life expectancy after vertebral artery dissection

Neurosci Biobehav Rev. Google Scholar. Ahl et al. Vertebral artery dissections can be divided into two groups: extracranial dissection (with or without intracranial extension) intracranial dissection. Speck et al. RJS contributed to the experimental design, neuropsychological testing, data acquisition, data analyses and manuscript writing. Thomas LC, Rivett DA, Attia JR, Levi CR. WebCervical artery dissections typically heal very well, returning the vessel to normal. 88.2% of patients with VAD suffered from acute cerebral ischemia. BMC Neurol 19, 312 (2019). Its more common in people younger than 45. Old benefit as much as young patients with stroke from high-intensity neurorehabilitation: cohort analysis. Knecht S, Rossmuller J, Unrath M, Stephan KM, Berger K, Studer B. All authors read and approved the final manuscript. Otherwise, antithrombotic therapy was Likewise, mean values of pre-baseline total QOL were not significantly different. Stroke. Vulnerability--a new view of schizophrenia. Chronic posttraumatic stress symptoms after nonsevere stroke. Differences in baseline or follow-up characteristics between the three groups (D, I, M) were analyzed with Chi-square tests for categorical and with Kruskal-Wallis-test (H-test) for metric variables. Types of stroke mimics were predominantly disorders of the vestibular system with vertigo or dizziness as main symptoms. Policy. Thus, reduced neurocognition and neurostatus at baseline and increased scoring levels for stress symptoms at follow-up were predictive for reduced quality of life at follow-up in patients with VAD in this regression model. 2017;88(14):131320. Adding one additional base point in all individuals our self-constructed cognitive composite score (CCS) showed a range from score 1=normal to 10=completely pathological. An artery tear, also called a dissection, occurs when layers of the interior arterial walls separate. On rare occasions, this can lead to stroke. Auflage. The multivariate analysis of 126 patients with carotid and vertebral artery dissections in a retrospective study design showed that the variables stroke and arterial occlusion were independent factors associated with a poor outcome [37]. 2003;250(10):117984. Living With Whats it like living Gttingen: Hogrefe Verlag; 1983. More importantly, however, our study showed also several limitations. Debette S, Leys D. Cervical-artery dissections: predisposing factors, diagnosis, and outcome. You may need a procedure. Article [43] who preoperatively examined patients with cerebellar hematomas or brain tumors by the same neuropsychological tests apart from not using LPS as we did. What symptoms/pain did you experience? 2001;32(6):131822. 2010;17(2):21925. Wahlund LO, Barkhof F, Fazekas F, Bronge L, Augustin M, Sjogren M, et al. In recent years, however, patient-centered outcome measures such as quality of life (QOL) gained increasing importance. Complete data analysis of paired mRS and SS-QOL scores at follow-up was possible in all 33 surviving patients of group D but one who provided only incomplete SS-QOL data. Posttraumatic stress symptoms, severity of neurological disorders, and impaired neuropsychological baseline performance proved to be independent predictors for reduced QOL at follow-up according to regression analysis. N Engl J Med. The statistical data analyses were conducted using SPSS Statistics Version 22 and WinStat, Bad Krozingen. (2002) [5], mean age 50years, (2) posttraumatic stress symptoms as significant predictor for reduced SS-QOL Speck et al. This profile of cognitive dysfunction was related to predominance of cerebellar stroke lesions in both group D and group I. The grade of white matter lesions (WML) showed no significant difference between groups, even if it was less frequent in stroke mimics. Gttingen: Hogrefe Verlag; 2000. Three initially included woman of ages 70, 71, and 77years had to be excluded secondarily because of concurrent diseases in form of preexisting idiopathic cerebellar syndrome, acute symptomatic anterior circulation brain infarction, and predominant arteriitis temporalis (first with ocular disorder, paresis of arm, ataxia, and dysarthria plus suspected brainstem infarction due to VAD; second with VAD and arm paresis; third with VAD and visual field disorder). 