keyword
https://read.qxmd.com/read/38293798/photon-counting-detector-ct-angiography-in-cervical-artery-dissection
#21
JOURNAL ARTICLE
Zafer Keser, Felix E Diehn, Giuseppe Lanzino
No abstract text is available yet for this article.
March 2024: Stroke; a Journal of Cerebral Circulation
https://read.qxmd.com/read/38292093/coil-embolization-for-asymptomatic-low-grade-vertebral-artery-injury-which-worsened-after-cervical-decompression-surgery-a-case-report
#22
Taiki Isaji, Tadato Yukiue, Takayuki Amano
INTRODUCTION: Blunt cervical injuries rarely cause vertebral artery injuries (VAIs), such as vertebral artery (VA) dissection or occlusion. To prevent subsequent embolic infarction, embolization of the injured VA is needed before surgical fixation of the cervical spine. However, evidence on endovascular treatment for asymptomatic low-grade VAIs with blunt traumatic cervical injury is insufficient. CASE REPORT: In the present case, a 79-year-old Japanese man presented tetraparesis after falling while walking...
January 2024: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/38288608/epidemiology-of-spontaneous-cervical-artery-dissection-population-based-study
#23
JOURNAL ARTICLE
Kim J Griffin, William S Harmsen, Jay Mandrekar, Robert D Brown, Zafer Keser
BACKGROUND: Cervical artery dissection (CeAD) represents up to 15% to 25% of ischemic strokes in people under the age of 50 years. Noninvasive vessel imaging is increasingly used in clinical practice, but the impact on the frequency of detection of CeAD is unknown. In 2006, the yearly incidence rate of CeAD was estimated at 2.6 per 100 000 person-years, but the current incidence is unknown. METHODS: In this population-based retrospective observational cohort study, we utilized the resources of the Rochester Epidemiology Project to ascertain all adult residents of Olmsted County, MN, diagnosed with internal carotid artery dissection and common carotid artery dissection or vertebral artery dissection from 2002 to 2020...
January 30, 2024: Stroke; a Journal of Cerebral Circulation
https://read.qxmd.com/read/38282260/clinical-implications-of-the-superficial-uterine-vein-pattern-for-the-dissection-of-the-anterior-layer-of-the-vesicouterine-ligament-in-radical-hysterectomy
#24
JOURNAL ARTICLE
Atsushi Fusegi, Hiroyuki Kanao, Mayumi Kamata, Shogo Nishino, Akiko Abe, Makiko Omi, Hidetaka Nomura
OBJECTIVE: To describe anatomic patterns of the superficial uterine vein (sUV) and assess their association with aspects of the dissection procedure of the anterior layer of the vesicouterine ligament (aVUL) by retrospectively reviewing surgical videos. METHODS: We analyzed patients who underwent laparoscopic radical hysterectomy for early-stage cervical cancer from 2014 to 2019. The primary endpoint was the time required for aVUL dissection. Multiple linear regression analyses were performed to identify factors influencing the time required for aVUL dissection...
January 22, 2024: Journal of Gynecologic Oncology
https://read.qxmd.com/read/38281856/iatrogenic-vertebral-artery-dissection-with-posterior-fossa-and-lateral-medullary-stroke-after-uncomplicated-cervical-nerve-ablation
#25
JOURNAL ARTICLE
Jasmeen Kaur, Grigory Ostrovskiy, Christina Hajicharalambous
BACKGROUND: A cervical radiofrequency ablation is a procedure that can be performed to treat arthritis-related pain in the neck and upper back. There have been no large studies reporting complications after this procedure. We report a case of a 55-year-old woman with iatrogenic vertebral artery dissection of C3-C4 with segmental occlusion leading to a posterior fossa stroke and lateral medullary stroke after a high-grade cervical nerve ablation. CASE REPORT: A 55-year-old woman presented to the Emergency Department with vomiting, neck pain, temperature changes, dizziness, and dysarthria after undergoing C2-C3, C4-C5 nerve ablation 30 min prior to arrival...
