Usefulness of Ultrasonography in the Diagnosis and Follow-up of Extracranial Vertebral Artery Dissection

Extracranial vertebral artery dissection is a cerebrovascular disease that occurs most commonly in young people. A 32-year-old man experienced sudden cervical pain and was diagnosed with left vertebral artery dissection after arterial changes were identified by ultrasonography. The reduction in the...

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Bibliographic Details
Published in:Internal Medicine 2022, pp.0019-22
Main Authors: Sato, Marin, Mizoguchi, Tadataka, Imamura, Yusuke, Yamada, Yoshitaka, Muraya, Yohei, Hashimoto, Go, Tagawa, Naoki, Mori, Kota, Kuwashiro, Takahiro, Sugimori, Hiroshi, Yasaka, Masahiro, Okada, Yasushi
Format: Article
Language:English
Subjects:
Adolescent
Adult
Angiography
Case Report
Cerebrovascular diseases
Computed tomography
Follow-Up Studies
Hematoma
Hemodynamics
Humans
Internal medicine
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Male
ultrasonography
Ultrasonography - methods
Vertebrae
Vertebral Artery - diagnostic imaging
vertebral artery dissection
Vertebral Artery Dissection - diagnostic imaging
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Summary:Extracranial vertebral artery dissection is a cerebrovascular disease that occurs most commonly in young people. A 32-year-old man experienced sudden cervical pain and was diagnosed with left vertebral artery dissection after arterial changes were identified by ultrasonography. The reduction in the size of an intramural hematoma in the left vertebral artery and in the peak systolic velocity were evaluated over time. Computed tomography, magnetic resonance imaging, and cerebral angiography are generally performed to diagnose and follow-up extracranial vertebral artery dissection; however, carotid ultrasonography has an advantage over these modalities by enabling the simultaneous observation of vascular morphology and hemodynamics.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.0019-22