Clinical Case Database / Category: Patient Management

Vertebral artery dissection

Publication details

Kelsey Boddington, MBBCh (Hons), Dejene Shiferaw, MRCP, UK
Foundation Years Journal, volume 4, issue 3, p.33 (123Doc Education, London, March 2010)

Abstract

This case-based discussion focuses on a previously fit and well 38-year-old lady, 2 weeks post-partum, presenting with two seizures post-neck manipulation and discusses presentation, causes, diagnosis and management of vertebral artery dissection.

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Authors

Kelsey Boddington, MBBCh (Hons)

FY1
North Devon District Hospital
Barnstaple

Dejene Shiferaw, MRCP, UK

CMT
CT2 North Devon District Hospital
Barnstaple

References

1. Thanvi B, Munshi SK, Dawson SL, Robinson TG (2005) Carotid and vertebral artery dissection syndromes. PMJ, 81:383–388.
2. Prabhadar S, Bhatia R, Khandelwal N, Lal V, Das CP (2001) Vertebral artery dissection due to indirect neck trauma: an underrecognised entitity. Neurology India, 49(4):384–390.
3. Schievink WI (2001) Spontaneous dissection of the carotid and vertebral arteries. The New England Journal of Medicine, 344(12):898–906.
4. Rubinstein SM, Peerdeman, SM, van Tulder MW, Riphagen I, Haldeman S (2005) A systematic review of risk factors for cervical artery dissection. Stroke, 36:1575–1580.
5. Blunt SB, Galton C (1997) Cervical carotid or vertebral artery dissection: An under-diagnosed cause of stroke in the young. BMJ, 314:243.
6. Tramo MJ, Hainline B, Petito F, Lee B, Caronna J (1985) Vertebral artery injury and cerebellar stroke while swimming: case report. Stroke, 16:1039–1042.
7. Ernst, E (2007) Adverse effects of spinal manipulation: a systematic review. Journal of the royal society of medicine, 100:330–338.
8. Rothwell DM, Bondy SJ, Williams JI (2001) Chiropractic manipulation and stroke: a population-based case control study. Stroke, 32:1054–1060.
9. Di Fabio RP (1999) Manipulation of the cervical spine: Risks and benefits. Physical Therapy, 79(1):50–65.
10. Norris JW, Beletsky (2001) Update from the Canadian stroke consortium. CMAJ, 165(7):887.
11. Kapral MK, Bondy SJ (2001) Cervical manipulation and risk of stroke. CMAJ, 165(7):907–908.
12. Arnold M, Camus-Jacqmin M, Ducros CSA, Viswanathan A, Berthet K, Bousser MG (2008) Post-partum cercocephalic artery dissection. Stroke, 39:2377–2379.
13. Gasicki AP, Kwiecenski H, Lyrer PA, Lynch TG, Baxter T (1999) Dissections after childbirth. J Neurol, 246:712–715.
14. Treadwell SD, Thanvi B, Robinson TG (2008) Stroke in pregnancy and the puerperium. PMJ, 84:238–245.
15. Wiebers DO, Mokri B (1985) Internal carotid artery dissection after childbirth. Stroke, 16:956–959.
16. Silbert PL, Mokri B, Schievink WI (1995) Headache and neck pain in spontaneous internal carotid and vertebral artery dissections. Neurology, 45:1517–1522.
17. Schievink WI (2000) The treatment of spontaneous carotid and vertebral artery dissections. Current opinion in cardiology, 15:316–321.
18. Wityk RJ (2001) Stroke in a healthy 46-year-old man. JAMA, 285(21):2757–2762.
19. Touzé E, Oppenheim C, Zuber M, Méary E, Meder JF, Mas JL (2003) Early asymptomatic recurrence of cervical artery dissection: three cases. Neurology, 61:572–574.
20. Umasankar U, Carroll TJ, Famuboni A, Patel MD, Starke ID (2008) Vertebral artery dissection: not a rare cause of stroke in the young. Age and ageing, 37:345–346.

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.