Bilateral Vertebral Artery Dissection - Multiple Artery Affection or Early Recurrence?

Acta Clin Croat. 2017 Sep;56(3):550-554. doi: 10.20471/acc.2017.56.03.23.

Abstract

In a certain percentage of patients with craniocervical artery dissection, dissections affect multiple arteries. Some investigators consider that the dissections diagnosed as multiple might have occurred sequentially within a short time frame. We describe an oligosymptomatic patient with bilateral progressive vertebral artery dissection. Careful history taking added new data on transient left arm weakens two months earlier, as a possibility of the earlier disease onset.

Keywords: Monitoring; Neurosonology; Stroke; Vertebral artery dissection, bilateral.

Publication types

  • Case Reports

MeSH terms

  • Cerebral Arterial Diseases* / complications
  • Cerebral Arterial Diseases* / diagnosis
  • Cerebral Arteries / diagnostic imaging*
  • Diagnosis, Differential
  • Humans
  • Medical History Taking / methods
  • Paresis* / diagnosis
  • Paresis* / etiology
  • Ultrasonography, Doppler, Transcranial / methods
  • Vertebral Artery / diagnostic imaging
  • Vertebral Artery Dissection* / diagnosis
  • Vertebral Artery Dissection* / physiopathology