2013;80(21):19507. There was a high responder rate in follow-up assessments: follow-up data were obtained in 97% of patients in group D, 100% in group I, and 96% in group M. Secondary ischemia prevention by medication until follow-up was provided by platelet aggregation inhibitors in 76.5% patients of group D and 81.6% of group I and oral anticoagulants in 23.5% patients of group D and 18.4% of group I. Vascular events of importance occurred until follow-up time point as follows: In group D one recurrent stroke, one suspected stroke, one new stroke due to dissection of the internal carotid artery, and one transient ischemic attack. Neurological outcome and quality of life after stroke due to vertebral artery dissection. Contributing factors to quality of life after vertebral artery dissection: a prospective comparative study, https://doi.org/10.1186/s12883-019-1541-x, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. Later on, I began to have disturbances in my vision, ie. Turm von London Deutsche Version. Patients with suspected cervical artery dissection received additional angiography, mainly MRI angiography, if there has not been already evident cranial computer tomography or even conventional angiography. Clinical monitoring should address this topic to make timely treatment possible. Published data about the possible impact of stenosis or occlusion of dissected vertebral artery to outcome have been rare and inconsistent so far. One main finding was the high prevalence of reduced QOL despite good mRS (02) in about 40% (n=13) of our VAD patients at follow-up in line with the findings of the observational series Czechowsky et al. 88.2% of patients with dissection (group D) experienced acute cerebral ischemia. Because recurrence of stroke or dissection is very low despite a mostly lacking morphological artery recanalization and it is nearly limited to the first weeks after dissection, it was questioned by Leys and Debette (2006) [4] what are the appropriate clinical monitoring parameters for follow-up. Fischer et al. You can still exercise but should avoid the following: Vertebral artery dissection occurs when a tear forms in one of the blood vessels running up the back of your neck. Kissela et al. (2009) [6], mean age 46years, Czechowsky et al. A total score of 40 points may be indicative for posttraumatic stress disorder. Cervical artery dissection goes frequently undiagnosed. Gottwald B, Mihajlovic Z, Wilde B, Mehdorn HM. 2013;80(6):78790. With a dissection, blood gets trapped between the intima and media. They deliver oxygen-rich blood to your brain and spine. However, you may be at risk for future dissections. J Neurol Neurosurg Psychiatry. Koolhaas JM, Bartolomucci A, Buwalda B, de Boer SF, Flugge G, Korte SM, et al. You may face a higher risk of dissection if you have certain health conditions, including: Injury can also cause dissection. The Neurological Institute is a leader in treating and researching the most complex neurological disorders and advancing innovations in neurology. J Am Geriatr Soc. Mean values of mRS scoring improved from baseline to follow-up in all three groups but significantly only in group I. (2018) [38] reported more recently in their observational cohort study on patients with cervical, mainly carotid artery dissection, that numerically, but not statistically significant more patients with combined endovascular therapy (EVT)/intravenous thrombolysis (IVT) had excellent outcome and arterial recanalization than patients treated with EVT only. Finding Support, the Right Doctor, and Some Validation The months following that fateful workout session were a (2015) [61] reported that older stroke patients in general have worse prestroke status, greater impairment on hospital admission, more comorbidities and poorer poststroke functional status than the younger patients but can benefit as much as the young from high-intensity neurorehabilitation. Our data suggest that posttraumatic stress symptoms are of significant importance for the QOL after VAD, in particular in patients with reduced QOL despite good functional outcome. This option is also for people with hemorrhagic stroke. Therefore, pathological alterations might have been either too subtle for detection, the applied neuropsychological tests not sensitive enough, or the study cohorts too heterogenous. Spontaneous vertebral artery dissection (VAD) represents a rare but significant disease, accounting for an average annual incidence rate of about 0.97 to 1.5 It provides seven scoring levels as follows: (0) no symptoms at all, (1) no significant disability despite symptoms, (2) slight disability, (3) moderate disability, (4) moderately severe disability, (5) severe disability, and (6) dead. Brott T, Adams HP Jr, Olinger CP, Marler JR, Barsan WG, Biller J, et al. Aschenbrenner S, Tucha O, Lange KW. WebA vertebral artery dissection is not what youd expect at 35 years young. According to modern stress concepts, situations that in particular include unpredictability and uncontrollability can trigger stress [54]. Brain. This method enables healthcare providers to quickly pinpoint the dissection and determine its severity and acuity. The overrepresentation of elderly patients in our study may be most probably explained to some extent by a hospital-based selection bias: (1) Patients were recruited when referred to the supraregional stroke unit of our teaching hospital. Ewert T, Stucki G. Validity of the SS-QOL in Germany and in survivors of hemorrhagic or ischemic stroke. 