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Fig. 1: Dolichoectasia of the suprasellar segment of the left internal carotid artery with compression of the optic chiasm. Most commonly affected are the vertebral and basilar arteries (Vertebral Basilar Dolichoectasia or Vertebrobasillar Dolichoectasia). The internal carotid artery may also be affected.
Lateral medullary syndrome is a neurological disorder causing a range of symptoms due to ischemia in the lateral part of the medulla oblongata in the brainstem.The ischemia is a result of a blockage most commonly in the vertebral artery or the posterior inferior cerebellar artery. [1]
Segments of vertebral artery anterior projection. The vertebral artery may be divided into four parts: The first (preforaminal) part runs upward and backward between the anterior scalene and the longus colli muscles. In front of it are the internal jugular and vertebral veins, and is crossed by the inferior thyroid artery; the left vertebral is ...
Vertebrobasilar insufficiency (VBI) describes a temporary set of symptoms due to decreased blood flow in the posterior circulation of the brain.The posterior circulation supplies the medulla, pons, midbrain, cerebellum and (in 70-80% of people) supplies the posterior cerebellar artery to the thalamus and occipital cortex. [1]
The proximal part of left subclavian is blocked (shaded artery). This prevents antegrade ("forward") flow to the left arm and left vertebral. As a result, flow in the left vertebral is retrograde ("backwards") towards the left arm. Flow to the brain and circle of Willis is via antegrade right and left carotid and right vertebral arteries. Specialty
Vertebral artery dissection is one of the two types of cervical artery dissection.The other type, carotid artery dissection, involves the carotid arteries.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 ...
The posterior inferior cerebellar artery (PICA) is the largest branch of the vertebral artery. It is one of the three main arteries that supply blood to the cerebellum , a part of the brain . Blockage of the posterior inferior cerebellar artery can result in a type of stroke called lateral medullary syndrome .
Cervical artery dissection has been noted to be a common cause of young adult strokes, with some sources indicating a prevalence of up to 20% in this young adult population with annual incidence rates between 2.6 and 2.9 per 100,000, although these incidences may be misleading with true incidences being higher because clinical presentations can vary, many being minor or self-limited, and thus ...
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