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E-007 Unusual Two Cases of Dissecting Cervical Internal Carotid Artery Pseudo-aneurysm with Symptomatic Intracranial Aneurysm
Conclusions In the evaluation of suspected intracranial aneurysm who present with headache with neck pain, a catheter cerebral angiogram not only will clearly define the correct morphology of intracranial aneurysm but also will appropriately identify the presence of life threatening cervical ICA abnormalities. Additionally, presence of an unusual cervical ICA anatomy with DP may warrant further evaluation of intracranial blood vessel of same territory. Using endovascular strategies, both extracranial and intracranial DP could be treated. However, long-term follow-up and outcome is unknown. Further studies are required. Di...
Source: Journal of NeuroInterventional Surgery - July 26, 2014 Category: Neurosurgery Authors: Lodi, Y., Reddy, V., Devasenapathy, A., Chou, J., Shehades, K., Sethi, K., Galyon, D., Bajwa, S. Tags: Electronic poster abstracts Source Type: research

The Association Between Cervical Spine Manipulation and Carotid Artery Dissection: A Systematic Review of the Literature
Controversy surrounds the safety of cervical spine manipulation. Ischemic stroke secondary to cervical spine manipulation is a hypothesized adverse event. In Canada, the seriousness of these events and their perceived association to cervical spine manipulation has led some members of the public to call for a ban of the procedure. The primary objective of this study was to determine the incidence of internal carotid artery (ICA) dissection after cervical spine manipulation in patients who experience neck pain and its associated disorders.
Source: Journal of Manipulative and Physiological Therapeutics - January 6, 2014 Category: Complementary Medicine Authors: Chadwick L.R. Chung, Pierre Côté, Paula Stern, Georges L'Espérance Tags: Special Articles: Adverse Events Source Type: research

Eagle Syndrome Presenting After Blunt Trauma: A Case Series
Eagle syndrome is an unusual phenomenon unfamiliar to most vascular surgeons. Patients develop neurologic or vascular manifestations arising from an elongated styloid process and/or an ossified stylohyoid ligament. These symptoms are secondary to irritation or compression of the neurovascular bundle within the carotid sheath. Presentations can vary from cervical pain and a globus sensation to carotid dissection, transient ischemic attacks, and stroke. Here we present a case series of the carotid subtype identified after blunt trauma.
Source: Journal of Vascular Surgery - December 22, 2015 Category: Surgery Authors: Ashley Mann, Chalmers Wood, Robert Carter, Karl Stark, Scott Kujath, Mark Friedell Tags: Abstract from the 2016 Southern Association for Vascular Surgery Annual Meeting Source Type: research

Ischemic Cervical Myelopathy Caused by Vertebral Artery Dissection: The Clinical Utility of a Motor-evoked Potential Study
Conclusions: When there is diagnostic ambiguity between the upper and lower motor neuron lesions in VAD, motor-evoked potential study can be helpful to diagnose peripheral neurological complication of VAD.
Source: The Neurologist - December 28, 2015 Category: Neurology Tags: Case Report/Case Series Source Type: research

Headache in Intracranial and Cervical Artery Dissections
Abstract Dissection refers to a tear in the wall of an artery, with the two main types being intracranial or extracranial. Dissections tend to occur most commonly in the young, sometimes secondary to trauma involving the neck. To confirm a dissection, some type of vessel imaging is necessary, including magnetic resonance angiography (MRA), computed tomography angiography (CTA), or angiography. The most common presentation of a dissection (especially extracranial) is pain, usually head and neck pain along with a Horner’s syndrome. Patients may also present with ischemic symptoms, including transient ischemic att...
Source: Current Pain and Headache Reports - January 13, 2016 Category: Neurology Source Type: research

Pain after Cervical Artery Dissection (P4.381)
Conclusions: Chronic pain or new pain development is frequent after spontaneous CAD. Recognition of clinical factors that predict chronic pain could help clinicians manage pain in CAD patients more effectively.Disclosure: Dr. Youn has nothing to disclose. Dr. Prabhakaran has received personal compensation for activities with the American Heart Association.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Youn, J., Prabhakaran, S. Tags: Non-Atherosclerotic Arteriopathies Source Type: research

Non-traumatic vertebral artery dissection presenting with unilateral cervical pain, hemilateral vision problems and headache.
We report a case of a non-traumatic vertebral artery dissection in a 30-year-old woman. Our patient presented with unilateral right-sided neck pain and frontal headache during 3 weeks and recently developed right-sided vision problems. History and clinical findings were non-specific. Neurovascular imaging showed a right-sided vertebral artery dissection from C2 to C6 with an intima flap at C5-C6. The patient was observed in the stroke unit for 1 week and antithrombotics were given during 3 months. There was a complete revascularization of the vertebral artery after 3 months. A review of literature is given concerning p...
Source: Acta Chirurgica Belgica - July 7, 2016 Category: Surgery Tags: Acta Chir Belg Source Type: research

