Carotid and vertebral artery dissection. Medical search. Frequent questions

A, Tear and elevation of the intima from the wall of the artery, resulting in luminal stenosis. (medscape.com)
Arterial dissection is characterized by an intimal tear that results in an intramural hematoma and subsequent splitting of vessel wall layers, causing stenosis or occlusion and potentially aneurysmal dilatation of the vessel. (medscape.com)
citation needed] As the arterial wall begins to tear, blood begins to enter this newly formed false lumen and the resulting hematoma formation can either narrow (stenosis) or occlude the artery, decreasing or completely blocking blood flow through the artery. (wikipedia.org)
First-line management is comprised of antiplatelet or anticoagulation therapy, but many traumatic dissections progress despite this and carry the risk of long-term complications from embolism or stenosis [3] . (ejcrim.com)
Merckel LG, Van der Heijden J, Jongen LM, van Es HW, Prokop M, Waaijer A. Effect of stenting on cerebral CT perfusion in symptomatic and asymptomatic patients with carotid artery stenosis. (ejcrim.com)
Carotid artery stenosis is a chronic atherosclerotic disease resulting in narrowing of the common and internal carotid arteries. (lecturio.com)
Carotid artery stenosis is commonly diagnosed via carotid duplex ultrasound. (lecturio.com)
The most serious complication of carotid artery stenosis is stroke. (lecturio.com)
Carotid Artery Stenosis is a narrowing of the common and internal carotid arteries Arteries Arteries are tubular collections of cells that transport oxygenated blood and nutrients from the heart to the tissues of the body. (lecturio.com)

Cervical artery dissection is a major cause of ischemic stroke in young adults, but the diagnosis can be difficult to make because patients may present with benign symptoms such as headache, neck pain, or dizziness. (medscape.com)
However, parts of the thrombus can break apart and result in emboli that can lodge themselves in distal cerebral arteries causing ischemic stroke, otherwise known as a cerebral infarction. (wikipedia.org)
Headache Visual disturbances (i.e. diplopia, ptosis) Tinnitus Neck and face pain Horner syndrome (often partial) Loss of taste Anosmia Unilateral weakness Stroke Various imaging modalities can be used for the diagnosis of cervical artery dissection. (wikipedia.org)
The dissection presented as ischemic stroke in 175 patients and with local symptoms in the others. (annaly-nevrologii.com)
Kalashnikova L.A., Dobrynina L.A. Dissektsiya arteriy golovnogo mozga: ishemicheskiy insul't i drugie klinicheskie proyavleniya [Cervical artery dissection: ischemic stroke and other clinical manifestations]. (annaly-nevrologii.com)
Thrombolysis in cervical artery dissection--data from the Cervical Artery Dissection and Ischaemic Stroke Patients (CADISP) database. (medscape.com)
It is with heavy hearts that we confirm the passing today of Katie May - mother, daughter, sister, friend, businesswoman, model and social media star - after suffering a catastrophic stroke caused by a blocked carotid artery on Monday," the statement reads. (scienceblogs.com)
Vertebral artery dissection may be misdiagnosed as post-concussive syndrome, stroke, or TIA, based on neurologic symptoms. (patientcareonline.com)
Vertebral arterial dissection is a rare cause of neck pain and also a rare cause of stroke. (patientcareonline.com)
Carotid artery dissection (CAD) is a major cause of stroke in those under age 45, accounting for around 20% of ischaemic events [1,2] . (ejcrim.com)
Predictors of delayed stroke in patients with cervical artery dissection. (ejcrim.com)
Cervical arterial dissections and association with cervical manipulative therapy: a statement for healthcare professionals from the American Heart Association/American Stroke Association. (cams.cn)
Carotid or vertebral artery injury following blunt trauma is a rare (%1 of blunt trauma), but a potentially serious injury potentially causing stroke and long-term disability. (umaryland.edu)
Although cerebral and cervical arterial dissections can occur at any age, they are a common cause of stroke in the young, and the most highly associated factor is the strenuous physical activity. (blogspot.com)
Also, an illustration is made to show the location of the vertebral occlusion and the area of stroke in the left lateral medulla. (nucleusmedicalmedia.com)
There were 23 cases of stroke or vertebral artery dissection following cervical manipulation reported during this 10-year period, or 2.3 cases per year. (drcliffordkearnsblog.com)
Head and neck CTA is useful in evaluation of acute stroke symptoms to detect LVO, dissection, or significant intracranial arterial stenoses. (aneskey.com)
Epidemiology, repair technique, and predictors of stroke and mortality in penetrating carotid artery injuries. (sc-ctsi.org)

