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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
- Vertebral artery (VA) dissection
Definitions
- Irregularity of VA contour from intimal tear or 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
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Kim MK et al: Conservative management of unruptured spontaneous intracranial vertebral artery dissection. World Neurosurg. 126:e402-9, 2019
- Saw AE et al: Vertebral artery dissection in sport: a systematic review. Sports Med. 49(4):553-64, 2019
- Saw AE et al: Vertebral artery dissection in sport: expert opinion of mechanisms and risk-reduction strategies. J Clin Neurosci. 68:28-32, 2019
- Hongo H et al: Dermatomal sensory manifestations in lateral medullary infarction. J Stroke Cerebrovasc Dis. 23(1):182-3, 2014
- Kidoh M et al: MR diagnosis of vertebral artery dissection: value of 3D time-of-flight and true fast imaging with steady-state precession fusion imaging. Insights Imaging. 4(1):135-42, 2013
- Ahn SS et al: Spontaneous symptomatic intracranial vertebrobasilar dissection: initial and follow-up imaging findings. Radiology. 264(1):196-202, 2012
- Burlew CC et al: Blunt cerebrovascular injuries: redefining screening criteria in the era of noninvasive diagnosis. J Trauma Acute Care Surg. 72(2):330-5; discussion 336-7, quiz 539, 2012
- Gottesman RF et al: Clinical characteristics of symptomatic vertebral artery dissection: a systematic review. Neurologist. 18(5):245-54, 2012
- Gottesman RF et al: Imaging characteristics of symptomatic vertebral artery dissection: a systematic review. Neurologist. 18(5):255-60, 2012
- Haynes MJ et al: Assessing the risk of stroke from neck manipulation: a systematic review. Int J Clin Pract. 66(10):940-7, 2012
- Kennedy F et al: Antiplatelets vs anticoagulation for dissection: CADISS nonrandomized arm and meta-analysis. Neurology. 79(7):686-9, 2012
- Matsukawa H et al: Differences in vertebrobasilar artery morphology between spontaneous intradural vertebral artery dissections with and without subarachnoid hemorrhage. Cerebrovasc Dis. 34(5-6):393-9, 2012
- Fusco MR et al: Cerebrovascular dissections--a review part I: spontaneous dissections. Neurosurgery. 68(1):242-57; discussion 257, 2011
- Fusco MR et al: Cerebrovascular dissections: a review. Part II: blunt cerebrovascular injury. Neurosurgery. 68(2):517-30; discussion 530, 2011
- Burlew CC et al: Blunt cerebrovascular trauma. Curr Opin Crit Care. 16(6):587-95, 2010
- Campbell-Lloyd AJ et al: Vertebral artery dissection after direct laryngoscopy: case report and literature review. J Laryngol Otol. 123(2):e11, 2009
- Kawakami Y et al: An 8-year-old boy with vertebral artery dissection with cerebellar ataxia featuring suspected vertebral artery hypoplasia. Brain Dev. 31(4):326-30, 2009
- Kesser BW et al: Contemporary management of penetrating neck trauma. Am Surg. 75(1):1-10, 2009
- Kocaeli H et al: Spontaneous intradural vertebral artery dissection: a single-center experience and review of the literature. Skull Base. 19(3):209-18, 2009
- Koh JS et al: Bilateral vertebral-artery-dissecting aneurysm causing subarachnoid hemorrhage cured by staged endovascular reconstruction after occlusion. Cerebrovasc Dis. 27(2):202-4, 2009
- Kulcsar Z et al: Vertebral artery dissection as an extremely rare cause of spinal epidural hematoma: case report and review of the literature. Acta Neurochir (Wien). 151(10):1319-23, 2009
- Lee CK et al: Traumatic vertebral artery injury: detailed clinicopathologic and morphometric analysis of 6 cases. Am J Forensic Med Pathol. 30(2):134-6, 2009
- 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
- Park SI et al: Clinical and angiographic follow-up of stent-only therapy for acute intracranial vertebrobasilar dissecting aneurysms. AJNR Am J Neuroradiol. 30(7):1351-6, 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
- Ramphul N et al: Caveats in the management and diagnosis of cerebellar infarct and vertebral artery dissection. Emerg Med J. 26(4):303-4, 2009
- Richard S et al: Two cases of vertebral artery dissections with late stroke recurrences. J Neuroradiol. 36(3):175-7, 2009
- Ro A et al: Intracranial vertebral artery dissection resulting in fatal subarachnoid hemorrhage: clinical and histopathological investigations from a medicolegal perspective. J Neurosurg. 110(5):948-54, 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
- Yeh HF et al: Traumatic vertebral artery dissection and Wallenberg syndrome after a motorcycle collision. Am J Emerg Med. 27(1):131, 2009
- Dirik E et al: Vertebral artery dissection in a patient with Wildervanck syndrome. Pediatr Neurol. 39(3):218-20, 2008
- Hashimoto M et al: Conservative treatment of ruptured vertebrobasilar dissecting aneurysm. Neurol Sci. 29(4):241-4, 2008
- Redekop GJ: Extracranial carotid and vertebral artery dissection: a review. Can J Neurol Sci. 35(2):146-52, 2008
- Rodallec MH et al: Craniocervical arterial dissection: spectrum of imaging findings and differential diagnosis. Radiographics. 28(6):1711-28, 2008
- Tabatabai G et al: Vertebral artery dissection presenting with ispilateral acute C5 and C6 sensorimotor radiculopathy: a case report. Cases J. 1(1):139, 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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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
