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vertebral artery dissection

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https://www.readbyqxmd.com/read/29323631/endovascular-treatment-with-tirofiban-during-the-acute-stage-of-cervical-spinal-cord-infarction-due-to-vertebral-artery-dissection
#1
Yuanling Wu, Wenxian Li, Xiaomei Xie, Zhen Jing, Weibiao Lu, Li'an Huang
CONTEXT: Cervical spinal cord infarction is a rare and severe complication of vertebral artery dissection (VAD). We report a case of VAD in an acute stage followed by cervical spinal cord infarction that was treated using direct endovascular tirofiban infusion via digital subtraction angiography (DSA) monitoring. FINDINGS: A 48-year-old man presented with vertigo, neck pain, numbness and weakness in four limbs with subsequent cardiac and respiratory arrest. Neurological examination revealed hypoesthesia below the neck with grade one myodynamia on the right side of the limbs and zero on the left side...
January 11, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29322981/expansile-manubriotomy-for-ventral-cervicothoracic-junction-disease
#2
Sudhir Dubey, Amit Agrawal
Cervicothoracic junction can be approached anteriorly, anterolaterally, posterolaterally, and posteriorly. The anterior approaches in this region best address the ventral vertebral body disease but may cause significant morbidity. Twelve patients with their disease process located ventral to the spinal cord in the cervicothoracic junction underwent expansile manubriotomy and corpectomy. Eleven patients underwent fusion. One patient underwent an oblique corpectomy. All patients had their disease process from T1 to T3 vertebral levels...
January 2018: Neurology India
https://www.readbyqxmd.com/read/29322965/endovascular-strategies-for-management-of-intradural-vertebral-artery-dissecting-aneurysms
#3
Swati D Chinchure, Vijay Jaykrishnan, B P Krishna Prasad
OBJECTIVE: Endovascular treatment of vertebral intradural dissecting aneurysms is complex and requires different strategies for each case. The current study aims to classify these aneurysms for an easy selection of optimal strategies for endovascular therapy. MATERIALS AND METHODS: This study is a retrospective evaluation of 10 patients harbouring a vertebral intradural dissecting aneurysm (including 6 female and 4 male patients). The clinical, procedural, and angiographic data were evaluated...
January 2018: Neurology India
https://www.readbyqxmd.com/read/29322955/endovascular-management-of-vertebral-artery-dissecting-aneurysms
#4
Vipul Gupta, Rajsrinivas Parthasarathy
No abstract text is available yet for this article.
January 2018: Neurology India
https://www.readbyqxmd.com/read/29317976/postpartum-sudden-cardiac-death-after-spontaneous-coronary-artery-dissection-in-a-patient-with-fibromuscular-dysplasia
#5
Tannaz Shoja, Craig Basman, Suresh Jain, Aditya Mangla, Zoran Lasic
Spontaneous coronary artery dissection (SCAD) is a rare entity that can cause acute myocardial infarction and sudden cardiac death (SCD) which often goes unrecognized. We report a case of SCAD in a young postpartum female who presented with sudden cardiac arrest. The patient was managed medically and found to have fibromuscular dysplasia (FMD). After being stabilized in the critical care unit, coronary angiography was performed which showed dissection of the left main artery, intramural hematoma, and the culprit lesion...
December 2017: Cardiology Research
https://www.readbyqxmd.com/read/29315103/extracranial-vertebral-artery-dissecting-aneurysm-with-snowboarding-a-case-report
#6
Kent H Do, Jeffrey C Leggit, Alexander Galifianakis
No abstract text is available yet for this article.
January 2018: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/29301033/endovascular-transcirculation-management-of-iatrogenic-vertebral-artery-dissection-with-the-floss-technique-and-flow-diversion-2-dimensional-operative-video
#7
Leonardo Rangel-Castilla, Hussain Shallwani, Hakeem J Shakir, Elad I Levy, Adnan H Siddiqui
No abstract text is available yet for this article.
December 30, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29277587/the-use-of-flow-diverter-in-ruptured-dissecting-intracranial-aneurysms-of-the-posterior-circulation
#8
Volker Maus, Anastasios Mpotsaris, Franziska Dorn, Markus Möhlenbruch, Jan Borggrefe, Pantelis Stavrinou, Nuran Abdullayev, Utako Birgit Barnikol, Thomas Liebig, Christoph Kabbasch
OBJECTIVE: Acute dissecting aneurysms of the posterior circulation are a rare cause of SAH. Established endovascular treatment options include PAO and stent-assisted coiling, but appear to be associated with an increased risk of ischemic stroke. Vessel reconstruction with flow-diverters is an alternative treatment option, however, its safety and efficacy in the acute stage remains unclear. METHODS: Multi-centric retrospective analysis of 15 consecutive acutely ruptured dissecting posterior circulation aneurysms treated with flow-diverters...
