Bilateral Vertebral Artery Dissection: A Case Report with Literature Review
Joint Authors
Hafeez, Adam
Halalau, Alexandra
Berghea, Ramona
Gomez‐Rojas, Olga
Gandhi, Nikhil
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-16, 16 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-05-25
Country of Publication
Egypt
No. of Pages
16
Main Subjects
Abstract EN
Vertebral artery dissection (VAD) is a rare cause of ischemic stroke in young patients.
The largely nonspecific symptoms and delayed presentation pose a serious diagnostic challenge.
Medical management with either anticoagulation or antiplatelet therapy is recommended, but there are no reports of successful dual therapy.
We report a case of spontaneous bilateral vertebral artery dissections (VADs) treated with both anticoagulation and antiplatelet therapy and a literature review on clinical presentation and the current medical and surgical management options.
A 37-year-old healthy female presented to the emergency department with worsening neck pain and headache for two weeks despite over-the-counter medication, block therapy, yoga, and deep tissue neck massage.
She denied any trauma but admitted to multiple roller coaster rides over the past few months.
CT angiography was concerning for VADs, and MRI brain revealed multiple strokes in the left posterior inferior cerebellar artery (PICA) territory.
Cerebral arteriography confirmed the diagnosis of VADs.
The patient was initiated on warfarin, along with atorvastatin and aspirin.
She was discharged home with no complications and followed up with neurology as an outpatient.
MR angiography after three months revealed complete resolution of the dissection.
The patient did not report any bleeding complications from dual therapy.
American Psychological Association (APA)
Gomez‐Rojas, Olga& Hafeez, Adam& Gandhi, Nikhil& Berghea, Ramona& Halalau, Alexandra. 2020. Bilateral Vertebral Artery Dissection: A Case Report with Literature Review. Case Reports in Medicine،Vol. 2020, no. 2020, pp.1-16.
https://search.emarefa.net/detail/BIM-1148638
Modern Language Association (MLA)
Gomez‐Rojas, Olga…[et al.]. Bilateral Vertebral Artery Dissection: A Case Report with Literature Review. Case Reports in Medicine No. 2020 (2020), pp.1-16.
https://search.emarefa.net/detail/BIM-1148638
American Medical Association (AMA)
Gomez‐Rojas, Olga& Hafeez, Adam& Gandhi, Nikhil& Berghea, Ramona& Halalau, Alexandra. Bilateral Vertebral Artery Dissection: A Case Report with Literature Review. Case Reports in Medicine. 2020. Vol. 2020, no. 2020, pp.1-16.
https://search.emarefa.net/detail/BIM-1148638
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148638