Methods Retrospective review of a prospectively maintained database to identify patients with extracranial dissection who underwent endovascular intervention between January 1996 and January 2016. (bmj.com)
As such, cervical artery dissection can be further categorized based on the involvement of artery: carotid vs. vertebral, and the location of the dissection: intracranial vs. extracranial. (wikipedia.org)
Extracranial carotid and vertebral artery dissection: a review. (ejcrim.com)
No current evidence-based guidelines address anticoagulation in patients with symptomatic stenoses of extracranial and intracranial arteries. (medscape.com)
CAD includes extracranial carotid and vertebral artery dissections. (sinaiem.org)
These dissecting aneurysms most commonly occur in the extracranial portion of the ICA rather than the ICA (70 to 80% of cases), and they are associated with vertebral artery dissection in up to 20% of cases [3, 4]. (fortunepublish.com)

The result of this tear is often an intramural hematoma and/or aneurysmal dilation in the arteries leading to the intracranial area. (wikipedia.org)
Yamaura A. Nontraumatic Intracranial Arterial Dissection: Natural History, Diagnosis, and Treatment. (medscape.com)
Although high-resolution magnetic resonance imaging (HR-MRI) has been used as a strong imaging method for diagnosing intracranial vertebral artery dissection (IVAD), the diagnosis is sometimes challenging because a dissection has geometric changes in the natural course. (karger.com)
Boxers have died during a bout or in the immediate aftermath due to traumatic brain injuries (TBIs) such as an acute subdural hematoma (SDH), epidural hematoma (EDH), subarachnoid hemorrhage (SAH), intracranial hematoma and injury to the great vessels of the neck such as carotid or vertebral artery dissection. (lifesitenews.com)

Cervical artery dissection is dissection of one of the layers that compose the carotid and vertebral artery in the neck (cervix). (wikipedia.org)
Spontaneous cervical artery dissections are dissections that occur without any trauma to the neck. (wikipedia.org)
Traumatic cervical artery dissections are dissections that occur after any sort of trauma to the neck, ranging from minor trauma such as nose-blowing or sneezing to severe trauma such as roadside accidents. (wikipedia.org)
Most traumatic dissections are secondary to some form of rapid decelerations injuries resulting in hyperextension or hyperflexion with rotational injury of the neck. (wikipedia.org)
Because the brain has a pair of carotid and vertebral arteries on each side of the neck, a unilateral occlusion can be asymptomatic, as the bilateral circulation continues perfusing the brain. (wikipedia.org)
MRA neck without and with contrast (Dissection protocol). (bamirad.com)
Vertebral artery dissections afterchiropractic neck manipulationin Germany over three years. (cams.cn)
no carotid bruits, tenderness to palpation on the left side of the neck. (emdocs.net)
The history of infection in the previous week is more common with ICA-D, and the history of cervical trauma in the previous week is more common with vertebral artery dissection (VA-D). Similarly, neck pain is more associated with VA-D. (blogspot.com)
Blunt neck trauma with damage to the carotid and vertebral artery injuries are commonly referred to as blunt cerebrovascular injuries (BCVIs). (emdocs.net)
Patients with cervical artery dissection (CeAD) involving the carotid or vertebral arteries may be asymptomatic, although they frequently experience neck pain and/or headache (therefore they may seek chiropractic care! (shawnthistle.com)
Cervical Artery Dissection and Neck Manipulation (new big data study! (shawnthistle.com)

