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Procedure: Cervical Discectomy

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Total 417 results found since Jan 2013.

Vertebral Artery Dissection Following Cervical Spine Injury as a Diagnostic Challenge. Case Study.
We present the case of a spinal cord-injured patient with neurological sequelae and delayed posterior circu-la-tion stroke caused by bilateral vertebral artery dissection. The signs of cerebellar and occipital lobe ischemia were masked by manifestations of spinal cord injury. The patient was unconscious and in a serious condition, but, despite no proper stroke treatment, only residual dysarthria and upper limb ataxia were seen after reha-bilitation. Any clinical suspicion based on the combination of head or neck trauma with atypical or evolving neuro-logical symptoms should be verified for the possibility of a vertebral ar...
Source: Ortopedia, Traumatologia, Rehabilitacja - October 30, 2019 Category: Orthopaedics Authors: Dobies-Krześniak B, Tarnacka B Tags: Ortop Traumatol Rehabil Source Type: research

Internal carotid and vertebral artery dissections - a comparison of clinical, radiological and prognostic characteristics.
CONCLUSIONS AND CLINICAL IMPLICATIONS: In a series of patients with CeAD, we observed significant differences between VAD and ICAD in terms of clinical symptoms and radiological features. PMID: 33047785 [PubMed - as supplied by publisher]
Source: Neurologia i Neurochirurgia Polska - October 13, 2020 Category: Neurology Authors: Kos J, Kos M, Jaworski J, Petit V, Wojtal K, Rejdak K Tags: Neurol Neurochir Pol Source Type: research

Postoperative dissection of the vertebral artery in two steps
We report a case revealed by a tegmento-thalamic stroke after an abdominal second surgical look. The interest of this observation is related to a particular evolution in two steps separated by a 2-month-interval and an intercurrent cervical manipulation. After the second anesthesia, neck pain associated with a third cranial nerve palsy and a supranuclear ophtalmoplegia revealed a tegmento-thalamic ischemic stroke due to vertebral artery dissection. We discuss here the different factors possibly involved in the pathophysiology of postoperative vertebral artery dissection: positioning, cervical manipulation, subclavian centr...
Source: Annales Francaises d'Anesthesie et de Reanimation - December 3, 2014 Category: Anesthesiology Authors: J-Y Bien J Morel S Demasles K Abboud S Molliex Source Type: research

Vertebral Artery Dissection in a Woman Due to Golf: An Under Recognized Etiology
Conclusion: This patient is the first woman in the literature to suffer from VAD as a result of playing golf. The twisting motion of the head and neck in a golf swing may be a risk factor for dissection and subsequent development of stroke. As a result of increased female participation in golf, we expect to see increased incidence of women presenting with “golfer’s stroke” in coming years.
Source: The Neurologist - July 1, 2021 Category: Neurology Tags: Case Report/Case Series Source Type: research

Antiplatelet vs. Anticoagulation in Cervical Artery Dissection: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Conclusions: Compared with the antiplatelet group, the anticoagulation group has a lower risk of ischemic stroke without increasing bleeding risk when treating CAD. Anticoagulation seems to be superior over the antiplatelet in treating CAD but needs to be further tested by specifying several issues, such as location, initial symptom types, and treatment protocols.
Source: Frontiers in Neurology - November 24, 2021 Category: Neurology Source Type: research

Case Report: COVID-19 Infection and Cervical Artery Dissection
Am J Trop Med Hyg. 2022 Jan 24:tpmd210999. doi: 10.4269/ajtmh.21-0999. Online ahead of print.ABSTRACTA 45-year-old woman presented 3 days after symptom resolution from a COVID-19 infection with a left vertebral artery dissection with no known preceding trauma or underlying disposition. She subsequently suffered a left lateral medullary stroke 15 hours after her initial presentation. Cervical artery dissections (CeAD) can occur in the absence of trauma, and in some cases, infection may be a contributing factor. COVID-19 infection can cause an endotheliopathy and inflammatory response, which may contribute to intimal vessel ...
Source: Am J Trop Med Hyg - January 24, 2022 Category: Infectious Diseases Authors: Kaylynn Purdy Rebecca Long Glen Jickling Source Type: research

