Vertebral artery dissection: Intelligently using CT Angiography with vascular reconstruction imaging for timely diagnosis and management
Journal Title: International Journal of Medical and Health Sciences - Year 2015, Vol 4, Issue 4
Abstract
Vertebral artery dissection (VAD) is an important cause of stroke in the young. It can present with nonspecific symptoms and may be misdiagnosed with adverse consequences. Since VAD is a potentially treatable disease and the greatest risk of stroke in craniocervical dissection appears to occur in the first few weeks after dissection, prompt diagnosis is essential. We present the case of a 32 years old lady, who after neck massage, developed PICA syndrome. We performed her emergency CT brain and CT angiography (CTA) and found signs suggestive of VAD within minutes of ER arrival. One should, therefore, suspect VAD under clinically relevant scenarios and intelligently order imaging modalities. In this context, CTA is a relatively easily accessible, convenient, fast and cheap yet reliable means of reaching the diagnosis of VAD. Future studies should compare imaging techniques in well-defined, undifferentiated populations of clinical VAD suspects and imaging protocols should be standardized.
Authors and Affiliations
Ali Zohair Nomani, Haris Majid Rajput, Mansoor Iqbal, Mazhar Badshah, Rao Sohail Yasin Khan, Zakir Jan, Muhammad Irshad
Keywords
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