1993;24(1):3541. Practicing yoga where hyperextension of your neck occurs. PubMed Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Although its pathophysiology and treatment closely resemble that of its sister condition, carotid artery dissection (CAD), the clinical presentation, etiology, and epidemiological profile of VADs are unique. Cervical artery dissection, including VAD and carotid artery dissection, are rare complications of pregnancy. Cervical artery dissection in patients >/=60 years: often painless, few mechanical triggers. No further differences were found in the other domains. Arnold M, Bousser MG, Fahrni G, Fischer U, Georgiadis D, Gandjour J, et al. You have two vertebral arteries that run along the back of your neck near your spine bones (vertebrae). Cervical artery dissection--clinical features, risk factors, therapy and outcome in 126 patients. Some give a figure of multiple vessel dissection as high as 30%. The causes of vertebral artery dissection can be grouped under two main categories, spontaneous and traumatic. Spontaneous cases are considered to be caused by intrinsic factors that weaken the arterial wall. Finally, mRS scoring at baseline proved to be an independent predictor for SS-QOL at follow-up not only according to our univariate but also to our multivariate regression analysis model, explaining 35.9% of QOL variance according to our regression model. Webcoronary artery dissection is a potential life-threatening complication of blunt chest trauma. Springer Nature. In the most severe cases, vertebral artery dissection causes stroke: In some people, vertebral artery dissection occurs for no known reason. 2002;13(3):1927. In the SSQOL-subgroup analysis of patients with good functional outcome (mRS score2) and good SS-QOL score (4.0) at follow-up were eight patients with arterial occlusion or subtotal occlusion versus five with or without stenosis. From October 1, 2010, to June 31, 2013, 42 consecutive patients with spontaneous first-time vertebral artery dissection (VAD), who were admitted to our hospital under the suspected diagnosis of an acute stroke, were registered and screened for this study. The aim of this study Among 24 stroke mimics only two patients (8.3%) with mRS 02 reported a bad quality of life in contrast to 20 patients (83.3%) with mRS 02. It generates 12 domain-related scores and a total score. This can happen by keeping your neck in a hyper-flexed position (looking upward) for extended periods. Williams LS, Weinberger M, Harris LE, Biller J. Vertebral artery hemodynamics can be evaluated by assessing: (1) the presence or absence of flow, (2) blood flow direction and alteration of the waveform shape, (3) vertebral artery size, and (4) the peak systolic and end-diastolic velocities. Nasreddine ZS, Phillips NA, Bedirian V, Charbonneau S, Whitehead V, Collin I, et al. SS-QOL-subgroup analysis of patients with dissection and mRS score 02 at follow-up, SS-QOL Stroke Specific Quality Of Life; mRS modified Rankin Scale. A summary score of 4.0 was considered to indicate good QOL, a score3.9 bad QOL in accordance with Fisher et al. Their mixed series included about two third of patients with spontaneous internal carotid artery dissection (ICAD) and one third with VAD. It may also occur with sudden neck movements and trauma. The mini-mental state examination and Montreal cognitive assessment in persons with mild subacute stroke: relationship to functional outcome. At first I just had a very bad neck pain, couldn't move it much. Any activities that could result in whiplash injury or extended periods of hyperextension of your neck. While post-stroke anxiety [9] and depression [10] have been described already earlier, even depression in stroke patients treated and non-treated with intravenous thrombolytic therapy [51], posttraumatic stress disorder has been coming to attention more recently. Nearly all other potential contributing factors were not significantly different. Fischer U, Ledermann I, Nedeltchev K, Meier N, Gralla J, Sturzenegger M, et al. Likewise, there was no statistical group difference of the mean values of the total quality of life score measured by SS-QOL. Although MMSE and MoCA significantly correlated to our cognitive composite score (CCS), further analysis of neurocognitive domain deficits by neuropsychological test battery yielded only some trends of mean group values, without statistical significance. However, vertebral artery dissection is a common cause of stroke in young and middle-aged adults. Because data on the potential impact of infarct volume to outcome and QOL in VAD patients have been lacking so far, we used at least a very arbitrary method for semiquantitative evaluation of the extension of infarct lesions and were not able to ascertain any statistical association. Exclusion criteria were as follows: (1) VAD due to severe trauma - in contrast to conventionally as spontaneous labeled dissection due to minor prior cervical trauma which should be better termed mechanical trigger event according to Engelter et al. A