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The Clinical Features of Dissection of the Cervical Brain-Supplying Arteries
CONCLUSION: Dissection of the cervical brain-supplying vessels is not always revealed by the imaging methods that are used to detect it. Stroke prevention thus depends on the physician's being aware of the symptoms and signs of this disease entity, so that early diagnosis can be followed by appropriate treatment.PMID:35734920 | DOI:10.3238/arztebl.m2022.0238
Source: Pain Physician - June 23, 2022 Category: Anesthesiology Authors: Christian Arning Kathrin Hanke-Arning Bernd Eckert 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 - October 28, 2014 Category: Anesthesiology Authors: Bien JY, Morel J, Demasles S, Abboud K, Molliex S Tags: Ann Fr Anesth Reanim Source Type: research

Safety and efficiency of ultrasound-guided intermediate cervical plexus block for carotid surgery
Conclusions The present work reports our first 50 cases of intermediate CPB using ultrasound guidance. The results underline that this technique is easy to perform, safe and reliable, provided good surgical conditions with continuous intraoperative neurologic monitoring and stable haemodynamics are respected.
Source: Anaesthesia, Critical Care and Pain Medicine - December 6, 2015 Category: Anesthesiology 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