In general, such dissections can be categorized as traumatic or spontaneous. (medscape.com)
Traumatic dissection is the result of either external mechanical injury, such as a penetrating or blunt trauma, or trivial trauma that is related to a movement or abrupt change in head position. (medscape.com)
Dissections were spontaneous (n=67), traumatic (n=36), or iatrogenic (n=13). (bmj.com)
Traumatic dissections in patients with CAD were associated with poor admission mRS scores (p=0.01). (bmj.com)
Cervical dissections can be broadly classified as either "spontaneous" or traumatic. (wikipedia.org)
The two main causes of cervical artery dissection can be broadly categorized as either spontaneous or traumatic. (wikipedia.org)
In the absence of known connective tissue disorders, most dissections are traumatic [2] . (ejcrim.com)
We report a case of traumatic bilateral carotid dissection leading to progressive neurological symptoms and hypoperfusion on computed tomography perfusion (CTP), despite escalation in anticoagulation, which led to emergency carotid stenting. (ejcrim.com)
Endovascular stent-assisted angioplasty in the management of traumatic internal carotid artery dissections. (ejcrim.com)
Traumatic vertebral artery dissection in high school rugby players: a report of two cases. (cams.cn)

Cervical artery dissections are a significant cause of strokes in young adults. (wikipedia.org)
Cervical artery dissections begin initially with a small tear in the innermost layer of the arterial wall, the tunica intima, or rupture of the vasa vasorum with bleeding within the media. (wikipedia.org)
Clinical and radiographic natural history of cervical artery dissections. (medscape.com)
Cervical artery dissections (CAD) occur at an average annual incidence rate of 2.6-2.9 in 100,000 in the population. (emdocs.net)
8] Cervical artery dissections are created by a tear in one of the walls leading to separation between these layers. (emdocs.net)

The annual incidence of internal carotid artery dissection is 1.72 per 100,000, and vertebral artery dissection 0.97 per 100,000. (medscape.com)
Cervical artery dissection has been noted to be a common cause of young adult strokes, with some sources indicating a prevalence of up to 20% in this young adult population with annual incidence rates between 2.6 and 2.9 per 100,000, although these incidences may be misleading with true incidences being higher because clinical presentations can vary, many being minor or self-limited, and thus these dissections can go undiagnosed. (wikipedia.org)
The reported annual incidence is approximately 3 per 100,000 persons for carotid artery dissection (CAD) and 1 per 100,000 for vertebral artery dissection (VAD). (shawnthistle.com)

Recognizing a dissection early is essential, because prompt anticoagulant and/or antiplatelet therapy and endovascular repair greatly minimize the patient's risk of infarction, neurologic disability, and death. (medscape.com)
Introduction Endovascular intervention for cervical carotid artery dissection (CAD) and vertebral artery dissection (VAD) may be indicated in specific circumstances. (bmj.com)
Objective To review our institutional experience with endovascular treatment of cervical dissections over the past 20 years to examine indications for treatment, interventional methods, and outcomes. (bmj.com)
Endovascular treatment of vertebral artery dissections and pseudoaneurysms. (medscape.com)
Xianjun H, Zhiming Z. A systematic review of endovascular management of internal carotid artery dissections. (ejcrim.com)
Induruwa I, Bentham C, Khadjooi K, Sharma N. Computed Tomography Perfusion Can Guide Endovascular Therapy in Bilateral Carotid Artery Dissection. (ejcrim.com)
An endovascular catheter digital subtraction angiogram identified the cause of epistaxis as a rupture of the left sphenopalatine artery branch of the left external carotid artery. (fortunepublish.com)
Comparative outcomes of physician-modified fenestrated-branched endovascular repair of post-dissection and degenerative complex abdominal or thoracoabdominal aortic aneurysms. (sc-ctsi.org)

