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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 ...
Arterial dissections include: an aortic dissection , a coronary artery dissection (coronary artery), two types of cervical artery dissection involving one of the arteries in the neck – a carotid artery dissection (carotid artery), and a vertebral artery dissection (vertebral artery), a pulmonary artery dissection is an extremely rare ...
A 2010 systematic review stated that there is no good evidence to assume that neck manipulation is an effective treatment for any medical condition and suggested a precautionary principle in healthcare for chiropractic intervention even if a causality with vertebral artery dissection after neck manipulation were merely a remote possibility. [16]
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 ...
Dissections can also arise in virtually any other artery. Carotid artery dissection, for example, places patients at increased risk for stroke and may extend further into the blood vessels within the brain. Vertebral artery dissection are less common but also dangerous for similar reasons. Mesenteric artery dissection may limit the blood supply ...
[25] [26] There is controversy regarding the degree of risk of vertebral artery dissection, which can lead to stroke and death, from cervical manipulation. [25] Several deaths have been associated with this technique [ 19 ] and it has been suggested that the relationship is causative , [ 27 ] [ 28 ] but this is disputed by many chiropractors ...
University of Maryland Rehabilitation & Orthopaedic Institute is a rehabilitation hospital located along the border of the Forest Park neighborhood of northwest Baltimore City and Woodlawn in Maryland. It lies on and is incorporated into the historic hospital building and grounds of the former James Lawrence Kernan Hospital.
Arterial dissections become life-threatening when growth of the false lumen prevents perfusion of the true lumen and the related end organs. For example, in an aortic dissection, if the left subclavian artery orifice were distal to the origin of the dissection, then the left subclavian would be said to be perfused by the false lumen, while the left common carotid (and its end organ, the left ...
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