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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 ...
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 ...
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 ...
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.
Prior to contrast injection, backflow of the catheter should be established to ensure there is no wedging, dissection, or intracatheter clotting. During the catheterisation of vertebral artery, extra care should be taken to prevent vessel dissection or vasospasm. Delayed or incomplete contrast washout may indicate vasospasm or dissection. [8]
The brachiocephalic artery or trunk is the first and largest artery that branches to form the right common carotid artery and the right subclavian artery. This artery provides blood to the right upper chest, right arm, neck, and head, through a branch called right vertebral artery .
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 .