Doctor insights on:
What Are The Most Common Symptoms Of Vertebral Artery Dissection
Vertebral artery sx: The typical presentation of vertebral artery dissection is a young person with severe occipital headache and posterior neck pain following a recent, relatively minor, head or neck injury. Other symptoms: facial pain and numbness, speech difficulty, hoarseness, loss of pain and temperature sensation in the trunk and limbs, loss of taste, hiccups, vertigo, nausea, double vision, or problem swallowi. ...Read more
Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more
With vertebral artery dissection, are neurological symptoms always contralateral, or can they happen on the same side as the dissection?
Vertebral artery: ...Dissection is a rare condition / trauma. Often there are just intimal tears (or disruptions on the inside layer of the vessel) and only seldomly is there a true dissection. Symptoms can vary greatly b/w patients, but contra-lateral symptoms are not common. It has to do with the bloodvessel ring at the base of the brain that typically connects the left-and-right sides together. U have more info? ...Read more
A tear in the vessel: Arteries are made up of several layers much like an onion. Occaisionally a small tear in the most inner layer can occur. The blood flows through the artery under high pressure. This jet of blood can separate the layers causing the vessel to obstruct (close off). In the vertebral artery this could cause a stroke. ...Read more
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
Symptoms: Vertebral artery dissection (VAD) can cause localized pain (often described as being sharp, aching or pulsing pain) in the head, neck and face. It is estimated that between half to one third of patients with a VAD experience this type of pain. Though VAD can be diagnosed on the basis of pain alone, it is usually followed by neurological symptoms such as numbness or vertigo within hours or days. ...Read more
Neck cracking: The exact causes of dissection are poorly understood however traumatic events associated with sudden dramatic neck movement have at times been seen with dissection ...Read more
Possibly: Any jerking motion of the neck can lead to carotid artery or vertebral artery dissection. I've seen them with car accidents and a rare couple of cases with chiropractic manipulation. I can't imagine that slow turning of the neck would lead to vertebral dissection though. ...Read more
Would vertebral artery dissection start off with very gradual random episodes of mild vertigo, changing to constant strong vertigo over 7 days?
A dissection would-: -B very painful, while vestibular issues can cause this. An ENT specialist is who U should C. ...Read more
Can vertebral artery dissection cause slight bleed out or form hemotoma on exterior rather then within artery wall - if so, what could that cause?
Yes, not as above: Vertebral artery dissections can cause bleeding usually from the dissection/rupture of a saccular aneurysm. These aneurysms are more common intracranially than in the extracranial location. The aneurysms are typically located at branch points of the major vessel. Treatment of the aneurysm is typically endovascular, with the placement of coils to occlude the aneurysm. ...Read more
Good day, I constantly crack my neck due to kyphosis, and hyper-extend it a lot, could I get vertebral artery dissection from this or chiroprators?
VAD by chiropractor:
Vertebral artery dissection very rare, but a potential complication due to neck chiropractic manipulation. There are many scientific papers on this subject. Here is example "the effectiveness of cervical manipulation, the best current evidence suggests that the small risk of dissection and stroke outweighs the benefit."
Hope it helps. ...Read more
Could I have vertebral artery dissection? I have pulsating ears jaws cheeks bridge of nose between eyes, head rush w/ bend over whooshing in ears
Unlikely: Most people with dissection of their vertebral have no symptoms because they receive circulation from their 2 carotids and other vertebral - all of which is connected in the circle of willis. Nonetheless, you should be checked for other issues like aneurysms, very severe hypertension, or simple things like a plugged eustachian tube and otitis media. ...Read more
Can dizziness/off balance be from Vertebral Artery Dissection or any artery/brain issue if ive been dizzy for months? MRI of brain and CT normal,
Dizzy-off balance: For months.....check serum B12. If 550 or greater see a neurologist. ...Read more
Numb on neck &ear&one side of face, dizziness nausea, motion sicknes. Had brain MRI all clear. Read abt Vertebral Artery Dissection. Now really anxious.
Dissection is a --:
-sudden onset, in Ur age group usually following significant trauma 2 the neck, as in MVA high speed. It is severely painful. U need 2 C a neurologist 4 eval. 2 find the cause. 1 of the facial nerve branches may B the cause. As this sounds like a Bells palsy. It usually is also painful& there is a muscle weakness involved. Effects Ur ability 2 smile on symptomatic side.
Good luck! ...Read more
Verterbral art disec: The one recommended by the Dr who sees you. ...Read more
Conservative: Typically with anticoagulation/coumadin or antiplatelets for 3-6 months. Rarely with require stent placement. ...Read more
Would vertebral artery dissection cause very localised specific pain in back of neck worse with movement plus awful headache? Pain meds not helping.
Uncommon: A dissection is a separation of the inner layer of an artery from the outer layer. The risk aside from direct obstruction is that the internal blood pressure can enter this new pocket and rapidly tear open more of the lining, shutting down the artery or even causing a leak - both of these events are deadly. Any major arteries can be affected; the carotid is less common than the aorta. ...Read more
If stroke like symptoms were caused by cervical artery dissection, would this show up in MRV and MRI of brain. Or only a scan of neck?
Depends on timing: A CT or MRI can detect changes of edema (fluid) due to cell death within the brain. Often by the time these changes are seen, it is late in the process. Also this would tell us the arterial territory involved, but not that it is a result of dissection. Emboli or thrombus of an artery are more common causes of stroke. A carotid dissection is less common, though more common in vertebral artery. ...Read more
Hmmm: Trauma or neck manipulation can rarely cause vertebral artery dissection. Cracking is more likely related to the bone in the cervical spine. ...Read more
Arterial tear: An uncommon cause of stroke, but among younger patients, it is one of the most common. Sometimes spontaneously, sometimes after an activity that involves sudden torsion to the neck, a tear may form along the three layers that constitute the arterial wall. This tear causes turbulent blood flow and predisposes to clot formation. These clots can then cause a stroke by blocking important arteries. ...Read more
Stroke/horner/pain: This depend on the cause either sponataneuos or traumatic. Spontaneous can present sometimes with neck pain and headache, horner syndrome (ptosis, miosis, anhidrosis), stroke or minor strokes or tia. Traumatic usually asymptomatic except for pain at injury site but can present with stroke or tia. ...Read more
Tear or disruption: Tear or disruption between the three layers of the artery wall which start at one location and can extend, enlarge, forms clots with embolization or thrombose and occlude the artery, in rare cases it can rupture but not typically in the carotids. The major problem in carotid dissection is stoke. ...Read more
Yes: This is typically a self limited event that is triggered by hypertension or an injury to the neck. He should be followed by a vascular surgeon that will be able to guide him through the treatment options. He will likely only need ultrasound follow up for this along with blood pressure control. ...Read more
A vertebral artery is a small artery that comes of of the aorta (the biggest vessel in the body that takes oxygenated blood away form the heart to deliver to the rest of the body) to give blood to the vertebrae. There are two arteries, one right and one left until the aorta splits. Since the aorta runs right next to the vertebral column, ...Read more
Arteries are made up of several layers much like an onion. Occaisionally a small tear in the most inner layer can occur. The blood flows through the artery under high pressure. This jet of blood can separate the layers causing the vessel to obstruct (close off). In the vertebral artery this ...Read more