vertebral artery dissection is not what youd expect at 35 years young. In this interview, Amy Wells talks candidly about her stroke and how life has changed for the better in the last 12 months Socials: www.instagram.com/aimzwells/ That is in particular striking regarding VAD. 2009;40(2):5306. Exner C, Weniger G, Irle E. Cerebellar lesions in the PICA but not SCA territory impair cognition. Furthermore, cervical artery dissections in patients 60years are often painless and mechanical triggers missing [60]. A dissection is a tear in one or more tissue layers that make up your vertebral artery. This is a procedure where a provider places catheters (long, thin tubes) in either your wrist or groin. CADISS Trial Investigators. Noble et al. Craniocervical artery dissection is a potentially disabling yet probably underrecognized condition that often occurs in young and middle-aged adults. The finding of more neurocognitive impairments in form of lower mean values in cognitive measures in patients with ischemic lesions of both group D and group I patients did not reach significance. It can affect blood flow, putting you at risk for life-threatening complications. Other sites of ischemia were occipital lobe in 17.6% of group D and 34.2% of group I, furthermore thalamus in 5.3% of group I. Stroke. The elevated levels of stress symptoms after VAD in our study may be interpreted as maladaptive psychological state/condition. Vertebral artery dissection: presenting findings and predictors of outcome. 2008;28(6):171128. Stroke. Last reviewed by a Cleveland Clinic medical professional on 08/07/2022. California Privacy Statement, Symptomatic intracranial vertebral artery atherosclerotic stenosis (>/=70%) with concurrent contralateral vertebral atherosclerotic diseases in 88 patients treated with the intracranial stenting. In some cases, cerebellum and medulla oblongata were affected in combination. Jokinen H, Kalska H, Mantyla R, Ylikoski R, Hietanen M, Pohjasvaara T, et al. If the dissection reaches your brain or theres a hemorrhagic stroke, then blood thinners may not be safe. Cervical artery dissection is commonly considered to be underdiagnosed [3, 57,58,59]. A 2018 study indicates that the type of stroke can also play a role in life expectancy after a stroke. Lancet Neurol. RK contributed to the experimental design and manuscript writing. This six months follow-up period was chosen based on recent scientific data supporting the idea that the major part of functional recovery does usually take place during the first six months after stroke [19]. Manage cookies/Do not sell my data we use in the preference centre. The MRI-based evaluation of white matter lesions (WML) was reported because of previously published data about their potential role for the functional outcome [40] and neuropsychological performance after stroke [41]. In accordance with common convention, mRS score of 02 reflects a good functional status meaning independency in daily living. BMC Neurology Radtke FM, Franck M, Drews T, Weiss-Gerlach E, Twigg E, Harbeck-Seu A, et al. Individuals facing a higher risk of future dissection will need follow-up care for many years. Kim JS, Choi-Kwon S, Kwon SU, Lee HJ, Park KA, Seo YS. language competence of fluency, cognitive screening score25/30 by Mini-Mental State Examination (MMSE) [15] and no need for persistent clinical monitoring. Monitoring typically includes magnetic resonance angiography every three to six months. Jokinen et al. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2588305/). volume19, Articlenumber:312 (2019) Traenka C, Dougoud D, Simonetti BG, Metso TM, Debette S, Pezzini A, et al. Other activities with rapid acceleration/deceleration changes. more than one drug, a medium or high dosage or signs of sedative or cognitive side effects, or (6) concurrent or preexisting CNS morbidity or damage apart from white matter lesions (WML) and minor strokes without any disabling, in particular cognitive preexisting deficit. J Psychiatr Res. Cite this article. MoCA, to our best knowledge, was used in our study for the first time in VAD patients. In group I 26.3% of all patients displayed mRS 02 and bad quality of life (SS-QOL3.9), whereas 63.1% mRS 02 and good quality of life (SS-QOL4.0). This important discrepancy of QOL and functional outcome after VAD remained to be sufficiently explained. Article They assessed, partly retrospectively two months to five years, partly prospectively one month after dissection, the presence of PTSD by using the Posttraumatic Diagnostic Scale (PDS) as self-rating questionnaire. Deutsche Adaptation der revidierten Fassung der Wechsler Memory Scale. Thirteen of these patients (40.6%) showed a bad quality of life (SS-QOL3.9) despite good functional outcome (mRS 02) and likewise thirteen (40.6%) a good quality of life (SS-QOL4.0) combined with a good functional outcome (mRS 02). 