Key result
Three-month antithrombotic therapy achieves complete vertebral artery revascularization in a spontaneous dissection case.
Why the study?
Spontaneous vertebral artery dissection is a rare condition with non-specific symptoms often considered not severe, requiring detailed clinical and imaging characterization.
Case Report (n=1)
Highlights the presentation and successful antithrombotic management of spontaneous vertebral artery dissection in a young adult.
May prompt earlier imaging in young adults with neck pain and headache; leaves open optimal management for spontaneous vertebral artery dissection.
Spontaneous vertebral artery dissection is a rare condition, mainly affecting young adults with non-specific symptoms, which are often considered not severe. 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 predisposing factors, clinical symptoms, neurovascular imaging and treatment options.
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Mieren et al. (2016) conducted a case report in Spontaneous vertebral artery dissection (n=1). Antithrombotics was evaluated on Revascularization of the vertebral artery. Antithrombotic therapy for 3 months led to complete revascularization of the vertebral artery in a 30-year-old woman with spontaneous vertebral artery dissection.
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