E-190 Trends in admissions for intracranial dissections in the United States
ConclusionThe prevalence of uIADs among hospitalized patients is scarce, and only 2% of craniocervical dissection-related AIS is due to uIAD. Compared to IAs, patients were more likely younger and male, and uIAD more commonly led to acute ischemic stroke and motor deficits. The trend in age remained stable across the four years analyzed, while the proportion of females increased. There was no trend in the proportion of races among uIADs, however.Disclosures W. Wahood: None. G. Lanzino: None. Z. Keser: None.
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Wahood, W., Lanzino, G., Keser, Z. Tags: SNIS 19th annual meeting electronic poster abstracts Source Type: research

A systematic review and meta-analysis of carotid artery stenting for the treatment of cervical carotid artery dissection
CONCLUSION: Both primary stenting and stenting of spontaneous CAD yielded unfavorable results regarding stent thrombosis and stroke rates. Conversely, stenting following FMT displayed acceptable mortality and complication rates corroborating the use of stenting in the setting of CAD as a second line treatment. Due to the low quality of the included studies, definite conclusions cannot be drawn necessitating further research.PMID:35961627 | DOI:10.1016/j.ejvs.2022.07.048
Source: PubMed: Eur J Vasc Endovasc ... - August 12, 2022 Category: Surgery Authors: Vangelis Bontinis Constantine N Antonopoulos Alkis Bontinis Andreas Koutsoumpelis Vassilios Zymvragoudakis Vasileios Rafailidis Argirios Giannopoulos Panagiotis Stoiloudis Kiriakos Ktenidis Source Type: research

Cervical arterial dissection and ischaemic stroke in children: two cases
Source: Acta Paediatrica - January 17, 2013 Category: Pediatrics Authors: Manuela Agostini, Maria Maddalena Lupica, Michael Mostert, Nicola Deluca, Luca Cordero di Montezemolo Tags: Readers Forum Source Type: research

Juvenile Stroke: Cervical Artery Dissection in a Patient after a Polytrauma
Case Rep Neurol 2013;5:21–25 (DOI:10.1159/000347001)
Source: Karger Publishers - January 29, 2013 Category: Cancer & Oncology Source Type: research

Thunderclap headache: Diagnostic considerations and neuroimaging features
Thunderclap headache (TCH) is an acute and severe headache that has maximum intensity at onset; TCH can be primary or secondary. Primary TCH is diagnosed when no underlying cause is discovered; however, imaging is crucial in distinguishing secondary causes, which are wide-ranging. The radiologist should be aware of the list of potential diagnoses. Subarachnoid haemorrhage (SAH) is the most common cause of secondary TCH. Aneurysmal SAH accounts for the majority of cases, although other causes should also be considered and these include perimesencephalic haemorrhage, arteriovenous malformations, and dural arteriovenous fistu...
Source: Clinical Radiology - December 13, 2012 Category: Radiology Authors: A.M. Mortimer, M.D. Bradley, N.G. Stoodley, S.A. Renowden Tags: Reviews Source Type: research

High Frequency of Incidental Angiographic Abnormalities in RCVS: Implications For Pathophysiology? (P03.164)
CONCLUSIONS: RCVS is associated with a high frequency of angiographic abnormalities such as cerebral artery dissection. Further studies are warranted to determine whether these reflect a subtle underlying structural abnormality that lowers the threshold for RCVS.Disclosure: Dr. Kursun has nothing to disclose. Dr. Singhal has received personal compensation as an expert witness in medicolegal cases involving stroke in young adults. Dr. Singhal's wife is an employee of Vertex Pharmaceuticals, Inc. Dr. Singhal has received research support from Pfizer and Photothera, Inc.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Kursun, O., Singhal, A. Tags: P03 Cerebrovascular Disease III Source Type: research

Primary Extracranial Vertebral Artery Aneurysms
Conclusions: Primary extracranial vertebral artery aneurysms are rare and occur in patients with hereditary disorders. Operative intervention is warranted in symptomatic patients. Exclusion and reconstruction may be performed with open and hybrid techniques with low morbidity and mortality.
Source: Annals of Vascular Surgery - March 27, 2013 Category: Surgery Authors: Mark D. Morasch, Sachin V. Phade, Peter Naughton, Manuel Garcia-Toca, Guillermo Escobar, Ramon Berguer Tags: Clinical Research Source Type: research