Traumatic symptoms of vertebral artery dissection. Medical search. Frequent questions

Postpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. (jccm.ro)
Acute basilar artery occlusion secondary to spontaneous vertebral artery dissection in the postpartum period is an infrequent entity and a major diagnostic and treatment challenge. (jccm.ro)
The imagistic workup revealed right vertebral artery dissection and basilar artery occlusion without constituted ischemic lesions. (jccm.ro)
Brain and cervical spine magnetic resonance imaging revealed an atlantoaxial subluxation, fractured C2 odontoid process, left vertebral artery occlusion, and bilateral extensive ischemia in the medulla oblongata and high cervical spinal cord. (dovepress.com)
Alternatively, hemodynamic ischemic symptoms may follow proximal subclavian artery occlusion and the syndrome of subclavian/vertebral artery steal (subclavian-vertebral steal phenomenon). (medscape.com)
There is no established treatment strategy for traumatic vertebral artery occlusion that does not require cervical spine repair surgery. (surgicalneurologyint.com)
Continuous intravenous heparin and oral aspirin were started for traumatic vertebral artery occlusion. (surgicalneurologyint.com)
Parent artery occlusion was performed to prevent further cerebral infarction due to distal embolization of the thrombus. (surgicalneurologyint.com)
In cases of traumatic vertebral artery occlusion without an occlusive mechanism, parent artery occlusion may be considered in terms of recanalization risk, regardless of the need for repair surgery. (surgicalneurologyint.com)
1 , 3 , 11 ] Embolic cerebral infarction after cervical spine repair surgery can lead to vertebrobasilar artery occlusion and associated serious complications. (surgicalneurologyint.com)
We describe here a case of parent artery occlusion for cerebral infarction after spontaneous recanalization in traumatic vertebral artery occlusion that did not require cervical spine repair surgery. (surgicalneurologyint.com)
CT angiography showed occlusion of the left vertebral artery at the level of the foramen transversum of Atlas, both vertebral arteries were similar in diameter, and the left intracranial vertebral artery and left posterior inferior cerebellar artery were depicted through the right vertebral artery [ Figure 1d ]. (surgicalneurologyint.com)
The symptoms due to vertebral artery (VA) occlusion usually manifest within the first 24 hours after trauma. (biomedcentral.com)
Unilateral occlusion of the vertebral artery seldom results in a neurological deficit if the collateral supply through the other vertebral and posterior inferior arteries is sufficient [ 5 ]. (biomedcentral.com)
Four aneurysms were treated by endosaccular coiling, 6 (all dissecting) by parent artery occlusion, and in 2 cases endovascular treatment failed. (ajnr.org)
Angiographic outcome was complete aneurysm and/or parent artery occlusion in 9 cases and neck remnant in 1 case. (ajnr.org)
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)
In the recently published case report by Haynes et al, intraarticular thrombolysis with tissue plasminogen activator (t-PA) in combination with verapamil and an antiplatelet agent (Eptifibatide) was performed for acute occlusion of the anterior spinal artery in a 52-year-old patient. (fortunejournals.com)

Vertebral artery dissection is further classified as being either traumatic (caused by mechanical trauma to the neck) or spontaneous, and it may also be classified by the part of the artery involved: extracranial (the part outside the skull) and intracranial (the part inside the skull). (wikipedia.org)
The causes of vertebral artery dissection can be grouped under two main categories, spontaneous and traumatic. (wikipedia.org)
However, ultrastructural abnormalities of the dermal connective tissue components are discernible in two out of three patients with spontaneous dissection. (wikipedia.org)
In the acute phase, symptoms are spontaneous & aggravated by head movements. (portmelbournephysio.com.au)
Prior to, during or after this migraine episode, vestibular (vertigo or balance) symptoms can occur including spontaneous or positional vertigo. (portmelbournephysio.com.au)
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)
Interestingly, while the name implies CAD is the result of traumatic event, a 2018 article published in the journal Stroke noted that the majority of CAD cases are spontaneous and not the result of mechanical trauma. (drjamiebasselblog.com)

This paper reports a case where a patient suffered a vertebrobasilar stroke secondary to a traumatic bilateral vertebral arteries dissection was treated with late thrombectomy. (jccm.ro)
FINDINGS: The results showed that unbalanced bilateral vertebral arteries, especially single vertebral artery deletion mutation, might associate with higher wall shear stress on anterior wall of basilar artery in patients with vertebrobasilar dolichoectasia. (bvsalud.org)
And unbalanced bilateral vertebral arteries would increase the blood pressure in basilar artery. (bvsalud.org)

