scholarly journals Bilateral Carotid and Vertebral Artery Dissection from Blunt Trauma

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Catherine Coss ◽  
Jeffrey Jones
Keyword(s):  
Emergency Department ◽  
Vertebral Artery ◽  
Blunt Trauma ◽  
Intracranial Hemorrhage ◽  
Motor Vehicle ◽  
Vertebral Artery Dissection ◽  
Diagnosis And Treatment ◽  
Artery Dissection ◽  
Vehicle Collision ◽  
Bilateral Carotid

Carotid and vertebral artery injuries are rare following blunt trauma. They can, however, lead to severe consequences with a significant associated rate of stroke and intracranial hemorrhage, particularly if the diagnosis and treatment are delayed. We report a case of a 23-year-old female who presented to the Emergency Department with bilateral carotid and vertebral artery dissection following a motor vehicle collision (MVC).

scholarly journals Deconstructing Dissections: A Case Report and Review of Blunt Cerebrovascular Injury of the Neck

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Brittany A. Walsh ◽  
W. Douglas Gregorie ◽  
Jessica S. Whittle
Keyword(s):  
Motor Vehicle ◽  
Vertebral Artery Dissection ◽  
Disease Process ◽  
Inpatient Rehabilitation ◽  
Computed Tomographic Angiography ◽  
Artery Dissection ◽  
Trauma Patients ◽  
Blunt Cerebrovascular Injury ◽  
Cerebrovascular Injury ◽  
Bilateral Carotid

Blunt cerebrovascular injury (BCVI) is a term encompassing traumatic carotid and vertebral artery dissection or disruption. While the reported incidence appears to be increasing as diagnostic modalities improve, these injuries are often diagnosed only after patients have developed acute neurologic symptoms. These injuries often result in severe permanent neurologic disability or death. The gold standard for diagnosis has historically been a 4-vessel arteriogram. However, newer data are suggesting that computed tomographic angiography may be more appropriate for most patients and new criteria for its utilization have been developed. We report a case of bilateral carotid dissection in a 23-year-old woman involved in a motor vehicle collision (MVC). She initially presents with a normal neurologic exam and two hours later develops hemiparesis. She is treated with antiplatelet therapy and given intravascular catheter directed tissue plasminogen activator with carotid stent placement. Nonetheless, the patient goes on to require intubation and, ultimately, a tracheostomy and transfer to an inpatient rehabilitation setting due to continued hemiparesis. This case highlights the need for increased awareness of a potentially debilitating, life-threatening disease process. A high index of suspicion is required among emergency medicine physicians for early diagnosis and treatment of trauma patients with BCVI.

scholarly journals Left vertebral artery dissection causing bilateral internuclear ophthalmoplegia

CJEM ◽  
2008 ◽  
Vol 10 (05) ◽  
pp. 485-487
Author(s):  
Glen Jickling ◽  
Kelvin Leung ◽  
Kenman Gan ◽  
Ashfaq Shuaib ◽  
James Lewis ◽  
...  
Keyword(s):  
Emergency Department ◽  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Clinical Findings ◽  
Left Vertebral Artery ◽  
Artery Dissection ◽  
Internuclear Ophthalmoplegia ◽  
Gradual Improvement ◽  
Brainstem Lesion ◽  
Posterior Neck

ABSTRACT A 21-year-old woman presented to the emergency department 1 day after a fall. On the day of presentation, she awoke with horizontal diplopia and posterior neck pain. Based on clinical findings, she was diagnosed with bilateral internuclear ophthalmoplegia. A conventional angiogram identified a left vertebral artery dissection. She was started on anticoagulant therapy, with gradual improvement of her diplopia over several months. Diplopia is frequently seen in the emergency department. Internuclear ophthalmoplegia is a cause of binocular diplopia and is important to recognize because it indicates a brainstem lesion requiring neurologic evaluation.

scholarly journals Bilateral Internal Carotid and Left Vertebral Artery Dissection after Blunt Trauma: A Case Report and Literature Review

2019 ◽  
Vol 59 (4) ◽  
pp. 154-161 ◽  
Author(s):  
Kenichi ARIYADA ◽  
Keita SHIBAHASHI ◽  
Hidenori HODA ◽  
Shinta WATANABE ◽  
Masahiro NISHIDA ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Vertebral Artery ◽  
Blunt Trauma ◽  
Internal Carotid ◽  
Vertebral Artery Dissection ◽  
Left Vertebral Artery ◽  
Artery Dissection

Unilateral and bilateral vertebral artery dissection following motor vehicle injury—Two cases and a mini-review

2011 ◽  
Vol 14 (04) ◽  
pp. 242-248
Author(s):  
Christina Mandila ◽  
Georgios Koukoulitsios ◽  
Georgios Stathopoulos ◽  
Ioannis Karampelas ◽  
Georgios Karydas ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Motor Vehicle ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Motor Vehicle Injury

scholarly journals Atraumatic Vertebral Artery Dissection in a Patient With a Migraine Headache

2021 ◽  
Author(s):  
Michael L Lloyd ◽  
Samuel Billingslea ◽  
Richard Slama
Keyword(s):  
Emergency Department ◽  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Left Vertebral Artery ◽  
Artery Dissection ◽  
Intravenous Contrast ◽  
Lingual Gyrus ◽  
History Of ◽  
High Index Of Suspicion ◽  
Persistent Headache

ABSTRACT This case discusses a 34-year-old active duty male who presented to the emergency department with a 2-week persistent headache. His initial review of symptoms was reassuring until a detailed neurologic examination on his second visit revealed a visual deficit in the left upper quadrant. Additionally, he complained of intermittent tension headaches for the last several years but had no history of diagnosed migraines until he was seen 4 days prior for empiric migraine therapy in the same emergency department and left without improvement in symptoms. On his return visit, computerized tomography scan with intravenous contrast revealed a left vertebral artery dissection and hematoma. The patient was admitted for medical management and subsequently found to have suffered a small infarction of right lingual gyrus cortex on magnetic resonance imaging. This case illustrates the importance of maintaining a broad differential diagnosis and high index of suspicion in the patient with new focal neurologic findings in order to diagnose a potentially fatal disease.

Bilateral Carotid and Bilateral Vertebral Artery Dissection Following Facial Massage

Angiology ◽  
2008 ◽  
Vol 59 (6) ◽  
pp. 761-764 ◽  
Author(s):  
Andrea L. Chakrapani ◽  
Walter Zink ◽  
Robert Zimmerman ◽  
Howard Riina ◽  
Ronald Benitez
Keyword(s):  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Bilateral Carotid
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