Why the study?
Spontaneous vertebrobasilar artery dissection is a rare cause of posterior ischemic stroke, particularly in elderly patients without trauma or connective tissue disorders.
This case highlights that spontaneous vertebral artery dissection, though rare in the elderly, can cause posterior ischemic stroke and can be effectively diagnosed using MRI.
SVAD may cause posterior stroke in elderly patients with atherosclerosis; hypothesis-generating and requires validation before changing practice.
Vertebrobasilar artery dissection (VBD) is a rare cause of posterior ischemic strokes. It is more likely to occur in young patients with a history of traumatism or hereditary connective tissue disorders. Spontaneous VBD is rare, especially in elder patients. This paper aims to report the case of an old patient that presented with a posterior ischemic stroke due to a spontaneous vertebral artery dissection (SVAD), linked to atherosclerosis. The diagnosis of SVAD was made by Magnetic resonance imaging (MRI) which is the gold standard technique to diagnose this pathology in a short time so the patient could receive adequate treatment.
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Sabiri et al. (2021) studied this question.
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