March 2024: Journal of Emergency Medicine
https://read.qxmd.com/read/38277859/a-comprehensive-review-of-the-vertebral-artery-anatomy
#26
REVIEW
Jean-Baptiste Peeters, Tania Idriceanu, Gilles El Hage, Tristan Martin, CĂ©line Salaud, Pierre-Olivier Champagne, Michel W Bojanowski
BACKGROUND: The vertebral arteries (VA) play a critical role by supplying nearly one-third of the brain's blood flow, predominantly contributing to the posterior circulation. These arteries may need to be exposed in a various cranial and cervical procedures and offers access to investigate or treat vascular lesions by endovascular means related to the posterior circulation. Given its complex anatomy, which is subject to numerous variations, and its role in supplying vital brain regions, a thorough understanding of the VA's anatomy is paramount for any related procedure...
January 25, 2024: Neuro-Chirurgie
https://read.qxmd.com/read/38273142/neurovascular-considerations-in-patients-with-down-syndrome-and-moyamoya-syndrome
#27
JOURNAL ARTICLE
Arevik Abramyan, Allen Ye Fu, Khushi Patel, Hai Sun, Sudipta Roychowdhury, Gaurav Gupta
In this article, we describe a rare and complex case of moyamoya syndrome in a 7-year-old boy with Down syndrome and atlantoaxial subluxation. The patient presented with an ischemic stroke in the left hemisphere and cervical cord compression with increased cord edema. Diagnostic digital subtraction angiography revealed unique patterns of vascular involvement, with retrograde flow through the anterior spinal artery, ascending cervical artery, occipital artery, and multiple leptomeningeal arteries compensating for bilateral vertebral artery occlusion...
January 25, 2024: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/38251054/post-traumatic-cerebral-infarction-a-narrative-review-of-pathophysiology-diagnosis-and-treatment
#28
REVIEW
Roy A Poblete, Charlotte Zhong, Anish Patel, Grace Kuo, Philip Y Sun, Jiayu Xiao, Zhaoyang Fan, Nerses Sanossian, Amytis Towfighi, Patrick D Lyden
Traumatic brain injury (TBI) is a common diagnosis requiring acute hospitalization. Long-term, TBI is a significant source of health and socioeconomic impact in the United States and globally. The goal of clinicians who manage TBI is to prevent secondary brain injury. In this population, post-traumatic cerebral infarction (PTCI) acutely after TBI is an important but under-recognized complication that is associated with negative functional outcomes. In this comprehensive review, we describe the incidence and pathophysiology of PTCI...
January 4, 2024: Neurology International
https://read.qxmd.com/read/38248748/cervical-artery-dissections-a-demographical-analysis-of-risk-factors-clinical-characteristics-treatment-procedures-and-outcomes-a-single-centre-study-of-54-consecutive-cases
#29
JOURNAL ARTICLE
Iulian Roman Filip, Valentin Morosanu, Doina Spinu, Claudiu Motoc, Zoltan Bajko, Emanuela Sarmasan, Corina Roman, Rodica Balasa
Cervical artery dissections (CAD) are a common cause of ischemic cerebrovascular events among the younger and middle-aged population. Altogether, CAD counts for up to 15% of all causes of stroke in patients aged 50 or younger. Among the known etiological causes, especially addressing the younger population with mechanical traumas and whiplash injuries are regarded as the main culprits. However, cases of spontaneous dissection are also widespread, with risk factors such as hypertension, migraine, and lifestyle factors increasing the risk of occurrence...
December 29, 2023: Journal of Personalized Medicine
https://read.qxmd.com/read/38244646/cerebral-small-vessel-disease-and-stroke-linked-by-stroke-aetiology-but-not-stroke-lesion-location-or-size
#30
JOURNAL ARTICLE
Christoph Sperber, Arsany Hakim, Laura Gallucci, Marcel Arnold, Roza M Umarova
BACKGROUND: Cerebral small vessel disease (SVD) has previously been associated with worse stroke outcome, vascular dementia, and specific cognitive deficits. The underlying causal mechanisms of these associations are not yet fully understood. We investigated whether a relationship between SVD and certain stroke aetiologies or a specific stroke lesion anatomy provides a potential explanation. METHODS: In a retrospective observational study, we examined 859 patients with first-ever, non-SVD anterior circulation ischemic stroke (age = 69...
