Spontaneous bilateral vertebral artery dissection complicated by hemodynamic posterior circulation stroke: A case report
Bilateral vertebral artery dissections account for only 8% of all vertebral artery dissections and cause just 2% of all ischemic strokes. They can occur spontaneously, even without any triggering factor. Classical clinical findings, such as headache or neck pain, may be absent, particularly in the c...
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| Language: | English |
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Elsevier
2025-03-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324013554 |
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| author | Adam Sqalli Houssaini, MD Sarah Lembarki, MD Fatima Chait, MD Mohamed Jiddane, PhD Firdaous Touarsa, PhD |
| author_facet | Adam Sqalli Houssaini, MD Sarah Lembarki, MD Fatima Chait, MD Mohamed Jiddane, PhD Firdaous Touarsa, PhD |
| author_sort | Adam Sqalli Houssaini, MD |
| collection | DOAJ |
| description | Bilateral vertebral artery dissections account for only 8% of all vertebral artery dissections and cause just 2% of all ischemic strokes. They can occur spontaneously, even without any triggering factor. Classical clinical findings, such as headache or neck pain, may be absent, particularly in the context of a stroke. Imaging is the modality of choice for diagnosis and includes ultrasound, catheter-based DSA, computed tomography angiography, and MRA. The main differential diagnoses include atherosclerotic plaques, hypoplastic vertebral artery, and vertebral artery fenestration. The primary treatment involves antithrombotic therapy. We report the case of a 57-year-old woman with no history of cardiovascular disease who presented to the emergency department with hemibody weakness and slurred speech. Magnetic resonance imaging on admission revealed multiple hypoperfusion-related ischemic areas involving the vertebrobasilar artery territory and findings suggestive of bilateral vertebral artery dissection. |
| format | Article |
| id | doaj-art-8b46d4b07ca046f3a3e5fcb970d79026 |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-8b46d4b07ca046f3a3e5fcb970d790262025-01-18T05:04:02ZengElsevierRadiology Case Reports1930-04332025-03-0120314471451Spontaneous bilateral vertebral artery dissection complicated by hemodynamic posterior circulation stroke: A case reportAdam Sqalli Houssaini, MD0Sarah Lembarki, MD1Fatima Chait, MD2Mohamed Jiddane, PhD3Firdaous Touarsa, PhD4Corresponding author.; Neuroradiology department, Hospital of specialities, Ibn Sina university hospital center, Rabat, MoroccoNeuroradiology department, Hospital of specialities, Ibn Sina university hospital center, Rabat, MoroccoNeuroradiology department, Hospital of specialities, Ibn Sina university hospital center, Rabat, MoroccoNeuroradiology department, Hospital of specialities, Ibn Sina university hospital center, Rabat, MoroccoNeuroradiology department, Hospital of specialities, Ibn Sina university hospital center, Rabat, MoroccoBilateral vertebral artery dissections account for only 8% of all vertebral artery dissections and cause just 2% of all ischemic strokes. They can occur spontaneously, even without any triggering factor. Classical clinical findings, such as headache or neck pain, may be absent, particularly in the context of a stroke. Imaging is the modality of choice for diagnosis and includes ultrasound, catheter-based DSA, computed tomography angiography, and MRA. The main differential diagnoses include atherosclerotic plaques, hypoplastic vertebral artery, and vertebral artery fenestration. The primary treatment involves antithrombotic therapy. We report the case of a 57-year-old woman with no history of cardiovascular disease who presented to the emergency department with hemibody weakness and slurred speech. Magnetic resonance imaging on admission revealed multiple hypoperfusion-related ischemic areas involving the vertebrobasilar artery territory and findings suggestive of bilateral vertebral artery dissection.http://www.sciencedirect.com/science/article/pii/S1930043324013554SpontaneousBilateralVertebral artery dissectionHemodynamic strokeImaging |
| spellingShingle | Adam Sqalli Houssaini, MD Sarah Lembarki, MD Fatima Chait, MD Mohamed Jiddane, PhD Firdaous Touarsa, PhD Spontaneous bilateral vertebral artery dissection complicated by hemodynamic posterior circulation stroke: A case report Radiology Case Reports Spontaneous Bilateral Vertebral artery dissection Hemodynamic stroke Imaging |
| title | Spontaneous bilateral vertebral artery dissection complicated by hemodynamic posterior circulation stroke: A case report |
| title_full | Spontaneous bilateral vertebral artery dissection complicated by hemodynamic posterior circulation stroke: A case report |
| title_fullStr | Spontaneous bilateral vertebral artery dissection complicated by hemodynamic posterior circulation stroke: A case report |
| title_full_unstemmed | Spontaneous bilateral vertebral artery dissection complicated by hemodynamic posterior circulation stroke: A case report |
| title_short | Spontaneous bilateral vertebral artery dissection complicated by hemodynamic posterior circulation stroke: A case report |
| title_sort | spontaneous bilateral vertebral artery dissection complicated by hemodynamic posterior circulation stroke a case report |
| topic | Spontaneous Bilateral Vertebral artery dissection Hemodynamic stroke Imaging |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324013554 |
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