In patients with posterior circulation ischemia secondary to microembolism and appropriate lesions in a vertebral artery, the potential source of the embolus needs to be eliminated regardless of the status of the contralateral vertebral. (medscape.com)
A single, normal vertebral artery is sufficient to adequately perfuse the basilar artery, regardless of the patency status of the contralateral vertebral artery. (medscape.com)

Less commonly, the extracranial vertebral arteries can be affected by pathologic processes such as trauma, fibromuscular dysplasia , Takayasu disease , osteophyte compression, dissections, and aneurysms. (medscape.com)
True extracranial aneurysms are virtually always found in the setting of a connective tissue disorder (CTD), whereas false aneurysms may or may not be related to a CTD but usually follow arterial dissection. (medscape.com)
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)
Extracranial carotid and vertebral artery dissection: a review. (ejcrim.com)
CAD includes extracranial carotid and vertebral artery dissections. (sinaiem.org)
Extracranial internal carotid artery dissections: noniatrogenic traumatic lesions. (westerntrauma.org)

The symptoms of vertebral artery dissection include head and neck pain and intermittent or permanent stroke symptoms such as difficulty speaking, impaired coordination, and visual loss. (wikipedia.org)
The vertebral artery supplies the part of the brain that lies in the posterior fossa of the skull, and this type of stroke is therefore called a posterior circulation infarct. (wikipedia.org)
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)
After being taken to a local hospital, our client suffered additional neurological damage when an emergency room physician failed to timely diagnose the vertebral artery dissection and treat the ongoing stroke-like symptoms. (ckandf.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)
Thrombectomy performed within 6 hours of symptom onset has been demonstrated to significantly improve clinical outcomes after stroke. (sinaiem.org)
In the neck, fractures of the posterior elements and dislocations can damage the vertebral arteries, causing a syndrome resembling a brain stem stroke. (msdmanuals.com)
It compared patients who had had a vertebral artery stroke to controls and looked at health billing records to see if they had visited a doctor or a chiropractor in the previous year. (skepdoc.info)
They concluded "The increased risks of VBA [vertebrobasilar artery] stroke associated with chiropractic and PCP [primary care provider] visits is likely due to patients with headache and neck pain from VBA dissection seeking care before their stroke. (skepdoc.info)
We have plenty of "smoking gun" case reports of patients who had no symptoms of stroke until their neck was rapidly manipulated by a chiropractor and who were subsequently found to have tears in the vertebral artery, often bilaterally. (skepdoc.info)
They are logically inconsistent: they say they are trying to reduce the incidence of stroke "from treatment," but at the same time they are saying a vertebral artery dissection (essentially a stroke in progress) was already present before treatment and symptoms of head and neck pain from stroke were the reason patients sought treatment. (skepdoc.info)
Another retrospective study of 492 patients with BCVI related stroke showed 63% of patients presented without neurologic deficits, with about 50% going on to be diagnosed with BCVI incidentally (on imaging) and the other 50% being diagnosed after symptom onset. (emdocs.net)

Traumatic intracranial vertebral artery injury is a relatively rare but potentially fatal disease. (dovepress.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)

Vertebral artery dissection is one of the two types of cervical artery dissection. (wikipedia.org)
13-16% of all people with vertebral or carotid dissection have dissection in another cervical artery. (wikipedia.org)
2016 . Cervical artery dissections: a review . (ajtmh.org)
COVID-19 and cervical artery dissection-causative association? (ajtmh.org)
Treatment of cervical artery dissection: a systematic review and meta-analysis. (ejcrim.com)
Cervical artery dissection (CAD) accounts for 1-2% of all ischemic strokes but 10-25% of strokes in younger individuals. (sinaiem.org)
A correspondent sent me copies of a pamphlet and a "distribution kit" that the FCER (Foundation for Chiropractic Education and Research) is selling to chiropractors so they can inform the public about cervical artery dissection (CAD). (skepdoc.info)
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)
One such condition is called cervical artery dissection (CAD). (drjamiebasselblog.com)
The cervical artery is one of the main arteries that deliver oxygen-rich blood to the head. (drjamiebasselblog.com)

