The present report describes the case of a 57-year-old woman presenting with subarachnoid hemorrhage (SAH) and acute ischemic stroke (AIS) due to anterior cerebral artery (ACA) dissection, which exhibited severe stenosis at the origin with distal dilatation of the A2 segment and occlusion of the A3 segment. In this case, computed tomography (CT) revealed SAH in right superior frontal sulcus and...

OBJECTIVE We aimed to investigate the value of three-dimensional (3D) T1 volumetric isotropic turbo spin echo acquisition (VISTA) in the diagnosis of cervical artery dissection (CAD). METHODS We prospectively included patients who were suspected as having a CAD within 1 month of onset. For T1 VISTA, the diagnosis of the dissection was based on the presence of intramural high-signal, intimal f...

Arterial dissection is defined as cleavage of the arterial wall by an intramural hematoma between two elastic layers. Aortic dissection has been widely reported and recognized. However, isolated spontaneous visceral artery dissection without aortic dissection has been reported rarely because of nonspecific symptoms and signs, which is usually diagnosed after fatal hemorrhage or ischemia [1]. Mo...

A spontaneous coronary artery dissection as the sole presenting feature of vascular Ehlers-Danlos syndrome is an uncommon finding. We present a 33-year-old woman with sudden onset chest pain caused by dissection. Genetic testing revealed underlying cause. Specifically, we show value genetic testing, which in some patients may be only way establishing diagnosis.

OBJECTIVES This study was designed to define the frequency and explanation of false negative diagnosis of aortic dissection by aortography and transesophageal echocardiography. BACKGROUND Aortography and transesophageal echocardiography have been widely utilized to diagnose aortic dissection. Previous reports have not fully addressed the reasons why these studies yield false negative results ...