STROKE MECHANISM AND CLINICAL OUTCOME IN VERTEBRAL ARTERY DISSECTION

2017 ◽  
Author(s):  
Antonio Arauz
Keyword(s):  
Clinical Outcome ◽  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Stroke Mechanism

Anticoagulation vs Antiplatelet Treatment in Patients with Carotid and Vertebral Artery Dissection: A Study of 370 Patients and Literature Review

Neurosurgery ◽  
2017 ◽  
Vol 80 (3) ◽  
pp. 368-379 ◽  
Author(s):  
Badih Daou ◽  
Christine Hammer ◽  
Nikolaos Mouchtouris ◽  
Robert M. Starke ◽  
Sravanthi Koduri ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Vertebral Artery ◽  
Recurrent Events ◽  
Combined Treatment ◽  
Vertebral Artery Dissection ◽  
Young Patients ◽  
Artery Dissection ◽  
Antiplatelet Treatment ◽  
Hemorrhagic Events

Abstract BACKGROUND: Dissection of the carotid and vertebral arteries is an important cause of stroke in young patients. OBJECTIVE: The objective of this study is to compare antithrombotic treatments in patients with carotid and vertebral dissections. METHODS: Three hundred seventy patients with carotid and vertebral artery dissections were included. Univariate and multivariate analyses were conducted to analyze the association between treatment and new or recurrent events and clinical outcome. RESULTS: Mean follow-up was 24.3 months. In patients with spontaneous dissection, 55% received antiplatelets, 29.4% anticoagulation, and 12.6% combined treatment. New or recurrent ischemic and hemorrhagic events occurred in 9.6% of patients on antiplatelets, 10.4% on anticoagulation, and 13.3% on combined treatment. For traumatic dissection, 58.3% received antiplatelets, 26.9% anticoagulation, and 10.2% combined treatment. New or recurrent ischemic and hemorrhagic events occurred in 6.9% on antiplatelets, 11.1% on anticoagulation, and 20% on combined treatment. In patients with intracranial dissection, 63.1% were started on antiplatelets, 19.7% on anticoagulation, and 14.5% on combined treatment. Ischemic and hemorrhagic events occurred in 8.5% on antiplatelet treatment, 15.4% on anticoagulation, and 18.2% on combined treatment. In patients with extracranial dissection, 54.4% were on antiplatelets, 28.9% on anticoagulation, and 11.2% on combined treatment. Ischemic and hemorrhagic events occurred in 10.1% on antiplatelet treatment, 9.3% on anticoagulation, and 13.8% on combined treatment. The association between antithrombotic treatment and ischemic/hemorrhagic events and clinical outcome was not significant for all subtypes of dissection. CONCLUSION: The rate of new or recurrent events is similar with antiplatelet and anticoagulation treatment in treating intracranial and extracranial carotid and vertebral artery dissection.

Preferential involvement of hypoplastic vessels in vertebral artery dissection: a comparative study

2011 ◽  
Vol 42 (01) ◽  
Author(s):  
R.J. Strege ◽  
P. Hohnstädt ◽  
H. Schindler ◽  
T. Vestring ◽  
R. Kiefer
Keyword(s):  
Comparative Study ◽  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection

Radiological Findings of Vertebral Artery Dissection

1995 ◽  
Vol 33 (4) ◽  
pp. 507
Author(s):  
Ik Won Kang ◽  
Kil Woo Lee ◽  
Ji Hun Kim ◽  
Hong Kil Suh ◽  
Kyu Sun Kim ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Radiological Findings

Chiropractic associated vertebral artery dissection: An analysis of 34 patients amongst a cohort of 310

2021 ◽  
pp. 106665
Author(s):  
Akash Mitra ◽  
Hooman A. Azad ◽  
Nikil Prasad ◽  
Nathan A. Shlobin ◽  
Michael B. Cloney ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection

Appropriate Flow Reduction for Unilateral Ruptured Vertebral Artery Dissection by Proximal Clipping to Prevent Rebleeding and Medullary Infarction

2019 ◽  
Vol 130 ◽  
pp. e627-e633 ◽  
Author(s):  
Yasushi Motoyama ◽  
Yoshiaki Takamura ◽  
Hun Soo Park ◽  
Toshiteru Miyasaka ◽  
Takeshi Wada ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Flow Reduction ◽  
Medullary Infarction

Vertebral artery dissection associated with sildenafil abuse

2013 ◽  
Vol 20 (5) ◽  
pp. 742 ◽  
Author(s):  
Rick Dersch ◽  
Constantin Anastasopoulos ◽  
Claudia Hader ◽  
Oliver Stich
Keyword(s):  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection

Poster 415: Vertebral Artery Dissection After Diving into Shallow Waters: A Case Report

PM&R ◽  
2009 ◽  
Vol 1 ◽  
pp. S285-S285
Author(s):  
Jennifer Chung ◽  
Alex Moroz ◽  
Ira Rashbaum ◽  
Neha Sahni
Keyword(s):  
Case Report ◽  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Shallow Waters
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