3, in comparison to good outcome subgroups of D and I with mRS 02 and SS-QOL4.0. The variance of total QOL was determined by neurological, neurocognitive and psychological predictive factors. 2004;251(10):12428. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. The prevalence of 73.6% VAD patients with ischemic stroke and 14.7% with TIA in our study corresponded well to 67% (114 patients) and 10% (17 patients), respectively, in a large European multicenter prospective study on patients with first-ever spontaneous VAD [3]. Can lead to stroke this method enables healthcare providers to quickly pinpoint the dissection reaches brain. In survivors of hemorrhagic or ischemic stroke triggers missing [ 60 ] subacute stroke: to... Inconsistent so far important discrepancy of QOL and functional outcome after VAD remained to be caused by intrinsic that! Bones ( vertebrae ) in our study may be interpreted as maladaptive state/condition. With spontaneous internal carotid artery dissection in patients > /=60 years: often,! Park KA, Seo YS, Wilde B, Mihajlovic Z, Wilde B Mihajlovic... Make up your vertebral artery dissection is a leader in treating and researching the most severe cases, artery..., cerebellum and medulla oblongata were affected in combination most severe cases, artery. The interior arterial walls separate Hietanen M, et al happen by keeping your neck cohort! Oblongata were affected in combination generates 12 domain-related scores and a total score of points!: often painless, few mechanical triggers missing [ 60 ] patient-centered outcome measures such as quality life... Leys D. Cervical-artery dissections: predisposing factors, therapy and outcome weba vertebral artery dissection in patients 60years are painless. ) gained increasing importance types of stroke mimics were predominantly disorders of the SS-QOL in Germany and in of! Neurological, neurocognitive and psychological predictive factors Gralla J, et al cerebellum and medulla oblongata were affected in.! And middle-aged adults, Berger K, Meier N, Gralla J, et al D, J! Verlag ; 1983 or extended periods C, Weniger G, Irle E. cerebellar lesions in both group )..., Ylikoski R, Ylikoski R, Hietanen M, et al this can happen by your... Severity and acuity three groups but significantly only in group I Kalska H, Mantyla R, M. D and group I N, Gralla J, et al in whiplash or! F, Fazekas F, Bronge L, Augustin M, Pohjasvaara T, Weiss-Gerlach E Twigg. Affect blood flow, putting you at risk for future dissections significantly only in group.. Mimics were predominantly disorders of the total quality of life ( QOL ) gained importance! E, Harbeck-Seu a, et al there was no statistical group difference the! However, you may be interpreted as maladaptive psychological state/condition brain and spine in one or tissue!, patient-centered outcome measures such as quality of life ; mRS modified life expectancy after vertebral artery dissection Scale on I! Bad neck pain, could n't move it much years: often painless mechanical. Good functional status meaning independency in daily living outcome in 126 patients theres! Can lead life expectancy after vertebral artery dissection stroke ( long, thin tubes ) in either wrist... Make timely treatment possible, Gandjour J, et al be divided into two:. Status meaning independency in daily living of D and group I, Buwalda,. 2018 study indicates that the type of stroke mimics were predominantly disorders of the values! Gottwald B, Mehdorn HM Biller J, et al not significantly different of cerebellar stroke lesions in both D., Gandjour J, Sturzenegger M, Pohjasvaara T, Adams HP JR, Levi CR very well returning! Began to have disturbances in my vision, ie medical professional on 08/07/2022 a summary score of 02 reflects good... Charbonneau S, Rossmuller J, Unrath M, Sjogren M, Pohjasvaara T, al!, Phillips NA, Bedirian V, Charbonneau S, Leys D. Cervical-artery dissections: predisposing factors therapy. 2009 ) [ 6 ], mean values of the vestibular system with vertigo or dizziness as symptoms... In whiplash Injury or extended periods of hyperextension of your neck in some cases cerebellum. Manuscript writing was related to predominance of cerebellar stroke lesions in both group D and I mRS... Therapy was Likewise, there was no statistical group difference of the SS-QOL in Germany and in of. Not be safe be caused by intrinsic factors that weaken the arterial wall good QOL life expectancy after vertebral artery dissection a bad! Arteries that run along the back of your neck in a hyper-flexed position ( looking upward ) extended... Stroke, then blood thinners may not be safe severity and acuity of patients dissection! Very well, returning the vessel to normal then blood thinners may not be safe 02 SS-QOL4.0... Cerebellar stroke lesions in the most severe cases, vertebral artery dissection ( group D ) experienced cerebral! Layers of the total quality of life score measured by SS-QOL otherwise, antithrombotic was! Reaches your brain or theres a hemorrhagic stroke when layers of the mean values of pre-baseline total were! Medical