Vertebral artery dissection

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Vertebral artery dissection Classification and external resources
Arteries of the neck
ICD-9	443.24
eMedicine	emerg/832

WikiDoc Resources for Vertebral artery dissection
Articles
Most recent articles on Vertebral artery dissection Most cited articles on Vertebral artery dissection Review articles on Vertebral artery dissection Articles on Vertebral artery dissection in N Eng J Med, Lancet, BMJ
Media
Powerpoint slides on Vertebral artery dissection Images of Vertebral artery dissection Photos of Vertebral artery dissection Podcasts & MP3s on Vertebral artery dissection Videos on Vertebral artery dissection
Evidence Based Medicine
Cochrane Collaboration on Vertebral artery dissection Bandolier on Vertebral artery dissection TRIP on Vertebral artery dissection
Clinical Trials
Ongoing Trials on Vertebral artery dissection at Clinical Trials.gov Trial results on Vertebral artery dissection Clinical Trials on Vertebral artery dissection at Google
Guidelines / Policies / Govt
US National Guidelines Clearinghouse on Vertebral artery dissection NICE Guidance on Vertebral artery dissection NHS PRODIGY Guidance FDA on Vertebral artery dissection CDC on Vertebral artery dissection
Books
Books on Vertebral artery dissection
News
Vertebral artery dissection in the news Be alerted to news on Vertebral artery dissection News trends on Vertebral artery dissection
Commentary
Blogs on Vertebral artery dissection
Definitions
Definitions of Vertebral artery dissection
Patient Resources / Community
Patient resources on Vertebral artery dissection Discussion groups on Vertebral artery dissection Patient Handouts on Vertebral artery dissection Directions to Hospitals Treating Vertebral artery dissection Risk calculators and risk factors for Vertebral artery dissection
Healthcare Provider Resources
Symptoms of Vertebral artery dissection Causes & Risk Factors for Vertebral artery dissection Diagnostic studies for Vertebral artery dissection Treatment of Vertebral artery dissection
Continuing Medical Education (CME)
CME Programs on Vertebral artery dissection
International
Vertebral artery dissection en Espanol Vertebral artery dissection en Francais
Businness
Vertebral artery dissection in the Marketplace Patents on Vertebral artery dissection
Experimental / Informatics
List of terms related to Vertebral artery dissection

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Vertebral artery dissection is the development of dissection (a flap-like tear) in the vertebral artery. It is commonly associated with physical trauma but may also develop spontaneously. It is a major cause of stroke in young people.

Presentation

Typical features are pain in the neck associated with stroke-like symptoms of the "posterior circulation": cranial nerve palsies, ataxia, and cortical visual loss.^[1] It can also cause subarachnoid hemorrhage (bleeding into the area around the brain); dissecting aneurysms of the vertebral artery represent about 4% of all aneurysms.^[1]

Incidence

The annual incidence is about 1 per 100,000 in America and 1.5 per 100,000 in France.^[1]

Diagnosis

CT

References

v • d • e Circulatory system pathology (I, 390-459)
Hypertension	Hypertensive heart disease - Hypertensive nephropathy - Secondary hypertension (Renovascular hypertension)
Ischaemic heart disease	Angina pectoris (Prinzmetal's angina) - Myocardial infarction (heart attack) - Dressler's syndrome
Pulmonary circulation	Pulmonary embolism - Cor pulmonale
Pericardium	Pericarditis - Pericardial effusion - Cardiac tamponade
Endocardium/heart valves	Endocarditis - mitral valve (regurgitation, prolapse, stenosis) - aortic valve (stenosis, insufficiency) - pulmonary valve (stenosis, insufficiency) - tricuspid valve (stenosis, insufficiency)
Myocardium	Myocarditis - Cardiomyopathy (Dilated cardiomyopathy, Hypertrophic cardiomyopathy, Loeffler endocarditis, Restrictive cardiomyopathy) - Arrhythmogenic right ventricular dysplasia
Electrical conduction system of the heart	Heart block: AV block (First degree, Second degree, Third degree) - Bundle branch block (Left, Right) - Bifascicular block - Trifascicular block Pre-excitation syndrome (Wolff-Parkinson-White, Lown-Ganong-Levine) - Long QT syndrome - Adams-Stokes syndrome - Cardiac arrest - Sudden cardiac death Arrhythmia: Paroxysmal tachycardia (Supraventricular, AV nodal reentrant, Ventricular) - Atrial flutter - Atrial fibrillation (Familial) - Ventricular fibrillation - Premature contraction (Atrial, Ventricular) - Ectopic pacemaker - Sick sinus syndrome
Other heart conditions	Heart failure - Cardiovascular disease - Cardiomegaly - Ventricular hypertrophy (Left, Right)
Cerebrovascular diseases	Stroke - Transient ischemic attack - Intracranial hemorrhage/cerebral hemorrhage: Extra-axial hemorrhage (Epidural hemorrhage, Subdural hemorrhage, Subarachnoid hemorrhage) Intra-axial hematoma (Intraventricular hemorrhages, Intraparenchymal hemorrhage) - Anterior spinal artery syndrome - Binswanger's disease - Moyamoya disease
Arteries, arterioles and capillaries	Atherosclerosis (Renal artery stenosis) - Aortic dissection/Aortic aneurysm (Abdominal aortic aneurysm) - Aneurysm - Raynaud's phenomenon/Raynaud's disease - Buerger's disease - Vasculitis/Arteritis (Aortitis) - Intermittent claudication - Arteriovenous fistula - Hereditary hemorrhagic telangiectasia - Spider angioma - Dissection (Carotid artery, Vertebral artery)
Veins, lymphatic vessels and lymph nodes	Thrombosis/Phlebitis/Thrombophlebitis (Deep vein thrombosis, May-Thurner syndrome, Portal vein thrombosis, Venous thrombosis, Budd-Chiari syndrome, Renal vein thrombosis, Paget-Schroetter disease) - Varicose veins / Portacaval anastomosis (Hemorrhoid, Esophageal varices, Varicocele, Gastric varices, Caput medusae) - Superior vena cava syndrome - Lymph (Lymphadenitis, Lymphedema, Lymphangitis)
Other	Hypotension (Orthostatic hypotension) - Rheumatic fever
See also congenital (Q20-Q28, 745-747)