As illustrated by the MRA study in Figure 1 (previous page) filling of the right vertebral artery is compromised compared with that of the left, a finding that confirms the diagnosis of arterial dissection. (patientcareonline.com)
Objective We aimed to investigate the value of three-dimensional (3D) T1 volumetric isotropic turbo spin echo acquisition (VISTA) in the diagnosis of cervical artery dissection (CAD). (bmj.com)
For T1 VISTA, the diagnosis of the dissection was based on the presence of intramural high-signal, intimal flap, double lumen and aneurysmal dilation. (bmj.com)
The final diagnosis of dissection was based on the clinical history, physical examination, and all of the imaging tests. (bmj.com)
Diagnosis of dissection was made for 20 of the 21 patients after assessing T1 VISTA. (bmj.com)
A definitive diagnosis of dissection was not made for 5 patients (including 3 patients with digital subtraction angiography) before the T1 VISTA examination. (bmj.com)

Middle Cerebral Artery. (booksdo.com)

External Carotid Artery. (booksdo.com)

A. Emergency digital subtraction angiography (DSA) showed serious and irregular narrowing of the left vertebral artery (red arrows). (cams.cn)
This exhibit consist of colorization of MRI films depicting a left vertebral artery dissection. (nucleusmedicalmedia.com)

Carotid artery dissection is seen at a rate of 1-1.5/100,000 and vertebral artery dissection at 2.6/100,000 annually. (dergisi.org)
Dissecting carotid aneurysms of the internal cerebral artery are extremely rare, occurring in 2.5 to 3 people out of 100,000 [1-3]. (fortunepublish.com)

Cerebral angiogram of a left internal carotid dissection showing gradual vessel tapering to occlusion. (medscape.com)
Arteries: Histology (ICAs) secondary to atherosclerosis Atherosclerosis Atherosclerosis is a common form of arterial disease in which lipid deposition forms a plaque in the blood vessel walls. (lecturio.com)
CT angiography assists in identifying proximal vessel occlusions, dissection, or high-grade arterial stenoses. (aneskey.com)
CT angiography (CTA) can assist in identifying proximal vessel occlusions, dissection, or high-grade arterial stenoses, which may be responsible for the ischemic deficit. (aneskey.com)

The second image demonstrates the angiographic characteristics of a chronic subadventitial dissection of the right internal carotid artery. (medscape.com)
Chronic subadventitial dissection of the right internal carotid artery. (medscape.com)
We aimed to evaluate the treatment results in patients with internal carotid artery (ICA) and vertebral artery (VA) dissection. (annaly-nevrologii.com)
Axial T1-weighted MRI demonstrating a crescent sign (arrow) in a patient with a left internal carotid artery dissection. (medscape.com)
Internal carotid artery dissection (ICA-D) is relatively more common in men. (blogspot.com)
1 Adana Numune Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, Adana, Türkiye Blister aneurysms are half-dome aneurysms that develop in the non-branching regions of the internal carotid artery (ICA). (dergisi.org)
Fifty five per cent of the injuries sustained were to the internal carotid artery and 45% to the vertebral artery. (bmj.com)
Spontaneous Bilateral Cervical Internal Carotid and Vertebral Artery Dissection in a Japanese Patient without Collagen Vascular Disease with Special Reference to Single-Nucleotide Polymorphisms. (cdc.gov)

Signs and symptoms of a cervical artery dissection are often non-specific and can be localized or generalized. (wikipedia.org)
The signs and symptoms of cervical artery dissection are often non-specific or generalized and can either develop acutely or over several days. (wikipedia.org)
There were no strokes in 110 patients with local symptoms due to ICA/VA dissection during the observation period. (annaly-nevrologii.com)
Symptoms of vertebral injury may include ipsilateral facial pain and numbness, headache, ataxia, or dizziness. (umaryland.edu)
Table 2 highlights the common signs and symptoms amongst patients with dissections of either the carotid or basilar artery 1 and tables 3 and 4 outline the Denver and Memphis BCVI screening criteria 5 . (emdocs.net)