Digital subtraction angiography demonstrated left vertebral artery dissection just below the level of vertebral body C2. (dovepress.com)
Fractures were observed in the left lateral mass and transverse process of Atlas and the left vertebral artery was occluded at the level of the foramen transversum of Atlas. (surgicalneurologyint.com)
Thereafter, the left vertebral artery spontaneously recanalized, but no cerebral infarction was observed. (surgicalneurologyint.com)
Acute cerebral infarction was observed in the left posterior inferior cerebellar artery territory and a thrombus in the left vertebral artery V4 segment. (surgicalneurologyint.com)

These patients are considered candidates for surgical or endoluminal correction of the offending lesion regardless of the condition of the contralateral vertebral artery. (medscape.com)

Arterial-to-arterial emboli can arise from atherosclerotic lesions, from intimal defects caused by extrinsic compression or repetitive trauma, and rarely from fibromuscular dysplasia, aneurysms, or dissections. (medscape.com)
Because of the often vague nature of patient presentation, clinicians may be reluctant to pursue a pathologic diagnosis or to recommend treatment for potentially correctable vertebral artery lesions. (medscape.com)
Surgical reconstruction is not indicated in an asymptomatic patient with stenotic or occlusive vertebral lesions. (medscape.com)
However, some tortuous vessels are associated with significant carotid atherosclerotic disease requiring a specific surgical a … The tortuous internal carotid artery as the basis of cerebral vascular insufficiency is a controversial entity, as such lesions frequently occur without neurologic symptoms. (onteenstoday.com)

With the exception of the patient presenting with a vertebral artery aneurysm, surgical or endovascular intervention is not indicated in asymptomatic patients who harbor suspicious radiographic findings. (medscape.com)
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)
Manifestations and patterns of more severe cardiac injuries may include myocardial contusion, hemorrhage, simple or complex arrhythmias, myocardial infarction, septal and/or free wall ruptures, valvular pathologies, ventricular aneurysm, and even coronary artery thrombosis. (heartviews.org)

Endovascular stent-assisted angioplasty in the management of traumatic internal carotid artery dissections. (ejcrim.com)
Xianjun H, Zhiming Z. A systematic review of endovascular management of internal carotid artery dissections. (ejcrim.com)

OBJECTIVES: To investigate temporal changes in imaging findings of conservatively treated acute unruptured vertebral basilar artery dissection (VBAD) and its contributing factors. (bvsalud.org)
These commonly have very acute symptoms followed by a resolution of symptoms or chronic symptoms due to damage caused by the inflammation. (portmelbournephysio.com.au)
In the sub-acute to chronic phase symptoms may continue in dark or visually-busy environments. (portmelbournephysio.com.au)
Here we present an unusual case of a patient who sustained a right coronary artery dissection and associated acute myocardial infarction following a motor vehicle crash. (heartviews.org)
Acute spinal cord ischemia syndrome (ASCIS) is predictably due primarily to pathology in the anterior spinal artery, its feeders or its branches. (biomedcentral.com)

Incidence of unsuspected blunt carotid artery injury. (westerntrauma.org)
Blunt carotid artery injury: the futility of aggressive screening and diagnosis. (westerntrauma.org)

Vertebral dissection may occur after physical trauma to the neck, such as a blunt injury (e.g. traffic collision), or strangulation, or after sudden neck movements, i.e. coughing, but may also happen spontaneously. (wikipedia.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)
[ 4 ] Traumatic injury may also be the result of blunt trauma or pressure contusion. (medscape.com)
Vertebral artery injury (VAI) after blunt cervical trauma occurs more frequently than historically believed. (biomedcentral.com)
Blunt neck trauma with damage to the carotid and vertebral artery injuries are commonly referred to as blunt cerebrovascular injuries (BCVIs). (emdocs.net)
To date, no case has been described in the literature in which traumatized patients developed vascular myelopathy with a time delay without the presence of direct spinal trauma or direct vertebral vascular injury. (fortunejournals.com)
Blunt trauma to the carotid arteries. (westerntrauma.org)
Ramadan F, Rutledge R, Oller D, Howell P, Baker C, Keagy B. Carotid artery trauma: a review of contemporary trauma center experiences. (westerntrauma.org)

In later years of life, vertebral artery stenosis is a common arteriographic finding and dizziness is a common complaint. (medscape.com)
The minimal anatomic requirement to justify vertebral artery reconstruction for a patient with hemodynamic symptoms is stenosis of more than 60% diameter in both vertebral arteries if both are patent and complete or the same degree of stenosis in the dominant vertebral artery if the opposite vertebral artery is hypoplastic, ends in a posteroinferior cerebellar artery (PICA), or is occluded. (medscape.com)
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)
Examination of CT images showed that he had an unstable sixth cervical vertebral fracture as well as a second lumbar vertebral fracture associated with significant canal stenosis. (heartviews.org)

