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Dissection of the Extracranial Vertebral Artery:Report of Four Cases and Review of the Literature JNNP 54:863-869, Hinse,P.,et al, 1991 See this aricle in Pubmed Article Abstract Four cases of cervical vertebral artery(VA)dissection are reported.In three patients VA dissection was associated with neck trauma.All patients were young or middle-aged(range 27 to 49 years).In two there was a history of migraine.Pain preceded neurological symptoms from hours to six weeks. Three patients had neurological deficits including elements of the lateral medullary syndrome,and one experienced recurrent transient ischaemic attacks in the vertebrobasilar territory.Angiographic findings included irregular stenosis,occlusion and pseudoaneurysm;in two patients VA abnormalities were bilateral.All patients were treated with anticoagulants and improved.In a review of 28 cases with traumatic dissection and 29 cases with spontaneous dissection of the VA reported in the literature, distinct clinical and angiographic features emerge.Aetiology remains obscure in most cases of spontaneous dissection and management is still controversial.

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(click to filter results - removes previous filter) angiography,posterior fossa anticoagulant,treatment anticoagulant,treatment in CVD arterial dissection arterial dissection,vertebral brainstem,infarction of carotid angiogram cerebrovascular accident,young adult cervical spine injury controversies in neurology neck pain pain posterior inferior cerebellar artery syndrome prognosis review article transient ischemic attack trauma treatment of neurologic disorder

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