Uncommon ultrasound findings in traumatic extracranial vertebral artery dissection.
We report a case of internal carotid artery dissection (ICAD) associated with contralateral vertebral artery dissection (VAD). The interest of this case is to discuss an unusual Doppler pattern manifesting by a spectrum of an alternating vertebral artery flow suggesting a hemodynamic contribution from the contralateral vertebral artery (VA) and a clear depiction of both antegrade (red) and retrograde (blue) flow within the false and true lumen of the VAD by color Duplex flow imaging.
Cals
N
N
Department of Neurology, Hopital Universitaire Vaudois, CHUV, BH 07, 46 Rue du Bugnon, 1011 Lausanne, Switzerland.
Devuyst
G
G
Jung
D K
DK
Afsar
N
N
De Freitas
G
G
Despland
P A
PA
Bogousslavsky
J
J
D001783:Blood Flow Velocity; D020215:Carotid Artery, Internal, Dissection / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging*; D002536:Cerebral Arteries / Q000473:pathology; D002560:Cerebrovascular Circulation; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D018608:Ultrasonography, Doppler; D014711:Vertebral Artery / Q000473:pathology; D020217:Vertebral Artery Dissection / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging*