Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Extracranial vertebral artery dissection causing cervical root lesion.

J Y Fournier1, U Amsler, B Weder

  • 1Department of Neurosurgery, Kantonsspital St. Gallen, Switzerland.

Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging
|May 9, 2000
PubMed
Summary

Extracranial vertebral artery dissection (VAD) can present unusually with motor radicular symptoms due to intramural hematoma compression. This rare VAD manifestation, especially in young individuals, warrants suspicion with neck pain and motor deficits.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Predicting dose response to prostate cancer radiotherapy: validation of a radiation signature in the randomized phase III NRG/RTOG 0126 and SAKK 09/10 trials.

Annals of oncology : official journal of the European Society for Medical Oncology·2025
Same author

Obliteration of the Superior Petrosal Vein During Cerebellopontine Angle-Surgery: More Cons than Pros?

World neurosurgery·2024
Same author

Validation of the Decipher genomic classifier in patients receiving salvage radiotherapy without hormone therapy after radical prostatectomy - an ancillary study of the SAKK 09/10 randomized clinical trial.

Annals of oncology : official journal of the European Society for Medical Oncology·2022
Same author

Integration of radiation oncology teaching in medical studies by German medical faculties due to the new licensing regulations : An overview and recommendations of the consortium academic radiation oncology of the German Society for Radiation Oncology (DEGRO).

Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]·2021
Same author

Differential Diagnosis of Central Neurocytoma: Two Cases.

Journal of neurological surgery. Part A, Central European neurosurgery·2020
Same author

Screening for irradiation vasculopathy by intima-media thickness sonography in head and neck cancer patients.

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·2020

Area of Science:

  • Neurology
  • Vascular Surgery
  • Radiology

Background:

  • Extracranial vertebral artery dissection (VAD) is a significant cause of stroke, particularly in younger populations.
  • VAD typically presents with neck pain and/or ischemic symptoms, but unusual manifestations can occur.

Observation:

  • This case highlights an unusual VAD presentation with predominantly motor radicular symptoms.
  • Cervical MRI revealed an intramural hematoma compressing the segmental motor root and sensory ganglion.
  • Digital subtraction angiography (DSA) showed vessel narrowing, while Color-coded Duplex imaging (CDDI) demonstrated recanalization after anticoagulation.

Findings:

  • The primary finding was nerve root compression by an intramural hematoma within the dissected vertebral artery.
  • This led to a predominantly motor radicular deficit, distinct from typical VAD presentations.

Related Experiment Videos

  • Complete neurologic recovery was observed within 3 months of anticoagulation therapy.

    • Implications:

    • The syndrome of neck pain with radicular motor deficit, especially in young patients without degenerative disc disease, should raise suspicion for VAD.
    • Early recognition and diagnosis via imaging (MRI, DSA, CDDI) are crucial for timely management and improved outcomes.
    • This case expands the spectrum of clinical presentations associated with vertebral artery dissection.