January 18, 2024: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://read.qxmd.com/read/38234343/balloon-mounted-covered-stent-as-endovascular-management-of-a-traumatic-cervical-internal-carotid-artery-pseudoaneurysm-in-a-23-year-old-a-case-report
#31
Ahmed Abdelsalam, Vasu Saini, Tiffany Eatz, Michael A Silva, Evan M Luther, Miguel Bandes, John W Thompson, Ian A Ramsay, Joshua D Burks, Hayes B Fountain, Robert M Starke
BACKGROUND: Distal cervical internal carotid artery (cICA) pseudoaneurysms are uncommon. They may lead to thromboembolic or hemorrhagic complications, especially in young adults. We report one of the first cases in the literature regarding the management via PK Papyrus (Biotronik, Lake Oswego, Oregon, USA) balloon-mounted covered stent of a 23-year-old male with an enlarging cervical carotid artery pseudoaneurysm and progressive internal carotid artery stenosis. CASE DESCRIPTION: We report the management of a 23-year-old male with an enlarging cervical carotid artery pseudoaneurysm and progressive internal carotid artery stenosis...
2024: AME Case Reports
https://read.qxmd.com/read/38218722/modified-transmanubrial-approach-for-complicated-type-1-cervical-rib-resection-requiring-subclavian-artery-reconstruction
#32
JOURNAL ARTICLE
Francesco Petrella, Luca Rossi, Arianna Gatto, Vittorio Maria Segramora, Massimo Del Bene, Alberto Froio
The transmanubrial musculoskeletal sparing approach (TMA) is commonly used for resecting apical lung tumours with vascular involvement. Non-neoplastic conditions which might require surgical exploration of the thoracic outlet include the 'cervical rib', a clinical condition consisting of an additional rib forming above the first rib and growing from the base of the neck just above the clavicle. Type 1 cervical rib-when a complete cervical rib articulates with the first rib or manubrium of the sternum-is the most challenging scenario where the subclavian artery can be damaged by continuous compression due to the narrow space between clavicle, first rib and supernumerary cervical rib, requiring prosthetic reconstruction of the involved tract...
January 2, 2024: European Journal of Cardio-thoracic Surgery
https://read.qxmd.com/read/38196731/iatrogenic-vertebral-artery-injury-with-concomitant-contralateral-idiopathic-vertebral-artery-dissection-managed-with-intravascular-intervention-a-case-report
#33
James T Bernatz, Ryan M Naylor, Brian C Goh, Waleed Brinjikji, Arjun Sebastian, Brett Freedman, Ahmad Nassr
BACKGROUND: Vertebral artery injury (VAI) is a known potential complication of posterior cervical fusion surgery. Pre-operative imaging is used to determine the patency of bilateral vertebral arteries during the planning and execution of surgery. This case illustrates an example of a staged anterior/posterior cervical reconstruction in which an iatrogenic VAI combined with a contralateral idiopathic vertebral artery dissection not identified on pre-operative imaging resulted in absent basilar artery anterograde flow...
December 25, 2023: Journal of Spine Surgery (Hong Kong)
https://read.qxmd.com/read/38191867/endovascular-reconstruction-of-high-cervical-and-long-segment-carotid-artery-dissections-with-leo-plus-stent
#34
JOURNAL ARTICLE
Guang-Dong Lu, Wei Yang, Zhen-Yu Jia, Sheng Liu
PURPOSE: Endovascular reconstruction has emerged as a viable alternative for carotid artery dissections (CADs) that are unresponsive to antithrombotic therapy. However, high cervical and long-segment CADs pose challenges during endovascular treatment due to their distal location and tortuous anatomy. We presented our experiences using endovascular reconstruction with the Leo plus stent for this type of CAD. METHODS: We conducted a retrospective review of patients with high cervical and long-segment CADs treated using the Leo plus stent...
January 8, 2024: Neuroradiology
https://read.qxmd.com/read/38188950/bilateral-carotid-dissection-due-to-eagle-syndrome
#35
Kenza Berrada, Ibtissam El Ouali, Hiba Zahi, Meriem Fikri, Mohamed Jiddane, Firdaouss Touarsa
Eagle syndrome is defined as a collection of symptoms affecting the cervical and cranial regions, resulting from an elongated styloid process or ossified stylohyoid ligament encroaching on surrounding structures and causing a variety of symptoms. Classically, Eagle syndrome presents as neck, throat, or ear pain. Carotid artery dissection is a rare complication of Eagle syndrome. We report the case of a 40-year-old man who presented with bilateral internal carotid artery dissection secondary to pathological elongation of the styloid processes...
