Spontaneous Dissection of Both Vertebral Arteries Diagnosed with Three-Dimensional T1-Weighted Image.
Cerebrovascular disease
MRI
Spontaneous vertebral artery dissection
Three-dimensional T1-weighted image
Journal
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
ISSN: 1532-8511
Titre abrégé: J Stroke Cerebrovasc Dis
Pays: United States
ID NLM: 9111633
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
received:
17
10
2018
revised:
30
01
2019
accepted:
23
02
2019
pubmed:
23
3
2019
medline:
14
6
2019
entrez:
23
3
2019
Statut:
ppublish
Résumé
A 48-year-old woman spontaneously developed occipital pain, without any other neurological deficit. A brain magnetic resonance angiography showed narrowing, irregular dilatation, and aneurysmal formation in both the vertebral arteries (VA). According to these findings and the clinical course, we diagnosed the patient with spontaneous VA dissection. There was no finding suggesting cerebral infarction or subarachnoid hemorrhage. Three-dimensional T1-weighted magnetic resonance imaging performed 27 days after first onset of headache revealed a crescent-shaped high-intensity lesion in both the VA walls. These findings indicated that the lesions in both VAs were equally in the subacute phase. Follow-up three-dimensional T1-weighted imaging indicated that the high-intensity signals in both VAs disappeared at almost the same time. This case report presents imaging evidence showing that spontaneous dissection occurred simultaneously in both the VAs.
Identifiants
pubmed: 30898443
pii: S1052-3057(19)30091-6
doi: 10.1016/j.jstrokecerebrovasdis.2019.02.035
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e71-e72Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.