This study focused on local hemodynamic changes in basilar arteries with typical vertebrobasilar dolichoectasia, together with unbalanced vertebral arteries and abnormal structures of the circle of Willis, through multi-scale modeling. (bvsalud.org)
VBI occurs when the vertebral and basilar arteries' blood flow that supply the hindbrain are restricted. (portmelbournephysio.com.au)

If the dissection of the artery extends to the part of the artery that lies inside the skull, subarachnoid hemorrhage may occur (1% of cases). (wikipedia.org)
It is therefore possible for the symptoms to occur on both sides, or for symptoms of carotid artery dissection to occur at the same time as those of vertebral artery dissection. (wikipedia.org)
Hemodynamic symptoms occur as a result of transient "end-organ" (brainstem, cerebellum, and/or occipital lobes) hypoperfusion and can be precipitated by postural changes or transient reduction in cardiac output. (medscape.com)
This is a common cause of vertigo in the eldery but can occur earlier in life due to vertebral artery dissection (tear). (portmelbournephysio.com.au)
For hemodynamic symptoms to occur in direct relation to the vertebrobasilar arteries, significant occlusive pathology must be present in both of the paired vertebral vessels or in the basilar artery. (medscape.com)
Traumatic lumbar punctures occur in up to 30% of lumbar punctures. (sinaiem.org)
Unstable vertebral injuries are those in which bony and ligamentous integrity are disrupted sufficiently that free movement can occur, potentially compressing the spinal cord or its vascular supply and resulting in marked pain and potential worsening of neurologic function. (msdmanuals.com)
Such vertebral movement may occur even with a shift in patient position (eg, for ambulance transport, during initial evaluation). (msdmanuals.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)

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)
One study has found that dissecting intracranial aneurysms of non-traumatic origin are more common than previously expected [5]. (fortunepublish.com)
Endovascular treatment of wide-neck intracranial aneurysms remains a technically challenging procedure due to the risk of coil protrusion into the parent artery and subsequent thrombus formation or parent vessel compromise. (ajnr.org)
Peripheral aneurysms of the posterior inferior cerebellar artery (PICA) are rare, and pre-existing literature concerning their endovascular treatment is limited. (ajnr.org)
In this series, most peripheral PICA aneurysms were secondary to arterial dissection. (ajnr.org)
Posterior inferior cerebellar artery (PICA) aneurysms account for approximately 0.5% to 3.0% of all intracranial aneurysms, 1 , 2 and most are located right at the origin or in the first anteromedullary segment of the vessel. (ajnr.org)
2 - 4 Approximately 28% of all aneurysms located in the vertebrobasilar arteries, including PICA, have been estimated to be of dissecting origin. (ajnr.org)
Proximal PICA aneurysms located at the vertebral artery-PICA junction or at anteromedullary segment and flow-related aneurysms associated with brain arteriovenous malformations were excluded. (ajnr.org)

Thirty-one hours after the onset of these symptoms, a thrombectomy was performed. (jccm.ro)
The mean age at symptom onset was 3.7 ± 1.9 years, mean age at presentation was 8.1 ± 2.5 years, and mean duration of illness was 4.4 ± 2.6 years. (neurologyindia.com)

Unilateral common carotid artery dissection in a patient with recent COVID-19: an association or a coincidence? (ajtmh.org)
The unilateral absence of posterior communicating arteries would increase differences in blood flow between the left and right posterior cerebral arteries. (bvsalud.org)
The most common cause remains traumatic injury, often a penetrating mechanism, such as a stab or gunshot wound or a unilateral facet fracture and dislocation due to a motor vehicle accident or fall. (medscape.com)

Meanwhile, missing communicating arteries in the circle of Willis, especially bilateral posterior communicating arteries absences, would significantly increase blood pressure in basilar artery. (bvsalud.org)

Further, plaintiffs claim defendants failed to warn players of risks involved with head injuries, possibly resulting in chronic traumatic encephalopathy. (straffordpub.com)
What is Chronic Traumatic Encephalopathy? (klinespecter.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)

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)

Crawford and coworkers first described the technique of trans-subclavian endarterectomy of the vertebral artery. (medscape.com)

BACKGROUND: Vertebrobasilar dolichoectasia is a rare cerebrovascular disease characterized by obvious extension, dilation and tortuosity of vertebrobasilar artery, and its pathophysiological mechanism is not clear. (bvsalud.org)

Patients with embolic ischemia often develop multiple and multifocal infarcts in the brain stem, cerebellum, and, occasionally, posterior cerebral artery territory. (medscape.com)
Ischemia affecting the temporo-occipital areas of the cerebral hemispheres or segments of the brain stem and cerebellum characteristically produces bilateral symptoms. (medscape.com)
Symptoms of vertebrobasilar ischemia. (medscape.com)
When patients present with 2 or more of these symptoms, vertebrobasilar ischemia is likely the cause. (medscape.com)
Nevertheless, symptoms associated with posterior circulation ischemia are often dismissed as nonspecific findings. (medscape.com)
Ischemia affecting the temporo-occipital areas of the cerebral hemispheres and segments of the brainstem and cerebellum characteristically produces bilateral symptoms. (medscape.com)
Mid-thoracic levels are most vulnerable to ischemia (for example, as a result of thrombosis) as there is only one radicular artery supplying the anterior spinal artery in this region, and sparse anastomoses. (biomedcentral.com)
The classic presentation for anterior spinal artery ischemia or infarct is sensory deficits in the following pattern: distal to the lesion, pain and temperature are lost bilaterally (owing to the involvement of anterolateral spinothalamic tracts), but light touch, vibration and position sense are preserved (owing to sparing of dorsal columns). (biomedcentral.com)

First described by Spiller in 1909 [ 2 ], thrombosis of the anterior spinal artery is often due to fracture of a cervical vertebra or a cervical hyperextension injury. (biomedcentral.com)

The frequency of vertebral artery injury in blunt cervical spine injury ranges from 19% to 39%,[ 1 , 4 , 10 , 11 ] which is not uncommon and should always be kept in mind when treating patients. (surgicalneurologyint.com)

it may also cause a range of additional neurological symptoms. (wikipedia.org)
About 40% of the patients did not manifest neurological symptoms until after 72 hours 17 . (emdocs.net)

Abducens nerve palsy due to neurovascular compression by elongated, enlarged, tortuous or dilated arteries is an uncommon but important cause. (bvsalud.org)
What causes a tortuous carotid artery? (onteenstoday.com)
Carotid Artery Tortuosity Tortuous carotid arteries are often reported in hypertensive patients [4, 6, 63]. (onteenstoday.com)
What causes tortuous coronary arteries? (onteenstoday.com)
Clinical observations have linked tortuous arteries and veins with aging, atherosclerosis, hypertension, genetic defects and diabetes mellitus. (onteenstoday.com)
If there are symptoms present, it is more likely that the tortuous aorta is dangerous in that case. (onteenstoday.com)
How common is tortuous carotid artery? (onteenstoday.com)
Are tortuous arteries normal? (onteenstoday.com)
Tortuous arteries and veins are commonly observed in humans and animals. (onteenstoday.com)
What happens to the tortuous internal carotid artery? (onteenstoday.com)
It is time-consuming to cover all arteries and shows poor performance for the arteries with a tortuous course. (bmj.com)

Up to eight radicular arteries are established during development and supply the anterior spinal artery, the largest of which is the artery of Adamkiewicz between T9 and T11. (biomedcentral.com)
The territory of the anterior spinal artery covers the anterolateral and corticospinal tracts, but not the dorsal columns. (biomedcentral.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)

Horizontally oriented vertebral facet joints and Physiologic Wedging of the vertebral bodies - greater incidence of dislocation! (pedemmorsels.com)

The approach to the distal vertebral artery was first described by Matas and Henry and was used for the treatment of traumatic injury. (medscape.com)
Chiropractic spinal adjusting has never been linked to injury to the carotid artery. (drjosephpengecir.com)
Published studies have documented neck manipulations by lay people (barber, masseuse, hair dresser, kung fu instructor, untrained family member, etc.), resulting in vertebral artery injury, and attributing the injury to "chiropractic manipulation" when in fact it was not. (drjosephpengecir.com)
During cervical TFESI, the needle should be guided to the posterior aspect of neural foramen under fluoroscopy (C-arm) so as to prevent injury to the vertebral artery [ 13 , 14 ]. (e-arm.org)
A cranial CT showed no intracranial abnormality with the absence of bleeding or traumatic injury. (biomedcentral.com)
It is often - but not always - the result of a traumatic injury. (experts.com)
Post-concussion syndrome is the presence of long-term symptoms related to a mild traumatic brain injury. (kornfeldlaw.com)
The causes of intractable fever in severe traumatic brain injury (TBI) patients can be diverse. (neurologyindia.com)
Other notable cases include a $30 million settlement for a technician who suffered traumatic brain injury and multiple fractures in a fall that occurred when a ladder ring detached on a telecommunications tower where he had been working. (klinespecter.com)
BVI, Blunt vertebral artery injury. (your-doctor.net)
The spectrum of blunt injury to the carotid artery: a multicenter perspective. (westerntrauma.org)
Cervical spine fracture patterns predictive of blunt vertebral artery injury. (westerntrauma.org)

