Vertebral Artery Dissection Occurring with Dizziness and Vomiting

Yıl 2018, Cilt: 9 Sayı: 3, 63 - 64, 01.07.2018

Serhat Karaman , Murat Uysal

Öz

Anahtar Kelimeler

Vertebral artery dissection, dizziness, neck movement

Vertebral Artery Dissection Occurring with Dizziness and Vomiting

Öz

Introduction: Arterial dissections are becoming increasingly common among the causes of cerebrovascular diseases in the
young. The dissections are less common in the vertebrobasilar system than in the carotid artery system. Here we report a case
of vertebral artery dissection diagnosed after sudden neck movements with dizziness and vomiting.
Case Report: A 32-year-old male patient with no significant past medical history presented to our emergency clinic with
dizziness, nausea, and vomiting. Cervical magnetic resonance imaging (MRI) angiography revealed an aspect coherent with
dissection in the right extracranial vertebral artery.
Conclusion: Although rare, vertebral artery dissection should always be included in the differential diagnosis of dizziness

Anahtar Kelimeler

Vertebral artery dissection, dizziness, neck movement

Kaynakça

• Akay DKM, İzci DY, Urel DF, Baysefer DA, Timurkaynak DE. Traumatic dissection of bilateral vertebral arteries. Ulus Travma Acil Cerrahi Derg 2003; 9: 72-5.
• Ozemir ZA, Tolun R. Serviko-sefalik arter yeldisseksiyonlarda nörogörüntüleme ve endovasküler tedavi (karotis, vertebral, intrakraniyal). Turkiye Klinikleri J Neurol-Special Topics 2011; 4: 101.
• Sarıbaş O. Servikosefalik arterlerin spontandiseksiyonu. Türk Beyin Damar Hast Derg 2008;14: 5-7.
• Gottesman RF, Sharma P, Robinson KA, Arnan M, Tsui M, Ladha K, et al. Clinical characteristics of symptomatic vertebral artery dissection: a systematic review. The Neurologist 2012; 18: 245-54. [CrossRef]
• Mann T, Refshauge KM. Causes of complications from cervical spine manipulation. Aust J Physiother 2001; 47: 255-66. [CrossRef]
• Savitz SI, Caplan LR. Vertebrobasilar disease. N Engl J Med 2005; 352: 2618–26. [CrossRef]
• Saeed AB, Shuaib A, Al-Sulaiti G, Emery D. Vertebral artery dissection: warning symptoms, clinical features and prognosis in 26 patients. Can J Neurol Sci 2000; 27: 292-6. [CrossRef]
• Jones J, Jones C, Nugent K. Vertebral artery dissection after a chiropractor neck manipulation. Proc (Bayl Univ Med Cent) 2015; 28: 88-90. [CrossRef]
• Yaghi S, Maalouf N, Keyrouz SG. Cervical artery dissection: risk factors, treatment, and outcome; a 5-year experience from a tertiary care center. Int J Neurosci 2012; 122: 40-4. [CrossRef]
• Kai Y, Nishi T, Watanabe M, Morioka M, Hirano T, Yano S, et al. Strategy for treating unruptured vertebral artery dissecting aneurysms. Neurosurgery 2011; 69: 1085–91. [CrossRef]