[Traumatic extracranial vertebral artery dissection treated with coil embolization--a case report].
We reported a 37-year-old man who developed vertigo, dysarthria and left hemiparesis following neck pain. Magnetic resonance imaging (MRI) demonstrated infarct in the right superior cerebellar artery (SCA) territory. Duplex color-flow imaging detected dissection (double lumen) in the right vertebral artery (VA) at the level of the C4-C6 vertebra (V2 segment). Cerebral angiography showed irregular narrowing in the right V2, and occlusion of the right SCA. These findings suggested that dissection in the right V2 caused artery-to-artery embolism in the right SCA. Despite administration of anti-thrombotic agents, he recurrently suffered from transient ischemic attacks. Serial duplex color-flow imaging echography revealed that the dissection of the right VA gradually became more stenotic and extended to the distal site. Coil-embolization of the right VA by endovascular therapy was performed, and thereafter the dissecting lesion of the right VA was completely occluded and ischemic attacks disappeared.
Matsuura
Daisuke
D
Stroke Center, Saiseikai Kumamoto Hospital.
Inatomi
Yuichiro
Y
Saeda
Hiroko
H
Yonehara
Toshiro
T
Fujioka
Shodo
S
Kai
Yutaka
Y
Hamada
Jun-ichiro
J
Hashimoto
Yoichiro
Y
Hirano
Teruyuki
T
Uchino
Makoto
M
D000328:Adult; D020520:Brain Infarction / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D001930:Brain Injuries / Q000150:complications*; D002531:Cerebellum / Q000098:blood supply*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D018615:Ultrasonography, Doppler, Color; D020217:Vertebral Artery Dissection / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*