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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 ...
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 ...
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 ...
Transorbital oblique view is useful to access the MCA anatomy. [8] The anatomy of external carotid artery is access via AP and lateral views. [8] To image the posterior circulation, such as vertebral and basilar arteries, AP, Towne's view, lateral projections near the back of the head and upper part of the neck is taken.
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 ...
Rotational vertebral artery syndrome (sometimes referred to as Bow Hunter's Syndrome) results from vertebral artery compression on rotating the neck. [7] The commonest cause is a bone spur from a cervical vertebra, in combination with disease in the opposite vertebral artery. Rotational vertebral artery syndrome is rare.
The ICA supplies the brain. The ECA supplies the neck and face. The left subclavian artery and the right subclavian artery, one on each side of the body form the internal thoracic artery, the vertebral artery, the thyrocervical trunk, and the costocervical trunk. The subclavian becomes the axillary artery at the lateral border of the first rib.
In fact, acute sulcal artery syndrome should be suspected in patients with acute hemicord syndrome, and vertebral artery dissection should be suspected in cases of high cervical cord involvement. In a recent review by Tan YJ, et al. in 2021, good functional recovery was seen in most, and vertebral artery dissection was the leading cause of ...