We report a patient with dissection of the bilateral intracranial vertebral artery (VA) that did not present any symptoms other than occipital headache, which was probably associated with sleeping overnight in a car seat with unsteady head position. Although cerebral angiography revealed extensive dissection of the bilateral VA after branching of the posterior inferior cerebral artery, retrogra...

Vertebral artery injury (VAI) during posterior cervical spine surgery is a rare but potentially disastrous complication. Placement of screws in the posterior cervical spine is the most common cause of VAI; however, aberrant anatomy may be a potential cause of inadvertent injury in an otherwise routine exposure of the posterior cervical spine. In this article, Molinari et al described two cases ...

Head and neck trauma in pediatric population differs from adult cases due to the immature cranio-cervical stability resulting from the weak neck musculature and large head to neck proportion. These cases also have drawn attention due to concomitant severe damage to the regional vascular structures such as carotid artery [1,2]. In some cases, especially with skull base fractures and cervical ver...

A case of dual origin of the left vertebral artery was encountered in a dissection course for medical students in 2014. Two vertebral arteries were observed on the left side. One arose from the aortic arch between the origin of the left common carotid artery and the left subclavian artery, entered the transverse foramen of the 4th cervical vertebra, and coursed upward into the transverse forame...

To cite: Ellanti P, Hurson C. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-207286 DESCRIPTION A 38-year-old woman presented to the emergency department subsequent to a high-velocity single vehicle road traffic accident with a fracture of left ulna and radius, right clavicle and sacrum. There was no history of loss of consciousness. Her Glasgow Coma Scale ...

Purpose: Neck pain is the fourth leading cause of global disability, with its prevalence exceeding 30%. Consequently, physiotherapists assess a significant number patients neck pain. However, some conditions, such as vertebral artery dissection, are known to masquerade musculoskeletal and require immediate medical referral. Usual management could exacerbate their condition life-threatening outc...

INTRODUCTION Spontaneous dissection of the cervical artery is a rare non-atherosclerotic vascular disease of unknown aetiology and unclear pathogenesis that may be a cause of ischemic stroke in young adults. DIAGNOSIS Precise diagnosis of dissection of the cervical artery--carotid or vertebral--is possible with cervical axial magnetic resonance imaging and magnetic resonance angiography. TR...

A 45-year old male patient with diabetes presented neck pain with paresthesia and paresis in upper limbs. Physical examination: proximal paraparesis, hyporeflexia and hypoesthesia in the upper limbs. MRI: ischemia in the right hemi-spinal cord (Fig 1), associated to right vertebral artery (VA) dissection (Fig 2). Although more frequently VA dissection causes transient ischemic attack or stroke1...

Vertebral artery stump syndrome refers to the migration of thrombi from an occluded vertebral origin into brain, causing posterior circulation strokes. Treatment has been debated, and no definite treatment established. This retrospective, single-center study included patients who had undergone carotid–vertebral bypass between January 2019 April 2022 identified institutional medical databases. T...

We report the case of a 36 year-old woman who presented occlusion of a basilar artery fusiform aneurysm (FA) associated with pontine infarction, and two episodes of subarachnoid hemorrhage possibly due to arterial dissection. She also had asymptomatic FAs in the right middle cerebral and left internal carotid arteries. Over 5 years, lesions suggestive of fibromuscular dysplasia in the right ver...