Multi-mode images to assess posterior circulation ischemic stroke caused by bilateral vertebral artery dissection based on vascular ultrasound: A case report
10.3969/j.issn.l672-5921.2020.06.008
- Author:
Yanhong YAN
1
Author Information
1. Department of Neurosurgery-Carotid and Cerebrovascular Ultrasonography, First Affiliated Hospital of Soochow University
- Publication Type:Journal Article
- Keywords:
Carotid Doppler ultrasonography;
High-resolution magnetic resonance imaging;
Vertebral artery dissection
- From:
Chinese Journal of Cerebrovascular Diseases
2020;17(6):327-329+332
- CountryChina
- Language:Chinese
-
Abstract:
The etiology of posterior circulation ischemic stroke caused by bilateral vertebral artery dissection ( VAD) is often difficult to detect. In this study, the authors report a case of posterior circulation ischemic stroke with a history of excessive back elevation of the neck. The dissection of bilateral vertebral arteries was detected by carotid Doppler ultrasonography and further confirmed by magnetic resonance imaging and high-resolution magnetic resonance imaging. After 6 months of standard administration of dual antiplatelet therapy, recanalization of the bilateral vertebral artery was achieved. It proves that the early diagnosis and standardized medical treatment of VAD can significantly improve patients' prognosis.