The Bizarre Side Effect 1 In 100 People Experience During Sex
For SELF, by Zahra Barnes. As your sexual arousal ramps up on the trippy journey to orgasm, pleasure is probably the only thing on your mind. Unfortunately, for some people, pain interrupts the party. At least one percent of adults experience coital cephalalgia, or “sex headaches,” aka head pain that occurs before, during, or after orgasm. Here’s what you need to know about this condition, which is basically the unpleasant epitome of a buzzkill. Mayo Clinic spotlights two kinds of sex headaches. The first is “a dull ache in the head and neck that intensifies as sexual excitement increases,” a...
Source: Healthy Living - The Huffington Post - March 15, 2017 Category: Consumer Health News Source Type: news

The advantage of ultrasonography in the diagnosis of extracranial vertebral artery dissection: Two case reports
We reported 2 patients who complained of dizziness and pain, the findings of US confirmed the presence of extracranial vertebral artery dissection. Diagnoses: The floating membrane in lumen and intramural hematoma were found in US, consistent with vertebral artery dissection, whereas DSA revealed no typical sign of artery dissection. Interventions: In order to the definite diagnosis we persuaded the patients to undergo DSA, but there was no strong evidence on the diagnosis of vertebtal artery dissection. Outcomes: The patients were diagnosed of vertebral artery dissection by US. Lessons: US show more advantages in diag...
Source: Medicine - March 1, 2017 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Recognition of patients presenting with or at risk of craniocervical arterial dissection: Preliminary results of a prospective study
Background: Craniocervical arterial dissection (CAD) is a common cause of stroke in young people which in rare cases has been associated with cervical manipulative therapy. The mechanism is considered to involve pre-existing arterial susceptibility and a precipitating event. Pre-manipulative screening tests are limited in their ability to identify those at risk. In particular one difficulty is that the early features of CAD can mimic a painful musculoskeletal presentation and a patient may present for treatment of neck pain and headache with a dissection in progress.
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: L. Thomas, J. Attia, C. Levi, D. Rivett Source Type: research

Extracranial Cervical Artery Dissections
Cervical artery dissections (CeAD) include both internal carotid and vertebral artery dissections. They are rare but important causes of stroke, especially in younger patients. CeAD should be considered in patients with strokelike symptoms, a new-onset headache and/or neck pain, and/or other risk factors. Early imaging with computed tomography (CT) or magnetic resonance imaging (MRI) is key to making the diagnosis. Treatment may vary depending on the extent of the dissection, timing of the dissection, and other comorbidities. The overall prognosis is good, but does depend on the initial severity of symptoms.
Source: Emergency Medicine Clinics of North America - August 23, 2017 Category: Emergency Medicine Authors: Jennifer J. Robertson, Alex Koyfman Source Type: research

Poster 328: Bilateral Vertebral Artery Dissection, Spinal Cord Infarct and Brainstem Stroke in a Patient with Posterior Neck Pain Before Cervical Manipulation: A Case Report
Sima Patel: I Have No Relevant Financial Relationships To Disclose
Source: PM and R - September 1, 2017 Category: Rehabilitation Authors: Sima C. Patel Source Type: research

Extracranial Cervical Artery Dissections.
Abstract Cervical artery dissections (CeAD) include both internal carotid and vertebral artery dissections. They are rare but important causes of stroke, especially in younger patients. CeAD should be considered in patients with strokelike symptoms, a new-onset headache and/or neck pain, and/or other risk factors. Early imaging with computed tomography (CT) or magnetic resonance imaging (MRI) is key to making the diagnosis. Treatment may vary depending on the extent of the dissection, timing of the dissection, and other comorbidities. The overall prognosis is good, but does depend on the initial severity of sympto...
Source: The Medical Clinics of North America - October 12, 2017 Category: General Medicine Authors: Robertson JJ, Koyfman A Tags: Emerg Med Clin North Am Source Type: research

Perioperative complications in patients treated with posterior cervical fusion and bilateral cages
Conclusions: The results of our study show that PCF with cages can be considered a safe alternative for patients undergoing cervical spine surgery. The procedure has a favorable overall complication profile, short length of stay, and negligible blood loss.
Source: Journal of Craniovertebral Junction and Spine - December 19, 2017 Category: Orthopaedics Authors: Krzysztof B Siemionow Pawel Glowka Robert J Blok Mark C Gillespy Mukund I Gundanna William D Smith Zeshan Hyder Bruce M McCormack Source Type: research

Unusual case of traumatic carotid artery dissection occurred during a work-related activity. A case report.
We report a case of a 49-year-old industrial vehicles mechanic who was projected to the ground by the explosion of the tire of a heavy truck he was inflating. In the following hours he presented various neurological signs and symptoms and was admitted to the Emergency Department. During hospitalization the patient underwent clinical and instrumental investigations with AngioCT and MR finding of left internal carotid artery dissection in correspondence of its cervical segment and three acute ischemic lesions in the left temporal, parietal and occipital lobes. Medical management was successful and the patient was discharged ...
Source: Medicina del Lavoro - November 1, 2018 Category: Occupational Health Tags: Med Lav Source Type: research

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