Vertebral artery dissection
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| Vertebral artery dissection Classification and external resources | |
 | |
|---|---|
| Arteries of the neck | |
| ICD-9 | 443.24 |
| eMedicine | emerg/832 |
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Vertebral artery dissection is the development of dissection (a flap-like tear) in the vertebral artery. It is commonly associated with physical trauma but may also develop spontaneously. It is a major cause of stroke in young people.
Presentation
Typical features are pain in the neck associated with stroke-like symptoms of the "posterior circulation": cranial nerve palsies, ataxia, and cortical visual loss.[1] It can also cause subarachnoid hemorrhage (bleeding into the area around the brain); dissecting aneurysms of the vertebral artery represent about 4% of all aneurysms.[2]
Incidence
The annual incidence is about 1 per 100,000 in America and 1.5 per 100,000 in France.[2]
Diagnosis
CT
 Vertebral artery dissection 1 |
 Vertebral artery dissection 2 |
 Vertebral artery dissection 3 |
 Vertebral artery dissection 4 |
 Vertebral artery dissection 5 |
 Vertebral artery dissection 6 |
 Vertebral artery dissection 7 |
References
- ↑ Thanvi B, Munshi SK, Dawson SL, Robinson TG (2005). "Carotid and vertebral artery dissection syndromes". Postgrad Med J 81 (956): 383–8. doi:10.1136/pgmj.2003.016774. PMID 15937204.
- ↑ 2.0 2.1 Santos-Franco JA, Zenteno M, Lee A (2008). "Dissecting aneurysms of the vertebrobasilar system. A comprehensive review on natural history and treatment options". Neurosurg Rev. doi:10.1007/s10143-008-0124-x. PMID 18309525.
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
