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Vertebral Artery Dissection in Neck
C. Douglas Phillips, MD, FACR
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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

                                          1. Ben Hassen W et al: Imaging of cervical artery dissection. Diagn Interv Imaging. 95(12):1151-61, 2014
                                          2. 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
                                          3. 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
                                          4. Provenzale JM: MRI and MRA for evaluation of dissection of craniocerebral arteries: lessons from the medical literature. Emerg Radiol. 16(3):185-93, 2009
                                          5. 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
                                          6. Hashimoto M et al: Conservative treatment of ruptured vertebrobasilar dissecting aneurysm. Neurol Sci. 29(4):241-4, 2008
                                          7. Rodallec MH et al: Craniocervical arterial dissection: spectrum of imaging findings and differential diagnosis. Radiographics. 28(6):1711-28, 2008
                                          8. Rabinov JD et al: Endovascular management of vertebrobasilar dissecting aneurysms. AJNR Am J Neuroradiol. 24(7): 1421-8, 2003
                                          9. 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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                                          Related Differential Diagnoses
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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

                                                                                  1. Ben Hassen W et al: Imaging of cervical artery dissection. Diagn Interv Imaging. 95(12):1151-61, 2014
                                                                                  2. 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
                                                                                  3. 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
                                                                                  4. Provenzale JM: MRI and MRA for evaluation of dissection of craniocerebral arteries: lessons from the medical literature. Emerg Radiol. 16(3):185-93, 2009
                                                                                  5. 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
                                                                                  6. Hashimoto M et al: Conservative treatment of ruptured vertebrobasilar dissecting aneurysm. Neurol Sci. 29(4):241-4, 2008
                                                                                  7. Rodallec MH et al: Craniocervical arterial dissection: spectrum of imaging findings and differential diagnosis. Radiographics. 28(6):1711-28, 2008
                                                                                  8. Rabinov JD et al: Endovascular management of vertebrobasilar dissecting aneurysms. AJNR Am J Neuroradiol. 24(7): 1421-8, 2003
                                                                                  9. 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