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.
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 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.
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 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.

Related Questions

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. Read more...
Same as any artery. A dissection means the blood flow doen not all flo thru the center of the artery, but leaks between the the intimal layers and splits them, gradually becomming large enough that it impedes or stops the reg flow thru the artery. Can lead 2 occlusion or rupture. Read more...

Could you get vertebral artery dissection from neck cracking?

Dissection. Yes, one of the most common reports is of visiting chiropractor 1-2 days prior to symptoms developing. 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...

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. 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...

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. Read more...

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. Read more...
YES. This could happen spontaneous or traumatic. Typically asymptomatic especially if affecting one side with normal connection between both vertebral arteries. Typically managed with anticoagulation like Coumadin (warfarin) or even with antiplatelet agents like Aspirin and most probably will heal. In rare situation they can be stented. Read more...

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. Read more...