December 22, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29262388/-ruptured-dissecting-aneurysm-of-the-fenestrated-vertebral-artery-a-case-report
#9
Kenta Takahara, Toshiyuki Amano, Yuichiro Tsurusaki, Noriyuki Koga, Kei Murao, Shoji Arihiro, Shinya Yamaguchi, Sei Haga
Fenestration of a vertebral artery(VA)is a rare anomaly that has occasionally been associated with the formation of saccular aneurysms, whereas dissection of a limb of the fenestrated artery is an extremely rare occurrence. We report the case of a ruptured dissecting aneurysm of a fenestrated VA. A 56-year-old man presented with acute-onset headache followed by respiratory failure. Computed tomography(CT)revealed diffuse subarachnoid hemorrhage, and CT angiography(CTA)demonstrated fenestration of the left VA and a fusiform aneurysm of the dorsolateral limb of the fenestrated VA...
December 2017: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/29217434/upper-limb-ischemia-by-subclavian-artery-dissection-after-osteopathic-manipulation
#10
Carine Boulon, Alexandre Maillet, Pierre Salaun, Sophie Skopinski, Joël Constans
We report the case of a young woman who experienced ischemia of upper limb after osteopathic manipulation. Duplex and CT scan showed wall hematoma of the ostium of subclavian artery. The patient spontaneously recovered so that no surgery was necessary. Dissection of vertebral and carotid arteries has been reported after osteopathic manipulations. We report ischaemia of upper limb secondary to dissection of subclavian artery. Arterial dissections associated with manipulation should be recorded in a register in order to assess more carefully the vascular risk that this method carries...
December 4, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29204196/delineate-yet-not-dread-anomalous-vertebral-artery-in-pediatric-congenital-atlantoaxial-dislocation-and-basilar-invagination
#11
Pravin Salunke
Introduction: The deformed joints seen in congenital atlantoaxial dislocation (CAAD) are often associated with vascular anomalies. It is important to identify these vascular anomalies and address them appropriately without compromising the manipulation and fusion of C1-C2 joints. The small bones in pediatric age group pose an additional challenge. Materials and Methods: Data of fifty-six children with CAAD operated in the last 4 years was analyzed. A computed tomography angiogram was obtained preoperatively to assess for the course of the third segment of vertebral artery (VA)...
July 2017: Journal of Pediatric Neurosciences
https://www.readbyqxmd.com/read/29188153/a-posterior-circulation-stroke-presenting-with-isolated-truncal-ataxia
#12
Daniel Migliaccio, Benjamin Lindquist
Vertebral artery dissection is an infrequent and often misdiagnosed cause of stroke. In this case report, we describe a patient with a posterior circulation stroke caused by a vertebral artery dissection, who presented to the emergency department with isolated truncal ataxia. This case emphasizes the importance of obtaining a thorough history and physical exam for all neurologic complaints, including a careful ambulation assessment.
September 22, 2017: Curēus
https://www.readbyqxmd.com/read/29169842/anatomic-characterization-of-the-radial-and-ulnar-nutrient-arteries-in-humans
#13
Shota Kinose, Yosuke Kanaya, Yuto Kawasaki, Taro Okamura, Kota Kato, Tatsuo Sakai, Koichiro Ichimura
BACKGROUND: The localization of nutrient foramens has been extensively studied in humans and other vertebrate animals. However, accurate information on the origin and extraosseous course of the nutrient arteries in some types of long tubular bones is lacking. Terminologia Anatomica, the international standard on human anatomic terminology, lists the radial nutrient artery (RNA) and the ulnar nutrient artery (UNA) as branches of the radial and ulnar arteries, respectively. Anatomy textbooks published in both German- and English-speaking countries regard both the RNA and UNA as branches of the anterior interosseous artery...
November 20, 2017: Annals of Anatomy, Anatomischer Anzeiger: Official Organ of the Anatomische Gesellschaft
https://www.readbyqxmd.com/read/29163749/isolated-extracranial-vasospasm-and-intracranial-dissection-an-unusual-imaging-manifestation-of-reversible-cerebral-vasoconstriction-syndrome
#14
Fatmah Al Zahmi, Sumeet G Dua, Miral D Jhaveri, Shawna Cutting
Reversible cerebral vasoconstriction syndrome (RCVS) is a distinct clinical syndrome characterized by thunderclap headache and reversible cerebral vasoconstriction. An association between RCVS and arterial dissection has emerged in recent years, where dissection typically involves the cervical vertebral arteries. In this vignette, we describe isolated reversible vasoconstriction, involving the extracranial arteries and intracranial dissection-a combination hitherto never reported.