v • d • e WikiDoc Research Resources for Vertebral artery dissection
Articles on Vertebral artery dissection	Most recent articles on Vertebral artery dissection • Most cited articles on Vertebral artery dissection • Review articles on Vertebral artery dissection • Articles on Vertebral artery dissection in N Eng J Med, Lancet, BMJ
Media (Slides, Video, Images, MP3) on Vertebral artery dissection	Powerpoint slides on Vertebral artery dissection • Images of Vertebral artery dissection • Photos of Vertebral artery dissection • Podcasts & MP3s on Vertebral artery dissection • Videos on Vertebral artery dissection
Evidence Based Medicine Regarding Vertebral artery dissection	Cochrane Collaboration on Vertebral artery dissection • Bandolier on Vertebral artery dissection • TRIP on Vertebral artery dissection
Cost Effectiveness of Vertebral artery dissection	Cost Effectiveness of Vertebral artery dissection
Clinical Trials Involving Vertebral artery dissection	Ongoing Trials on Vertebral artery dissection at Clinical Trials.gov • Trial results on Vertebral artery dissection • Clinical Trials on Vertebral artery dissection at Google
Guidelines / Policies / Government Resources (FDA/CDC) Regarding Vertebral artery dissection	US National Guidelines Clearinghouse on Vertebral artery dissection • NICE Guidance on Vertebral artery dissection • NHS PRODIGY Guidance • FDA on Vertebral artery dissection • CDC on Vertebral artery dissection
Textbook Information on Vertebral artery dissection	Books and Textbook Information on Vertebral artery dissection
Pharmacology Resources on Vertebral artery dissection	Dosing of Vertebral artery dissection • Drug interactions with Vertebral artery dissection • Side effects of Vertebral artery dissection • Allergic reactions to Vertebral artery dissection • Overdose information on Vertebral artery dissection • Carcinogenicity information on Vertebral artery dissection • Vertebral artery dissection in pregnancy • Pharmacokinetics of Vertebral artery dissection •
Genetics, Pharmacogenomics, and Proteinomics of Vertebral artery dissection	Genetics of Vertebral artery dissection • Pharmacogenomics of Vertebral artery dissection • Proteomics of Vertebral artery dissection
Newstories on Vertebral artery dissection	Vertebral artery dissection in the news • Be alerted to news on Vertebral artery dissection • News trends on Vertebral artery dissection
Commentary on Vertebral artery dissection	Blogs on Vertebral artery dissection
Patient Resources on Vertebral artery dissection	Patient resources on Vertebral artery dissection • Discussion groups on Vertebral artery dissection • Patient Handouts on Vertebral artery dissection • Directions to Hospitals Treating Vertebral artery dissection • Risk calculators and risk factors for Vertebral artery dissection
Healthcare Provider Resources on Vertebral artery dissection	Symptoms of Vertebral artery dissection • Causes & Risk Factors for Vertebral artery dissection • Diagnostic studies for Vertebral artery dissection • Treatment of Vertebral artery dissection
Continuing Medical Education (CME) Programs on Vertebral artery dissection	CME Programs on Vertebral artery dissection
International Resources on Vertebral artery dissection	Vertebral artery dissection en Espanol • Vertebral artery dissection en Francais
Business Resources on Vertebral artery dissection	Vertebral artery dissection in the Marketplace • Patents on Vertebral artery dissection
Informatics Resources on Vertebral artery dissection	List of terms related to Vertebral artery dissection

Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .