Hemorrhage into damaged vessel wall with subsequent stenosis, pseudoaneurysm, rupture, or distal embolization
IMAGING
General Features
CT Findings
MR Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Shea K et al: Carotid and vertebral arterial dissections in the emergency department. Emerg Med Pract. 14(4):1-23; quiz 23-4, 2012
Arnold M et al: Treatment issues in spontaneous cervicocephalic artery dissections. Int J Stroke. 6(3):213-8, 2011
Fusco MR et al: Cerebrovascular dissections--a review part I: spontaneous dissections. Neurosurgery. 68(1):242-57; discussion 257, 2011
Pham MH et al: Endovascular stenting of extracranial carotid and vertebral artery dissections: a systematic review of the literature. Neurosurgery. 68(4):856-66; discussion 866, 2011
Provenzale JM et al: Causes of misinterpretation of cross-sectional imaging studies for dissection of the craniocervical arteries. AJR Am J Roentgenol. 196(1):45-52, 2011
Ringer AJ et al: Screening for blunt cerebrovascular injury: selection criteria for use of angiography. J Neurosurg. 112(5):1146-9, 2010
Debette S et al: Cervical-artery dissections: predisposing factors, diagnosis, and outcome. Lancet Neurol. 8(7):668-78, 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
Thorisson HM et al: Endovascular management of extracranial carotid and vertebral disease. Neurosurg Clin N Am. 20(4):487-506, 2009
Albuquerque FC et al: Endovascular management of intracranial vertebral artery dissecting aneurysms. Neurosurg Focus. 18(2):E3, 2005
Iihara K et al: Dissecting aneurysms of the vertebral artery: a management strategy. J Neurosurg. 97(2):259-67, 2002
Provenzale JM: Dissection of the internal carotid and vertebral arteries: imaging features. AJR Am J Roentgenol. 165(5):1099-104, 1995
Hemorrhage into damaged vessel wall with subsequent stenosis, pseudoaneurysm, rupture, or distal embolization
IMAGING
General Features
CT Findings
MR Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Shea K et al: Carotid and vertebral arterial dissections in the emergency department. Emerg Med Pract. 14(4):1-23; quiz 23-4, 2012
Arnold M et al: Treatment issues in spontaneous cervicocephalic artery dissections. Int J Stroke. 6(3):213-8, 2011
Fusco MR et al: Cerebrovascular dissections--a review part I: spontaneous dissections. Neurosurgery. 68(1):242-57; discussion 257, 2011
Pham MH et al: Endovascular stenting of extracranial carotid and vertebral artery dissections: a systematic review of the literature. Neurosurgery. 68(4):856-66; discussion 866, 2011
Provenzale JM et al: Causes of misinterpretation of cross-sectional imaging studies for dissection of the craniocervical arteries. AJR Am J Roentgenol. 196(1):45-52, 2011
Ringer AJ et al: Screening for blunt cerebrovascular injury: selection criteria for use of angiography. J Neurosurg. 112(5):1146-9, 2010
Debette S et al: Cervical-artery dissections: predisposing factors, diagnosis, and outcome. Lancet Neurol. 8(7):668-78, 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
Thorisson HM et al: Endovascular management of extracranial carotid and vertebral disease. Neurosurg Clin N Am. 20(4):487-506, 2009
Albuquerque FC et al: Endovascular management of intracranial vertebral artery dissecting aneurysms. Neurosurg Focus. 18(2):E3, 2005
Iihara K et al: Dissecting aneurysms of the vertebral artery: a management strategy. J Neurosurg. 97(2):259-67, 2002
Provenzale JM: Dissection of the internal carotid and vertebral arteries: imaging features. AJR Am J Roentgenol. 165(5):1099-104, 1995
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