clonus, hyperreflexia, and impaired consciousness. MRI indicate...

BACKGROUND Internal carotid artery dissection (ICAD) is a frequent cause of a stroke in young patients. Risk factors which can lead to dissection include neck injury and diseases of the inner wall of the artery. Common symptoms in ICAD are cervical pain and headache, Horner's syndrome, paralysis of the cranial nerves and subsequently cerebral and retinal ischemia. MR angiography in TOF techniqu...

PURPOSE Cerebral arterial dissections are recognized as a common cause of stroke. However, few studies have reported on the distribution of cerebral arterial dissection and angiographic pattern related to the presenting clinical symptom pattern. We analyzed the distribution of cerebral artery dissection along with angiographic and clinical presenting a pattern as depicted on angiograms. MATER...

BACKGROUND AND PURPOSE Proximal occlusion of the parent artery has been widely used for treatment of vertebral dissecting ruptured aneurysms, but this does not always completely prevent rerupture. We retrospectively studied 24 consecutive patients for clinical characteristics and/or for efficacy of occlusion with detachable coils at the site of dissection. METHODS During a 45-month period, 24...

Objective: Basilar artery occlusion (BAO) secondary to traumatic vertebral (VA) dissection caused by fracture is a rare cause of acute ischemic stroke, and optimal management, such as antithrombotic agents, surgical fixation, parent (PAO), has been controversial. We report case in which mechanical thrombectomy PAO were performed for BAO due right VA transverse foramen the axis vertebra.

Introduction Dissection of a cervical artery supplying the brain is a major cause of stroke in young adults. It can occur spontaneously, in connection with an underlying disorder such as fi bromuscular dysplasia, 1 -antitrypsin defi ciency, hypertension, migraine, atherosclerosis, arteritis or Marfan’s disease [1, 2] . More often, it is related to a neck trauma. In the case of a vertebral arter...