March 2024: Radiology Case Reports
https://read.qxmd.com/read/38152225/the-cervical-branch-first-technique-in-complex-resternotomy
#36
JOURNAL ARTICLE
Michelle Ng, George Matalanis
BACKGROUND: Branch-first total aortic arch repair is a paradigm shift in the technical approach for uninterrupted neuroprotection during open aortic surgery. This technique is further modified to instigate hazardous sternal reentry in patients with hostile mediastinal anatomy at risk of aortic injury. METHODS: Intraoperative preparation and the illustrated operative technique of the cervical branch-first technique are described. The accompanying case series narrates the experiences and outcomes of 4 patients who underwent successful complex reoperative aortic surgery utilizing this technique...
December 2023: JTCVS techniques
https://read.qxmd.com/read/38142370/not-so-benign-chest-pain-in-the-young-a-story-of-spontaneous-coronary-artery-dissection-and-fibromuscular-dysplasia
#37
JOURNAL ARTICLE
Kingsley Dah, Rohan Desai, Divyank Patel, Amar Patel, Jan Lopes, Jorge Chiquie Borges
Spontaneous coronary artery dissection (SCAD) is a rare clinical entity, often presenting similar to atherosclerotic acute coronary syndrome (ACS), although it is a non-atherosclerotic, non-traumatic, and non-iatrogenic coronary artery pathology. We report the case of a 36-year-old woman who presented with substernal, pressure-like chest pain without aggravating, alleviating, or associated symptoms. Initial evaluation revealed elevated troponin levels which peaked at 8.71 ng/mL. Electrocardiogram showed borderline J point elevation in the lateral leads...
2023: Journal of Investigative Medicine High Impact Case Reports
https://read.qxmd.com/read/38137938/the-cavernous-nerve-injury-rat-model-a-pictorial-essay-on-post-radical-prostatectomy-erectile-dysfunction-research
#38
REVIEW
Silviu Constantin Latcu, Dorin Novacescu, Victor-Bogdan Buciu, Cristina-Stefania Dumitru, Raluca Amalia Ceausu, Marius Raica, Talida Georgiana Cut, Razvan Ilina, Daniel Claudiu Malita, Cristi Tarta, Alin Adrian Cumpanas
Understanding and addressing post-radical prostatectomy (RP) erectile dysfunction (ED) is of paramount importance for clinicians. Cavernous nerve (CN) injury rat model studies have provided consistently promising experimental data regarding regaining erectile function (EF) after nerve damage-induced ED. However, these findings have failed to translate efficiently into clinical practice, with post-RP ED therapeutic management remaining cumbersome and enigmatic. This disparity highlights the need for further standardization and optimization of the elaborate surgical preparation protocols and multifaceted reporting parameters involved in reliable CN injury rat model experimentation...
December 13, 2023: Life
https://read.qxmd.com/read/38134303/vertebral-artery-dissection-in-the-setting-of-unstable-os-odontoideum-a-case-report
#39
JOURNAL ARTICLE
Ryan A Finkel, Nakul Narendran, Paal K Nilssen, David L Skaggs, Kenneth D Illingworth
CASE: A healthy 5-year-old boy presented with a gradual onset of headaches and acute global right-sided weakness over 10 days. The work-up revealed unstable os odontoideum leading to multiple posterior circulation infarcts with vertebral artery dissection. He underwent antiplatelet therapy, cervical collar immobilization, and delayed occiput to C2 posterior spinal fusion and instrumentation with iliac crest autograft. At 2-year follow-up, the patient had a solid fusion mass, appropriate cervical alignment, and was without neurologic sequelae...
October 1, 2023: JBJS Case Connector
https://read.qxmd.com/read/38130362/symptomatic-carotid-stenosis-in-eagle-syndrome-managed-with-traditional-endarterectomy-and-styloidectomy
#40
Kathryn DiLosa, Joel Harding, Nikunj Donde, Dustin Silverman, Thomas Heafner
Eagle syndrome represents an anatomic variant present in 4% of the population. It is characterized by an elongated styloid process or ossified stylohyoid ligament with resultant irritation of cervical neurovascular structures. Common manifestations include craniofacial or cervical pain related to compression of the glossopharyngeal nerve. In rare cases, patients can present with a stroke or transient ischemic attack due to associated carotid artery injury. Fewer than 25 prior case reports describe vascular symptoms in the setting of associated carotid artery dissection and, in one case, a pseudoaneurysm...
February 2024: Journal of Vascular Surgery Cases and Innovative Techniques
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