Spontaneous Bilateral Vertebral Artery Dissection as a Rare Cause of Posterior Circulation Stroke in a Young Patient.

Autor: Pantbalekundri N; Department of General Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Health Education and Research, Wardha, IND., Gaidhane SA; Department of General Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Health Education and Research, Wardha, IND., Malali S; Department of General Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Health Education and Research, Wardha, IND., Nelakuditi M; Department of General Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Health Education and Research, Wardha, IND.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Jul 30; Vol. 16 (7), pp. e65738. Date of Electronic Publication: 2024 Jul 30 (Print Publication: 2024).
DOI: 10.7759/cureus.65738
Abstrakt: In young patients, ischemic stroke is an uncommon result of vertebral artery dissection (VAD). Damage to the vertebrae can occur suddenly or as a result of trauma. There are no generally recognized recommendations for diagnosis and treatment, and the majority of vague symptoms and delayed presentation provide a significant diagnostic problem. While medical management with anticoagulant or antiplatelet therapy is advised, no successful dual therapy has been documented. Although traumatic dissection is a more frequent cause of posterior cerebral circulation stroke in people under 45 years of age than spontaneous dissection, spontaneous VAD is well-reported and usually treated with anticoagulation. VAD can result in fatal complications such as basilar area infarction, even though it is often asymptomatic. Here is a case of a 37-year-old male who presented with a posterior circulation stroke after bilateral VAD with no evidence of trauma to the neck and no detectable cause suggesting spontaneous etiology.
Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Pantbalekundri et al.)
Databáze: MEDLINE