October 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/29142778/-foramen-magnum-meningiomas-a-report-of-12-cases-and-literature-review
#15
Álvaro Campero, Pablo Ajler, Guillermo Roman, Conrado Rivadeneira
Objectives: The primary aim of this study was to assess the results attained for 12 patients with an anterior or lateral foramen magnum meningioma, treated microsurgically. Methods: Between June 2005 and December 2016, 12 patients with foramen magnum meningiomas underwent microsurgical resection. Patients' age and gender, tumor localization (anterior or lateral), symptoms, approach, and postoperative results were analyzed. Results: Eight of the 12 patients were women...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/29142493/cervical-arterial-fibromuscular-dysplasia-in-a-biethnic-population-a-retrospective-study-in-the-u-s-mexican-border
#16
Ihtesham A Qureshi, Gustavo J Rodriguez, Tatiana Chacon-Quesada, Gavito-Higuera Jose, Salvador Cruz-Flores, Alberto Maud
Background  There have been studies trying to characterize Fibromuscular Dysplasia (FMD); however, most of them are based in mainly non-Hispanic sample. The objective of this study is to better understand the epidemiology and clinical characteristics of craniocervical FMD in the Hispanic population. Methods  We retrospectively reviewed the cerebral angiograms performed in our center in a period of 3.5 years under any indication looking for angiographic patterns of FMD. Exclusion criteria consisted of cases in which the first angiogram was done when the patients were younger than 18 years...
December 2017: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
https://www.readbyqxmd.com/read/29129766/the-treatment-of-a-spontaneous-dissecting-aneurysm-in-the-extracranial-vertebral-artery-with-covered-stent-a-case-report
#17
Ning Xu, Kun Zhang, Hao Meng, Tianyi Liu, Honglei Wang
A 13-year-old boy with a spontaneous vertebrobasilar artery dissecting aneurysm (VADA) in the extracranial artery, which was only 1 mm away from the initial segment of subclavian artery, was successfully treated with a covered-stent to block the artery of the VADA. Our experience indicates that this is a fast, reliable, effective and economical technique, particularly suitable for surgeries in settings with limited resources.
November 9, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29118804/hybrid-retrograde-antegrade-recanalization-of-acute-basilar-artery-occlusion
#18
James D Rossen, Edgar A Samaniego, Mishelle Paullus, Santiago Ortega-Gutierrez
Acute basilar artery (BA) occlusion has a very poor prognosis. Recanalization can be challenged by bilateral vertebral artery (VA) occlusions, arterial dissection, or advanced atherosclerotic disease. We describe a case in whom the BA was accessed and recanalized through a retrograde-antegrade approach from the anterior circulation using a large posterior communicating artery (PCOM). Once the BA had been crossed retrogradely through the PCOM, another microcatheter was advanced antegradely through the VA into the BA and right posterior cerebral artery using the "buddy-wire" technique...
October 2017: Interventional Neurology
https://www.readbyqxmd.com/read/29108808/fatal-intracranial-aneurysms-and-dissections-causing-subarachnoid-hemorrhage-an-epidemiological-and-pathological-analysis-of-607-legal-autopsy-cases
#19
Shinjiro Mori, Shirushi Takahashi, Akira Hayakawa, Kazuyuki Saito, Aya Takada, Tatsushige Fukunaga
BACKGROUND: There are no detailed reports, in terms of epidemiology and pathology, on intracranial aneurysms and on dissections that were found in unexpected fatal subarachnoid hemorrhage (SAH) cases. In this report we analyzed, based on large-sized medicolegal autopsy cases, the detailed epidemiology and pathological aspects of both lesions. METHODS: We analyzed 607 autopsy cases of unexpected fatal SAHs including 496 aneurysms and 111 dissections. RESULTS: The following results were obtained: (1) Patients who died of dissections were younger than those who died of aneurysms; (2) symptom prevalence rates of aneurysms were 31...
November 3, 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/29100856/recanalization-after-extracranial-dissection-effect-of-antiplatelet-compared-with-anticoagulant-therapy
#20
Preethi Ramchand, Michael T Mullen, Aaron Bress, Robert Hurst, Scott E Kasner, Brett L Cucchiara, Steven R Messé
BACKGROUND: Cervical arterial dissection is a leading cause of stroke in young patients, yet optimal management remains controversial. Existing studies focusing on recurrent stroke were underpowered to demonstrate differences between antithrombotic strategies. Vessel recanalization is a more prevalent outcome and is potentially clinically important. We aimed to assess recanalization rates with anticoagulation compared with antiplatelet therapy. METHODS: We studied a single-center retrospective cohort of patients with extracranial carotid or vertebral artery dissection...
October 31, 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
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