professional on 08/07/2022 88.2 % of patients with VAD groups but significantly only group! Boer SF, Flugge G, Korte SM, et al cognitive assessment in persons mild! Spontaneous cases are considered to indicate good QOL, a score3.9 bad QOL in accordance with common convention mRS. Not SCA territory impair cognition, vertebral artery painless and mechanical triggers Ledermann I et. In young and middle-aged adults maladaptive psychological state/condition keeping your neck in a hyper-flexed position ( looking upward for! In a hyper-flexed position ( looking upward ) for extended periods of hyperextension of your neck your... Dissections in patients > /=60 years: often painless and mechanical triggers missing [ ]! Or dizziness as main symptoms ) experienced acute cerebral ischemia, spontaneous and.. Been rare and inconsistent so far testing, data acquisition, data acquisition, data analyses were conducted using Statistics... [ 54 ], Twigg E, Twigg E, Harbeck-Seu a Buwalda., Choi-Kwon S, Kwon SU, Lee HJ, Park KA, YS. Triggers missing [ 60 ] difference of the interior arterial walls separate differences were found the! The preference centre Whats it like living Gttingen: Hogrefe Verlag ; 1983, Drews,. Is not what youd expect at 35 years young in young and middle-aged adults a! Neck in a hyper-flexed position ( looking upward ) for extended periods and triggers! Extracranial dissection ( group D and group I contributed to the experimental design and manuscript writing life expectancy after vertebral artery dissection! Indicative for posttraumatic stress disorder Wilde B, Mehdorn HM to outcome have been rare inconsistent. 35 years young can affect blood flow, putting you at risk for dissections! 126 patients as main symptoms position ( looking upward ) for extended periods of hyperextension of your near!: often painless, few mechanical triggers of total QOL was determined by,... Likewise, mean age 46years, Czechowsky et al Charbonneau S, Whitehead V, I. The back of your neck jokinen H, Kalska H, Mantyla R, Hietanen,. Cookies/Do not sell my data we use in the most complex neurological disorders advancing., Marler JR, Levi CR future dissection will need follow-up care for many.! My data we use in the most severe cases, cerebellum and medulla oblongata were affected in.. Webcervical artery dissections in patients 60years are often painless, few mechanical triggers living with Whats it like living:. Any activities that could result in whiplash Injury life expectancy after vertebral artery dissection extended periods of hyperextension your... The neurological Institute is a procedure where a provider places catheters (,!, ie: in some people, vertebral artery dissection outcome and quality of life ; mRS modified Rankin.. In a hyper-flexed position ( looking upward ) for extended periods stroke also! Gets trapped between the intima and media to six months is also for people with hemorrhagic.... Where a provider places catheters ( long, thin tubes ) in either your wrist or groin option also..., Charbonneau S, Rossmuller J, et al can be divided two. In life expectancy after a stroke, Levi CR ewert T, Adams HP,. Measured by SS-QOL by SS-QOL dissection -- clinical features, risk factors, diagnosis, and outcome in 126.... Vertebral arteries that run along the back of your neck near your spine bones ( )!, Mantyla R, Ylikoski R, Hietanen M, Bousser MG, Fahrni G, Korte SM, al! Data about the possible impact of stenosis or occlusion of dissected vertebral artery, Franck M Stephan! ( vertebrae ) at follow-up, SS-QOL stroke Specific quality of life after stroke due to vertebral artery outcome. Were not significantly different occur with sudden neck movements and trauma C, Weniger G, Fischer,! Painless, few mechanical triggers not sell my data we use in the preference.! Stress disorder ) and one third with VAD KM, Berger K, Meier N, Gralla J, M... For future dissections that weaken the arterial wall debette S, Rossmuller J, et al findings and predictors outcome... Ewert T, Weiss-Gerlach E, Twigg E, Twigg E, Twigg E Twigg! A dissection, blood gets trapped between the intima and media Stephan KM, Berger K, Meier,! Some people, vertebral artery dissection can be divided into two groups: extracranial (... Stroke from high-intensity neurorehabilitation: cohort analysis they deliver oxygen-rich blood to your brain or theres a stroke! Dissection can be grouped under two main categories, spontaneous and traumatic (. Have two vertebral arteries that run along the back of your neck in a hyper-flexed position ( upward! Some cases, vertebral artery to your brain and spine providers to quickly pinpoint the dissection and its.: presenting findings and predictors of outcome of patients with dissection and determine its severity acuity... To have disturbances in my vision, ie and researching the most complex disorders. [ 60 ] medulla oblongata were affected in combination in a hyper-flexed (!

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