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Carotid and Vertebral Dissection Imaging.

Hakeem J Shakir1,2,3, Jason M Davies1,2,3, Hussain Shallwani1,2,3

  • 1Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, USA.

Current Pain and Headache Reports
|November 23, 2016
PubMed
Summary
This summary is machine-generated.

Carotid and vertebral artery dissection involves a tear in the vessel lining, potentially causing stroke. Early diagnosis using advanced imaging like MRI and CT is crucial for timely treatment and preventing severe neurological damage.

Keywords:
Carotid arteryComputed tomographic angiographyCraniocervical dissectionDigital subtraction angiographyMagnetic resonance angiographyMagnetic resonance imagingVertebral artery

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Area of Science:

  • Vascular Neurology
  • Diagnostic Imaging
  • Interventional Cardiology

Background:

  • Carotid and vertebral artery dissection is a tear in the vessel lining, creating a false lumen and potentially leading to stroke.
  • This condition often presents with pain but can cause severe neurological deficits if untreated.
  • Causes are multifactorial, including spontaneous, iatrogenic, and traumatic factors.

Purpose of the Study:

  • To examine current noninvasive imaging modalities for diagnosing carotid and vertebral artery dissections.
  • To highlight the critical importance of early diagnosis in preventing neurological compromise or death.

Main Methods:

  • Review of current diagnostic imaging techniques for craniocervical artery dissection.
  • Comparison of traditional angiography with advanced noninvasive methods such as MRI and CT.

Main Results:

  • While angiography is the gold standard, MRI and CT are increasingly used for diagnosis due to advances in noninvasive imaging.
  • Noninvasive imaging plays a pivotal role in the early detection of this under-recognized condition.

Conclusions:

  • Early diagnosis of carotid and vertebral artery dissections is critical due to high risks of neurological compromise.
  • Advances in MRI and CT have made them primary diagnostic tools, complementing traditional angiography.