dissection of the vertebral artery is an important but rare cause of cerebrovascular accidents. here we report a 48-year-old man with toothache since 4 days before who presented to the emergency department with neck pain and final diagnosis of dissecting right vertebral artery pseudoaneurysm. to our knowledge, this maybe the first report of odontogenic pain as the first manifestation of vertebr...

this report presents a case of vertebral artery dissection (vad), which was misdiagnosed as cerebrovascular accident (cva) in initial examinations.in this case, a 33-year old woman, who was involved in a car accident, was referred to khoy legal medicine centre by traffic court two months after the accident.the patient was examined by the author, who was on an assignment at the centre.at this ti...

Background: Knowledge of variations in the origin of vertebral artery (VA) is indispensable to vascular surgeons. Aberrant origin of vertebral artery on either side is an uncommon finding. There are unilateral and bilateral variability in VA origin. Case presentation: We present a case of vertebral artery dissection who was found to have bilateral VAs aberrant origin. The right VA took origin ...

RATIONALE With the rapid development in technology of vascular imaging, the detection of artery dissection is also gradually increasing. Cervical artery dissection, including carotid artery and vertebral artery dissection, is associated in at least 20% of young adult patients with stroke. So, the diagnosis of cervical artery has become a great challenge. PATIENT CONCERNS We reported 2 patient...

Vertebral artery injury may occur at the time of cervical fracture or dislocation. Congenital vertebral artery variations, especially a double vertebral artery origin, may be responsible for angiographic findings that mimic vertebral artery dissection. Two cases of cervical spine fracture with ipsilateral double vertebral artery are presented. Conventional cerebral angiography is the easiest an...

BACKGROUND AND PURPOSE We sought to identify the use of duplex and transcranial Doppler sonography in the noninvasive diagnosis of vertebral dissection. METHODS Ten patients with a diagnosis of symptomatic vertebral artery dissection confirmed by cerebral angiography were retrospectively analyzed. RESULTS Computed tomographic scanning and magnetic resonance imaging together delineated later...

BACKGROUND AND PURPOSE Vertebral artery dissection causes endothelial changes and stenosis that may lead to recurrent ischemic neurological events. The diagnosis may not be obvious because the dissection may be painless and "spontaneous" (no obvious trauma). Magnetic resonance angiography has increasingly been used to screen patients for this disorder, but its accuracy has not yet been establis...

Background and Purpose: Vertebral artery dissection causes endothelial changes and stenosis that may lead to recurrent ischemic neurological events. The diagnosis may not be obvious because the dissection may be painless and "spontaneous" (no obvious trauma). Magnetic resonance angiography has increasingly been used to screen patients for this disorder, but its accuracy has not yet been establi...

A 38-year-old male presented with vertebral artery dissecting aneurysm manifesting as subarachnoid hemorrhage. An attempt at trapping the aneurysm failed, so the vertebral artery could only be clipped proximally. Rebleeding occurred, resulting in death, probably due to excessive length of the dissection requiring thrombosis and/or retrograde dissection due to back pressure from the contralatera...