Case 19 Bilateral Extracranial Vertebral Artery Dissection with Distal Occlusion of the Right Vertebral Artery

2017 ◽  
Keyword(s):  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Extracranial Vertebral Artery ◽  
The Right ◽  
Distal Occlusion

Intravascular ultrasonography-guided stent angioplasty of an extracranial vertebral artery dissection

2008 ◽  
Vol 109 (6) ◽  
pp. 1113-1118 ◽  
Author(s):  
Won-Ki Yoon ◽  
Young-Woo Kim ◽  
Sang-Don Kim ◽  
Ik-Seong Park ◽  
Min-Woo Baik ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Coil Embolization ◽  
Posterior Inferior Cerebellar Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Intravascular Ultrasonography ◽  
Stent Angioplasty ◽  
Posterior Neck ◽  
Extracranial Vertebral Artery ◽  
The Right

The authors report on a case of intravascular ultrasonography (IVUS)-guided stent angioplasty for iatrogenic extracranial vertebral artery (VA) dissection in a 49-year-old man after coil embolization for an unruptured aneurysm of the right posterior inferior cerebellar artery. Insignificant dissections occurred during the procedure. Postoperatively, the patient experienced gradually worsening posterior neck pain and headache, and follow-up angiography 8 months after the coil embolization revealed expansion of the dissection. The patient underwent stent angioplasty with IVUS guidance and his symptoms improved. To the authors' knowledge, this is the first report of IVUS-guided stent angioplasty of an extracranial VA dissection. It was safe and feasible to treat extracranial VA dissections with stent placement under IVUS guidance. Intravascular environments are in real time with IVUS, and this technique is useful in the confirmation of a true lumen and evaluation of appropriate stent apposition. More clinical experience with this technique is necessary and mandatory, and devices with smaller diameters with improved trackability are essential for further introduction of IVUS into the field of endovascular neurosurgery.

Extracranial vertebral artery dissection after trauma: A 5-year review

1997 ◽  
Vol 84 (1) ◽  
pp. 94-94 ◽  
Author(s):  
L. C. Thibodeaux ◽  
A. T. Hearn ◽  
J. L. Peschiera ◽  
R. M. Deshmukh ◽  
G. M. Kerlakian ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Extracranial Vertebral Artery

scholarly journals Cerebellar infarction after sneezing

2020 ◽  
Vol 66 (10) ◽  
pp. 1351-1354
Author(s):  
Gustavo Bittencourt Camilo ◽  
Marco Antônio Riccio ◽  
Anna Luíza Machado Nogueira ◽  
Amanda Campos Querubino ◽  
Ana Luísa dos Santos Maciel ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Lumbar Disc ◽  
Vertebral Artery Dissection ◽  
Rare Condition ◽  
Artery Dissection ◽  
Cerebellar Infarction ◽  
Herniated Lumbar Disc ◽  
Angio Ct ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

SUMMARY Vertebral Artery Dissection (VAD) is a rare condition that can be caused by a wide amplitude of neck movement, which injures the vessel wall and can cause ischemia in the cerebellum. We present a 37-year-old man with herniated lumbar disc and allergic rhinosinusitis, which caused sneezing spells. After one of these bouts with a ricochet of the head, he presented C3 misalignment with local pain. Twenty-one days later, affected by a new crisis, he presented left temporal headache, nystagmus, and vertigo. After 3 days, Magnetic Resonance Imaging (MRI) identified 2 regions of cerebellar ischemia and filling failure of the right vertebral artery. After 2 days, Computed Angiotomography (CT Angiography) was performed and showed right VAD with a local thrombus, without aneurysmal signs. Transcranial Doppler did not indicate an increase in blood flow from this artery. The suggested treatment involved administration of anticoagulant Apixabana 5mg, 12/12h, for 3 months, until the condition was reevaluated with new Angio CT and MRI. It was recommended that the patient was released from work for 1 month and forbidden from doing intense physical exercises for 3 months; however, due to setbacks, these deadlines were extended until a new appointment, 4 months after the first visit. The new tests showed no changes, indicating that the condition was stable. This case aims to indicate the possible investigations of the diagnosis and therapeutic options of the rare association between VAD with cerebellar infarction in a well-documented case.

scholarly journals Ultrasound findings in spontaneous extracranial vertebral artery dissection.

Stroke ◽  
1993 ◽  
Vol 24 (12) ◽  
pp. 1910-1921 ◽  
Author(s):  
M Sturzenegger ◽  
H P Mattle ◽  
A Rivoir ◽  
F Rihs ◽  
C Schmid
Keyword(s):  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Ultrasound Findings ◽  
Extracranial Vertebral Artery

A case of extracranial vertebral artery dissection with spontaneous recovery

1997 ◽  
Vol 6 (3) ◽  
pp. 197-201
Author(s):  
Annamaria Casali ◽  
Stefano Gaiani ◽  
Fabio Piscaglia ◽  
Laura Gramantieri ◽  
Livia Masi ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Spontaneous Recovery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Extracranial Vertebral Artery

scholarly journals A Vertebral Artery Dissection with Basilar Artery Occlusion in a Child

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Katleen Devue ◽  
Annemie Van Ingelgem ◽  
Katrien De Keukeleire ◽  
Marc De Leeuw
Keyword(s):  
Vertebral Artery ◽  
Basilar Artery ◽  
Vertebral Artery Dissection ◽  
Artery Occlusion ◽  
Basilar Artery Occlusion ◽  
Left Vertebral Artery ◽  
Artery Dissection ◽  
Minor Trauma ◽  
Systemic Thrombolysis ◽  
The Right

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 indicated persistent thrombosis of the arteria basilaris with edema and ischemia of the right brainstem. Heparinization for 72 hours, followed by a two-week LMWH treatment and subsequent oral warfarin therapy, resulted in a lasting improvement of the symptoms. Vertebral artery dissection after minor trauma is rare in children. While acute basilar artery occlusion as a complication is even more infrequent, it is potentially fatal, which means that prompt diagnosis and treatment are imperative. The lack of class I recommendation guidelines for children regarding treatment of vertebral artery dissection and basilar artery occlusion means that initial and follow-up management both require a multidisciplinary approach to coordinate emergency, critical care, interventional radiology, and child neurology services.

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