ArticleCase reports in medicine2020
Bilateral Vertebral Artery Dissection: A Case Report with Literature Review.
Article in Case reports in medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
9 citing papers in PubMed, 9 citations in OpenAlex.
- Contralateral vertebral artery dissection after an unprecedented 14-year interval with a persistent intimal flap: A case report.Surgical neurology international · 2026Article
- Assessment of differential diagnostic skills of physiotherapists related to the cervical spine - approaches to improving effectiveness: observational, cross-sectional study.BMC medical education · 2025Observational
- Spontaneous Intracranial Vertebral Artery Dissection: A Rare Cause of Ischemic Stroke.Journal of cardiovascular development and disease · 2025Review
- Spontaneous bilateral vertebral artery dissection complicated by hemodynamic posterior circulation stroke: A case report.Radiology case reports · 2025Article
- Spontaneous Bilateral Vertebral Artery Dissection as a Rare Cause of Posterior Circulation Stroke in a Young Patient.Cureus · 2024Article
- Article
- Clinical Characteristics, Course, and Outcomes of Vertebral Artery Dissections in the Postpartum Period; a Pooled Analysis of Published Case Reports.Archives of academic emergency medicine · 2023Review
- Case Report: Vertebral Artery Dissection After Use of Handheld Massage Gun.Clinical practice and cases in emergency medicine · 2022Article
- Vertebral Artery Dissection Presenting as a Migrainous Visual Aura after Sexual Activity: A Case Report.Case reports in ophthalmologyArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Vertebral artery dissection (VAD) is a rare cause of ischemic stroke in young patients. The largely nonspecific symptoms and delayed presentation pose a serious diagnostic challenge. Medical management with either anticoagulation or antiplatelet therapy is recommended, but there are no reports of successful dual therapy. We report a case of spontaneous bilateral vertebral artery dissections (VADs) treated with both anticoagulation and antiplatelet therapy and a literature review on clinical presentation and the current medical and surgical management options. A 37-year-old healthy female presented to the emergency department with worsening neck pain and headache for two weeks despite over-the-counter medication, block therapy, yoga, and deep tissue neck massage. She denied any trauma but admitted to multiple roller coaster rides over the past few months. CT angiography was concerning for VADs, and MRI brain revealed multiple strokes in the left posterior inferior cerebellar artery (PICA) territory. Cerebral arteriography confirmed the diagnosis of VADs. The patient was initiated on warfarin, along with atorvastatin and aspirin. She was discharged home with no complications and followed up with neurology as an outpatient. MR angiography after three months revealed complete resolution of the dissection. The patient did not report any bleeding complications from dual therapy.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.