Vertebral artery dissection managed by interventional radiology.
BMJ Case Rep
; 15(2)2022 Feb 28.
Article
in English
| MEDLINE | ID: covidwho-1714385
ABSTRACT
A 21-year-old patient presented with sudden-onset headache, visual disturbance and left hand incoordination. She was diagnosed with a left vertebral artery dissection of the V3 segment resulting in multiple cerebellar and cerebral infarcts. There were no risk factors for dissection other than recent COVID-19 infection. She was treated initially with antiplatelets, followed by anticoagulation, but experienced recurrent ischaemia. Although guidance suggests endovascular repair may be beneficial for patients with cerebral artery dissection (CAD) who experience recurrent strokes on medical therapy, evidence is limited. After multidisciplinary team consideration of the individual patient anatomy and risks and benefits of different endovascular techniques, the patient was treated with endovascular coiling. At 10 months follow-up, she had no further strokes and improving neurological symptoms. The case highlighted COVID-19 as a potential trigger for CAD and the use of endovascular coiling in preventing catastrophic cerebral ischaemia in CAD refractive to medical therapy.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Vertebral Artery Dissection
/
Endovascular Procedures
/
COVID-19
Type of study:
Case report
/
Cohort study
/
Experimental Studies
/
Prognostic study
Limits:
Adult
/
Female
/
Humans
/
Young adult
Language:
English
Year:
2022
Document Type:
Article
Affiliation country:
Bcr-2021-245914
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