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Doctor insights on: What Specialist Treat A Vertebral Artery Dissection

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What specialist treat a vertebral artery dissection?

What specialist treat a vertebral artery dissection?

Neuro/Vascular: This kind of catastrophy may need to be handled with neurosurgery and vascular surgery together -- due to their close proximity to the brain and time is paramount.

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Dr. Andrew Berry
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Artery (Definition)

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


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What is the definition or description of: vertebral artery dissection?

What is the definition or description of: vertebral artery dissection?

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.

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Is vertebral artery dissection curable?

Is vertebral artery dissection curable?

Generally not: 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 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.

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Do people with vertebral artery dissection have a lot of pain?

Do people with vertebral artery dissection have a lot of pain?

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.

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Can vertebral artery dissection or occlusion be caused by forward head posture?

Can vertebral artery dissection or occlusion be caused by forward head posture?

Unlikely: Very unlikely to cause dissection of vertebral artery.realy but possible

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I need to know what is vertebral artery dissection?

I need to know what is vertebral artery dissection?

Separation of vessel: Vertebral artery dissection is separation or splitting of the layers of the blood vessel wall. This is often related to trauma, and may result in posterior neck pain and vessel clotting or narrowing. You should se a vascular surgeon for consultation.

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What are the most common symptoms of vertebral artery dissection?

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.

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Could you get vertebral artery dissection from neck cracking?

Could you get vertebral artery dissection from neck cracking?

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

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Is it possible to get vertebral artery dissection from neck cracking?

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.

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Can vertebral artery dissection cause slight bleed out or form hemotoma on exterior rather then within artery wall - if so, what could that cause?

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.

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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?

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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?

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.

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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

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.

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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.

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!

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

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

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Would vertebral artery dissection cause very localised specific pain in back of neck worse with movement plus awful headache? Pain meds not helping.

Would vertebral artery dissection cause very localised specific pain in back of neck worse with movement plus awful headache? Pain meds not helping.

Potentially.: A dissection of the vertebral artery can cause a variety of symptoms, including localized pain at the site and even neurological symptoms of a stroke. Do not hesitate to be urgently seen if you think you have this going on.

Vertebral Artery (Definition)

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


Dr. Amrita Dosanjh
25 Doctors shared insights

Vertebral Artery Dissection (Definition)

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