Ophthalmic Manifestations of Vertebral Artery Dissection. Patients Seen at the Mayo Clinic from 1976 to 1992

P, Hicks; Leavitt, Jacqueline A.; Mokri, Bahram

doi:10.1097/00041327-199603000-00033

Cited by 8 publications

(12 citation statements)

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“…In VAD, head pain has been reported in up to 80%, neck pain in up to 66% and Horner syndrome, mostly due to brain stem ischemia, in 27% of cases [1,[10][11][12] . Furthermore, brain stem and cerebellar symptoms include vertigo and nausea [13] .…”

Section: Demographics Clinical and Laboratory Findingsmentioning

confidence: 99%

Clinical Presentation, Magnetic Resonance Angiography, Ultrasound Findings, and Stroke Patterns in Patients with Vertebral Artery Dissection

Günther¹,

Witte²,

Freesmeyer³

et al. 2016

Eur Neurol

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Background/Aims: Vertebral artery dissection (VAD) is an important cause of ischemic stroke. In this observational study, clinical data, magnetic resonance (MR) and ultrasound (US) imaging findings and ischemic patterns were analyzed. Methods: Forty-seven patients with a diagnosis of VAD underwent clinical examination, US, MR of the brain and neck and MR angiography (MRA) of the cervical arteries. Vascular abnormalities and ischemic brain lesions were noted. Data were evaluated separately and compared for spontaneous and traumatic VAD subgroups. Results: The most common overall clinical symptom was vertigo followed by neck pain. In the traumatic subgroup, vertigo was relatively rare (p = 0.022). Most common MRA findings were vessel irregularity and vessel occlusions. Ischemic lesions occurred significantly more frequently after spontaneous than after traumatic VAD (p = 0.009). Unilateral VAD was significantly more common in non-dominant vertebral arteries (p < 0.001). Mortality after trauma was not only due to VAD complications but also due to other trauma-related injuries. Conclusion: The variability of MR and US imaging findings in patients with VAD is illustrated. The algorithm of management should be based on a multimodality approach involving patient history and clinical neurological examination. Several types of vessel abnormalities and ischemic lesion in diverse locations may point to arterial dissection, and the differential diagnosis of VAD must be kept in mind.

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Section: Demographics Clinical and Laboratory Findingsmentioning

confidence: 99%

Clinical Presentation, Magnetic Resonance Angiography, Ultrasound Findings, and Stroke Patterns in Patients with Vertebral Artery Dissection

Günther¹,

Witte²,

Freesmeyer³

et al. 2016

Eur Neurol

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“…In Hicks' series of 51 patients, 45% had diplopia and 14% had blurred vision (10). However, in all these case series, the visual symptoms that were described were not in the form of migraine-type aura (2,4,10). In addition, our patient related that the visual symptoms accompanying two of her recent headaches were different from any visual symptoms that had occurred with prior attacks of migraine.…”

Section: Discussionmentioning

confidence: 55%

“…In Saeed's series of 26 patients with VAD, 10 presented with diplopia or visual field abnormalities (4). In Hicks' series of 51 patients, 45% had diplopia and 14% had blurred vision (10). However, in all these case series, the visual symptoms that were described were not in the form of migraine-type aura (2,4,10).…”

Section: Discussionmentioning

confidence: 91%

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Unusual visual symptoms in a patient with bilateral vertebral artery dissection: A case report

Nagurney

Feldman

Cahill

et al. 2006

The Journal of Emergency Medicine

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“…Vertigo, nausea and vomiting [14] , Collet-Sicard syndrome [15] , hemifacial spasm [16] and trigeminal autonomic cephalalgia [17] are also described. A large case series from The Mayo Clinic of ophthalmic signs associated with vertebral artery dissection [18] , demonstrated nystagmus, ocular misalignment and Horner's syndrome to be the three most common signs seen. Extracranial vertebral artery dissection may result in cervical radiculopathy, simulating the radicular pain of cervical disc disease [19,20] .…”

Section: Discussionmentioning

confidence: 99%

Isolated Hypoglossal Nerve Palsy due to Compression by a Dissecting Vertebral Artery

et al. 2005

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Ophthalmic Manifestations of Vertebral Artery Dissection. Patients Seen at the Mayo Clinic from 1976 to 1992

Cited by 8 publications

References 0 publications

Clinical Presentation, Magnetic Resonance Angiography, Ultrasound Findings, and Stroke Patterns in Patients with Vertebral Artery Dissection

Clinical Presentation, Magnetic Resonance Angiography, Ultrasound Findings, and Stroke Patterns in Patients with Vertebral Artery Dissection

Unusual visual symptoms in a patient with bilateral vertebral artery dissection: A case report

Isolated Hypoglossal Nerve Palsy due to Compression by a Dissecting Vertebral Artery

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