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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 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 ...
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 ...
Normally, vertebral artery blood flow velocity can be 63.6 ± 17.5 cm/s during PSV and 16.1 ± 5.1 cm/s during EDV according to a study done by Kuhl et al. [16] Due to vertebral artery dominance, measurements can vary on both sides, for example, another study by Seidel et al. found that the right side had an average of 45.9 cm/s and the left ...
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
Stanford type A are those which originate in the ascending aorta whereas Stanford type B originate distal to the left subclavian artery (descending aorta). The Debakey classification describes where the original tear is and the extent of the dissection. The artery wall is composed of three concentric layers: the intima, media and adventitia.
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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 ...