A member asked:

What's the best treatment for a vertebral artery dissection?

4 doctors weighed in across 4 answers

No good treatment: The 2 vertebral arteries arise from the left and right subclavian arteries and supply the brainstem and cerebellum. Dissection is rare (2.5/100, 000), affect women to men 3:1 and can cause stroke in people <age 45. It may follow minor head trauma, yoga, painting a ceiling. 50% have hbp. Treatment is supportive. Blood thinners are used if bleeding is ruled out. Surgery is not usually an option.

Answered 2/16/2012

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There's nothing good: The 2 vertebral arteries arise from the left and right subclavian arteries and supply the brainstem and cerebellum. Dissection is rare (2.5/100, 000), affect women to men 3:1 and can cause stroke in people <age 45. It may follow minor head trauma, yoga, painting a ceiling. 50% have hbp. Treatment is supportive. Blood thinners are used if bleeding is ruled out. Surgery is not usually an option.

Answered 2/16/2012

6k views

Thank

Conservative: Typically with anticoagulation/coumadin or antiplatelets for 3-6 months. Rarely with require stent placement.

Answered 4/4/2014

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Dr. Clarence Grim answered

Specializes in Endocrinology

Verterbral art disec: The one recommended by the Dr who sees you.

Answered 6/22/2017

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