The patient underwent endovascular intervention with dilation of the narrowed vertebral artery and stent retriever basilar artery thrombectomy, with a favourable clinical outcome. (jccm.ro)

To suggest rotation angles of fluoroscopy that can bypass the carotid sheath according to vertebral levels for cervical transforaminal epidural steroid injection (TFESI). (e-arm.org)

The typical presentation of this is an ipsilateral headache or neck pain, delayed ischemic symptoms from the affected hemisphere or retina, Horner's syndrome, lower cranial nerve palsies, and pulsatile tinnitus [2, 3]. (fortunepublish.com)
One lethal procedural complication occurred, and transient ischemic symptoms appeared in 2 patients. (ajnr.org)

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)
Blunt carotid artery injuries: difficulties with the diagnosis prior to neurologic event. (westerntrauma.org)

No national database exists to record all spinal cord syndromes resulting from traumatic and nontraumatic etiologies. (medscape.com)
Predictably, the syndrome of symptoms varies with the level of the spinal cord in which the lesion occurs. (biomedcentral.com)

[ 1 ] Transposition of the proximal vertebral artery to the common carotid was described by Clark and Perry in 1966 through a similar approach. (medscape.com)
[ 3 ] Eventually, transposition techniques were found to be superior solutions for proximal vertebral disease and have supplanted endarterectomy and bypass as the reconstruction options of choice. (medscape.com)

The most common disease affecting the vertebral artery is atherosclerosis . (medscape.com)

The lawsuits allege that coaches and trainers are not trained to spot symptoms of concussions and allowed players to continue to play despite multiple head injuries. (straffordpub.com)
Blunt carotid artery injuries. (westerntrauma.org)
Liberalized screening for blunt carotid and vertebral artery injuries is justified. (westerntrauma.org)
Spaniolas K, Velmahos GC, Alam HB, de Moya M, Tabbara M, Sailhamer E. Does improved detection of blunt vertebral artery injuries lead to improved outcomes? (westerntrauma.org)
The devastating potential of blunt vertebral arterial injuries. (westerntrauma.org)

[ 4 , 5 ] During the late 1970s, venous bypass and skull base transposition procedures to revascularize the distal vertebral artery were developed using a similar approach. (medscape.com)

Patient presentation is dissimilar to those with hemodynamic symptoms. (medscape.com)
Symptoms from hemodynamic mechanisms tend to be short lived, repetitive, almost predictable and more of a nuisance than a danger. (medscape.com)

Antiplatelets vs anticoagulation for dissection: CADISS nonrandomized arm and meta-analysis. (ejcrim.com)

Anatomy14

Diseases28

Chemicals and Drugs1

Analytical, Diagnostic and Therapeutic Techniques and Equipment13

Psychiatry and Psychology1

Phenomena and Processes2

Disciplines and Occupations1

Health Care2

Occlusion20

Spontaneous7

Bilateral vertebral arteries3

Status of the contralateral vertebral2

Extracranial6

Stroke13

Intracranial vertebral artery2

Cervical artery10

Left vertebral artery4

Contralateral vertebral artery1

Lesions4

Aneurysm4

Internal carotid artery dis2

Acute5

Carotid artery injury2

Trauma8

Stenosis5

Basilar arteries2

Occur8

External caroti1

Aneurysms8

Onset2

Unilateral3

Posterior communic1

Chronic traumatic ence2

Infarction1

Case of traumatic1

Subclavian1

Vertebrobasilar artery1

Ischemia8

Thrombosis1

Blunt cervical1

Neurological2

Tortuous11

Anterior spinal2

Intimal1

Incidence1

Injury12

Dilation1

Epidural1

Ischemic symptoms2

Diagnosis4

Spinal cord2

Proximal2

Atherosclerosis1

Injuries5

Distal1

Hemodynamic2

Anticoagulation1