Narrowing &/or occlusion of VA secondary to intimal tear and subadventitial hematoma
IMAGING
General Features
CT Findings
MR Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Hunter MD et al: Influenza-like illness is associated with increased short-term risk of cervical artery dissection. J Stroke Cerebrovasc Dis. 30(2):105490, 2021
Ho AL et al: Predictors of cervical vertebral and carotid artery dissection during blunt trauma: experience from a level 1 trauma center. World Neurosurg. 137:e315-20, 2020
Patel P et al: "COVID-19 and cervical artery dissection- a causative association?" J Stroke Cerebrovasc Dis. 29(10):105047, 2020
Singh RB et al: Window to the circulatory system: ocular manifestations of cardiovascular diseases. Eur J Ophthalmol. 30(6):1207-19, 2020
Wu Y et al: Predisposing factors and radiological features in patients with internal carotid artery dissection or vertebral artery dissection. BMC Neurol. 20(1):445, 2020
Ben Hassen W et al: Imaging of cervical artery dissection. Diagn Interv Imaging. 95(12):1151-61, 2014
Lum C et al: Vertebral artery dissection with a normal-appearing lumen at multisection CT angiography: the importance of identifying wall hematoma. AJNR Am J Neuroradiol. 30(4):787-92, 2009
Provenzale JM et al: Comparison of test performance characteristics of MRI, MR angiography, and CT angiography in the diagnosis of carotid and vertebral artery dissection: a review of the medical literature. AJR Am J Roentgenol. 193(4):1167-74, 2009
Provenzale JM: MRI and MRA for evaluation of dissection of craniocerebral arteries: lessons from the medical literature. Emerg Radiol. 16(3):185-93, 2009
Tan MA et al: Late complications of vertebral artery dissection in children: pseudoaneurysm, thrombosis, and recurrent stroke. J Child Neurol. 24(3):354-60, 2009
Hashimoto M et al: Conservative treatment of ruptured vertebrobasilar dissecting aneurysm. Neurol Sci. 29(4):241-4, 2008
Rodallec MH et al: Craniocervical arterial dissection: spectrum of imaging findings and differential diagnosis. Radiographics. 28(6):1711-28, 2008
Rabinov JD et al: Endovascular management of vertebrobasilar dissecting aneurysms. AJNR Am J Neuroradiol. 24(7): 1421-8, 2003
Shin JH et al: Vertebral artery dissection: spectrum of imaging findings with emphasis on angiography and correlation with clinical presentation. Radiographics. 20(6): 1687-96, 2000
Related Anatomy
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
Vertebral artery (VA) dissection
Definitions
Narrowing &/or occlusion of VA secondary to intimal tear and subadventitial hematoma
IMAGING
General Features
CT Findings
MR Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Hunter MD et al: Influenza-like illness is associated with increased short-term risk of cervical artery dissection. J Stroke Cerebrovasc Dis. 30(2):105490, 2021
Ho AL et al: Predictors of cervical vertebral and carotid artery dissection during blunt trauma: experience from a level 1 trauma center. World Neurosurg. 137:e315-20, 2020
Patel P et al: "COVID-19 and cervical artery dissection- a causative association?" J Stroke Cerebrovasc Dis. 29(10):105047, 2020
Singh RB et al: Window to the circulatory system: ocular manifestations of cardiovascular diseases. Eur J Ophthalmol. 30(6):1207-19, 2020
Wu Y et al: Predisposing factors and radiological features in patients with internal carotid artery dissection or vertebral artery dissection. BMC Neurol. 20(1):445, 2020
Ben Hassen W et al: Imaging of cervical artery dissection. Diagn Interv Imaging. 95(12):1151-61, 2014
Lum C et al: Vertebral artery dissection with a normal-appearing lumen at multisection CT angiography: the importance of identifying wall hematoma. AJNR Am J Neuroradiol. 30(4):787-92, 2009
Provenzale JM et al: Comparison of test performance characteristics of MRI, MR angiography, and CT angiography in the diagnosis of carotid and vertebral artery dissection: a review of the medical literature. AJR Am J Roentgenol. 193(4):1167-74, 2009
Provenzale JM: MRI and MRA for evaluation of dissection of craniocerebral arteries: lessons from the medical literature. Emerg Radiol. 16(3):185-93, 2009
Tan MA et al: Late complications of vertebral artery dissection in children: pseudoaneurysm, thrombosis, and recurrent stroke. J Child Neurol. 24(3):354-60, 2009
Hashimoto M et al: Conservative treatment of ruptured vertebrobasilar dissecting aneurysm. Neurol Sci. 29(4):241-4, 2008
Rodallec MH et al: Craniocervical arterial dissection: spectrum of imaging findings and differential diagnosis. Radiographics. 28(6):1711-28, 2008
Rabinov JD et al: Endovascular management of vertebrobasilar dissecting aneurysms. AJNR Am J Neuroradiol. 24(7): 1421-8, 2003
Shin JH et al: Vertebral artery dissection: spectrum of imaging findings with emphasis on angiography and correlation with clinical presentation. Radiographics. 20(6): 1687-96, 2000
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