In most patients, the pathogenesis of arterial dissection is usually multifactorial. (medscape.com)
Six of 67 (9.0%) patients with spontaneous dissection reported recent chiropractic manipulation. (bmj.com)
We examined 285 patients (122 men and 163 women, mean age 37.7 ± 8.1 years) with ICA dissection ( n = 147), VA dissection ( n = 122), or a combination of both ( n = 16). (annaly-nevrologii.com)
There were no statistically significant differences in AC and AP efficacy in patients with ICA or VA dissection. (annaly-nevrologii.com)
Differences in demographic characteristics and risk factors in patients with spontaneous vertebral artery dissections with and without ischemic events. (medscape.com)
Georgiadis D, Arnold M, von Buedingen HC, Valko P, Sarikaya H, Rousson V. Aspirin vs anticoagulation in carotid artery dissection: a study of 298 patients. (medscape.com)
Review of electronic medical records was conducted to detect patients with carotid and vertebral dissection. (cns.org)
It will guide physicians in dealing with cases of pseudoaneurysm development in patients with carotid or vertebral dissection. (cns.org)
3 Recent evidence of microhemorrhages, other cellular debris, and phagocytes in between the medial and adventitial layers of undissected arteries in patients with sCAD suggests that injury is not limited to the medial layers and involves inflammatory immune responses. (neurology.org)
Clinically silent circulating microemboli in 20 patients with carotid or vertebral artery dissection. (ejcrim.com)
Patients presenting with cervical artery dissection can also develop brain ischemia leading to transient ischemic attacks or cerebrovascular accidents. (emdocs.net)
For patients without acute artery occlusion, all of them had a definite conclusion with or without dissection by T1 VISTA (n=29). (bmj.com)
However, for 17 patients with acute artery occlusion, the possibility of dissection could not be excluded for 6 of them by T1 VISTA (p=0.001). (bmj.com)
However, for some patients with total occlusion of the artery without typical imaging features of dissection, the unequivocal distinction between intramural haematoma and intraluminal thrombus may be not adequate by T1 VISTA alone. (bmj.com)
Spontaneous cervical artery dissection (CAD) accounts for only ∼2% of all ischaemic strokes, but it accounts for 10-25% of ischaemic strokes in young adult patients. (bmj.com)

CTA chest and abdomen is the definitive test to evaluate aortic dissection. (bamirad.com)
Aortic Arch and Origin of the Cranial Cerebral Arteries. (booksdo.com)
Mutation of ACTA2 gene as an important cause of familial and nonfamilial nonsyndromatic thoracic aortic aneurysm and/or dissection (TAAD). (cdc.gov)
Analysis of multigenerational families with thoracic aortic aneurysms and dissections due to TGFBR1 or TGFBR2 mutations. (cdc.gov)
Genetic basis of hereditary thoracic aortic aneurysms and dissections. (cdc.gov)

A complete occlusion of the artery can result in cerebral ischemia as the brain is depleted of oxygen-rich blood. (wikipedia.org)

Spontaneous dissection of the carotid and vertebral arteries. (cams.cn)

Antiplatelet treatment compared with anticoagulation treatment for cervical artery dissection (CADISS): a randomised trial. (medscape.com)
Antiplatelets vs anticoagulation for dissection: CADISS nonrandomized arm and meta-analysis. (medscape.com)
Antiplatelets versus anticoagulation in cervical artery dissection. (ejcrim.com)
The authors reported a case of vertebral artery dissection (VAD) probably caused by massage, which showed double lumen sign on axial images of CT angiography, treated with anticoagulation and antiplatelet. (cams.cn)

Basilar artery occlusion before or after intra-arterial pharmacological or mechanical thrombolysis. (medscape.com)

A "chiropractic subluxation" is an asymptomatic misalignment or a "vertebral subluxation complex" thought to be a cause of disease. (rationalwiki.org)

This angiogram shows a small pseudoaneurysm and a small intimal dissection with an elevated intimal flap that is just proximal to the subadventitial dissection. (medscape.com)

Dissecting aneurysms are the result of a longitudinal tear in the tunica media of the artery. (dergisi.org)
The exact etiology behind dissecting ICA aneurysms is unknown, although these have been linked to trauma and underlying arterial pathologies, causing a sudden tear in the intimal layer of the artery [3, 6]. (fortunepublish.com)