- Vertebral artery (VA) dissection
Definitions
- Irregularity of VA contour from intimal tear or 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
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Kim MK et al: Conservative management of unruptured spontaneous intracranial vertebral artery dissection. World Neurosurg. 126:e402-9, 2019
- Saw AE et al: Vertebral artery dissection in sport: a systematic review. Sports Med. 49(4):553-64, 2019
- Saw AE et al: Vertebral artery dissection in sport: expert opinion of mechanisms and risk-reduction strategies. J Clin Neurosci. 68:28-32, 2019
- Hongo H et al: Dermatomal sensory manifestations in lateral medullary infarction. J Stroke Cerebrovasc Dis. 23(1):182-3, 2014
- Kidoh M et al: MR diagnosis of vertebral artery dissection: value of 3D time-of-flight and true fast imaging with steady-state precession fusion imaging. Insights Imaging. 4(1):135-42, 2013
- Ahn SS et al: Spontaneous symptomatic intracranial vertebrobasilar dissection: initial and follow-up imaging findings. Radiology. 264(1):196-202, 2012
- Burlew CC et al: Blunt cerebrovascular injuries: redefining screening criteria in the era of noninvasive diagnosis. J Trauma Acute Care Surg. 72(2):330-5; discussion 336-7, quiz 539, 2012
- Gottesman RF et al: Clinical characteristics of symptomatic vertebral artery dissection: a systematic review. Neurologist. 18(5):245-54, 2012
- Gottesman RF et al: Imaging characteristics of symptomatic vertebral artery dissection: a systematic review. Neurologist. 18(5):255-60, 2012
- Haynes MJ et al: Assessing the risk of stroke from neck manipulation: a systematic review. Int J Clin Pract. 66(10):940-7, 2012
- Kennedy F et al: Antiplatelets vs anticoagulation for dissection: CADISS nonrandomized arm and meta-analysis. Neurology. 79(7):686-9, 2012
- Matsukawa H et al: Differences in vertebrobasilar artery morphology between spontaneous intradural vertebral artery dissections with and without subarachnoid hemorrhage. Cerebrovasc Dis. 34(5-6):393-9, 2012
- Fusco MR et al: Cerebrovascular dissections--a review part I: spontaneous dissections. Neurosurgery. 68(1):242-57; discussion 257, 2011
- Fusco MR et al: Cerebrovascular dissections: a review. Part II: blunt cerebrovascular injury. Neurosurgery. 68(2):517-30; discussion 530, 2011
- Burlew CC et al: Blunt cerebrovascular trauma. Curr Opin Crit Care. 16(6):587-95, 2010
- Campbell-Lloyd AJ et al: Vertebral artery dissection after direct laryngoscopy: case report and literature review. J Laryngol Otol. 123(2):e11, 2009
- Kawakami Y et al: An 8-year-old boy with vertebral artery dissection with cerebellar ataxia featuring suspected vertebral artery hypoplasia. Brain Dev. 31(4):326-30, 2009
- Kesser BW et al: Contemporary management of penetrating neck trauma. Am Surg. 75(1):1-10, 2009
- Kocaeli H et al: Spontaneous intradural vertebral artery dissection: a single-center experience and review of the literature. Skull Base. 19(3):209-18, 2009
- Koh JS et al: Bilateral vertebral-artery-dissecting aneurysm causing subarachnoid hemorrhage cured by staged endovascular reconstruction after occlusion. Cerebrovasc Dis. 27(2):202-4, 2009
- Kulcsar Z et al: Vertebral artery dissection as an extremely rare cause of spinal epidural hematoma: case report and review of the literature. Acta Neurochir (Wien). 151(10):1319-23, 2009
- Lee CK et al: Traumatic vertebral artery injury: detailed clinicopathologic and morphometric analysis of 6 cases. Am J Forensic Med Pathol. 30(2):134-6, 2009
- 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
- Park SI et al: Clinical and angiographic follow-up of stent-only therapy for acute intracranial vertebrobasilar dissecting aneurysms. AJNR Am J Neuroradiol. 30(7):1351-6, 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
- Ramphul N et al: Caveats in the management and diagnosis of cerebellar infarct and vertebral artery dissection. Emerg Med J. 26(4):303-4, 2009
- Richard S et al: Two cases of vertebral artery dissections with late stroke recurrences. J Neuroradiol. 36(3):175-7, 2009
- Ro A et al: Intracranial vertebral artery dissection resulting in fatal subarachnoid hemorrhage: clinical and histopathological investigations from a medicolegal perspective. J Neurosurg. 110(5):948-54, 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
- Yeh HF et al: Traumatic vertebral artery dissection and Wallenberg syndrome after a motorcycle collision. Am J Emerg Med. 27(1):131, 2009
- Dirik E et al: Vertebral artery dissection in a patient with Wildervanck syndrome. Pediatr Neurol. 39(3):218-20, 2008
- Hashimoto M et al: Conservative treatment of ruptured vertebrobasilar dissecting aneurysm. Neurol Sci. 29(4):241-4, 2008
- Redekop GJ: Extracranial carotid and vertebral artery dissection: a review. Can J Neurol Sci. 35(2):146-52, 2008
- Rodallec MH et al: Craniocervical arterial dissection: spectrum of imaging findings and differential diagnosis. Radiographics. 28(6):1711-28, 2008
- Tabatabai G et al: Vertebral artery dissection presenting with ispilateral acute C5 and C6 sensorimotor radiculopathy: a case report. Cases J. 1(1):139, 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
