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2016 ; 11
(2
): 144-149
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Vertebral Artery Dissection: a Contemporary Perspective
#MMPMID28461834
Tiu C
; Terecoasa E
; Grecu N
; Nistor R
; Frangu S
; Antochi F
Maedica (Bucur)
2016[Jun]; 11
(2
): 144-149
PMID28461834
show ga
Arterial dissections are among the most frequent causes of stroke in young
adults. Usually they are associated with trauma, but as the modern imaging tools
are evolving, more dissections are being diagnosed and more etiologies are being
described. Vertebral artery dissections (VADs) have the distinct particularity
that they can cause ischemic stroke (in the brainstem, cerebellum or even the
spinal cord), but also subarachnoid hemorrhage, when the dissection occurs in the
intracranial segment of the vertebral artery. We present a review of the
literature, going over etiology, clinical aspects, diagnosis and treatment of
VADs and we illustrate the theory with three different types of VAD from our
clinical experience.