One mechanism proposed suggests a rupture in the vaso vasorum of the media (middle muscular layer of the artery) leading to the creation of an intramural hematoma and a false lumen. (emdocs.net)

At the moment, there is no definitive location for the dissection, with some believing dissection initially occurs within the connective tissue and vasa vasorum of the media while others believe dissection begins with an intimal tear. (wikipedia.org)

Anterior Cerebral Artery. (booksdo.com)
Posterior Cerebral Artery. (booksdo.com)

Vertebral artery dissection, a flap-like tear of the inner lining of the vertebral artery that supply blood to the brain and spinal cord. (wikipedia.org)
Vertebral Column and Spinal. (msdmanuals.com)
TFESI is associated with more risks of the spinal cord or brain infarction, because the needle targets the neural foramen in the vicinity of the vertebral and radiculomedullary arteries [ 6 ]. (e-arm.org)
A spinal implant procedure, also known as a vertebral implant or spine jack, can restore a patient's vertebral height and significantly reduce the pain associated with compressed or fractured vertebrae. (hopkinsmedicine.org)

Vertebral Artery Dissection Probably Caused by Massage: A Case Report[J].Chinese Medical Sciences Journal, 2019, 34(1): 65-68. (cams.cn)

Cervical artery dissection (CAD) accounts for 1-2% of all ischemic strokes but 10-25% of strokes in younger individuals. (sinaiem.org)
CeAD is the most serious safety concern associated with cervical manipulation, but it is considered a rare condition, accounting for approximately 2% of ischemic strokes overall (that 2% includes both carotid and vertebral artery dissections). (shawnthistle.com)

The cohorts were well matched for age, sex, dissection etiology, and admission and follow-up modified Rankin Scale (mRS) scores. (bmj.com)
The exact mechanisms and etiology of spontaneous carotid artery dissection (sCAD) are unknown, but evidence supports both environmental exposures and ultrastructural abnormalities of collagen as contributing factors. (neurology.org)

A large dissecting aneurysm in the right intracerebral artery was also incidentally found. (fortunepublish.com)
We present a unique case, a young female who has a postoperative course complicated by both a right ICA dissecting aneurysm and a ruptured left sphenopalatine artery after a skull-base chordoma resection. (fortunepublish.com)

If a thrombus is found in the false lumen, the dissection is defined as an intramural hematoma. (medscape.com)
A tear in one of the layers of the arterial walls can result in blood collecting within a pocket between the layers of the artery, which can result in an intramural hematoma and/or aneurysmal dilation. (wikipedia.org)

However, carotid and vertebral dissections are still underrecognized despite their distinct clinical and radiologic manifestations. (medscape.com)

B. CTA of half a year after the patient was discharged showed a smooth vertebral artery. (cams.cn)

Kim YK, Schulman S. Cervical artery dissection: pathology, epidemiology and management. (medscape.com)

The genetics of cervical artery dissection: a systematic review. (medscape.com)
Treatment of cervical artery dissection: a systematic review and meta-analysis. (ejcrim.com)

Dissection of the carotid and vertebral arteries can result in the development of aneurysmal dilatation. (cns.org)

Anatomy19

Diseases32

Chemicals and Drugs1

Analytical, Diagnostic and Therapeutic Techniques and Equipment18

Disciplines and Occupations1

Health Care3

Stenosis9

Stroke18

Extracranial6

Intracranial4

Neck12

Traumatic10

Cervical artery dissections5

Incidence3

Endovascular8

Diagnosis6

Middle Cerebr1

External Caroti1

Left vertebral2

100,0002

Vessel4

Internal8

Symptoms5

Patients15

Aortic5

Occlusion of the artery1

Spontaneous dissection1

Anticoagulation4

Basilar1

Asymptomatic1

Proximal1

Aneurysms2

Layer of the artery1

Intimal tear1

Cerebral artery2

Spinal4

20191

Strokes2

Etiology2

Aneurysm2

Intramural hematoma2

Clinical1

Patient1

Epidemiology1

Systematic review2

Aneurysmal1